26Hip Joint Superficial Layers Deep Layers Skin Superficial Fascia Deep FasciaMusclesSuprapiriform & Infrapiriform ForamenLesser Sciatic ForamenHip Joint
27Superficial Fascia the middle part is thinnest Contains Superficial blood vessels, lymphatic vessels and cutaneous nerves
28Bedsore (Decubitus Ulcer) A pressure-induced ulceration of the skin occurring in persons confined to bed for long periods of time. Also called decubitus ulcer, pressure sore.Bedsore (Decubitus Ulcer)
36Suprapiriform Foramen greater sciatic notchPiriformisLateral to medial: Superior gluteal n.– a.– v.
37Infrapiriform Foramen PiriformisIschial spine & sacrospinous ligamentLateral to medial: sciatic n.– posterior femoral cutaneous n. – inferior gluteal n. a. & v.– internal pudendal a. & v. – pudendal n.
57If the head of the femur is dislocated postero-medially, compression of which nerve is likely to result?FemoralLumbosacral trunkObturatorSciaticSuperior gluteal
58What muscle passes through the lesser sciatic foramen? Gluteus minimusObturator internusPiriformisQuadratus femorisSuperior gemellus
59In order to avoid injury to the sciatic nerve, intramuscular injections should be given in which quadrant of the buttock?upper medialupper laterallower mediallower lateralmiddle
60Of the branches of the internal iliac artery, the one exiting from the greater sciatic foramen superior to the piriformis muscle is the:Iliolumbar arteryInternal pudendal arteryLateral sacral arterySuperior gluteal artery
66Great Saphenous V. 70 ～80 cm femoral v. fossa ovalis medial side of thighmedial condyles of tibia & femurmedial side of legmedial malleolusdorsal venous arch of foot
67Tributaries Superficial iliac circumflex v. Superficial epigastric v. External pudendal v.Superficial lateral femoral v.Superficial medial femoral v.surgical ligation
68in emergency, great saphenous vein may be opened surgically for intravenous drip for the patients suffering from insufficiency of body fluid.great saphenous vein as venous graft can be used in the coronary bypass surgery for coronary heart disease.
69one-way valves become weak & don't close properly
85A 63-year-old female patient says that she has pain in her groin and upper thigh. Upon examination, you palpate a lump located below the inguinal ligament lateral to its attachment to the pubic tubercle. You suspect that this may be a hernia passing through the:femoral canaladductor hiatusobturator canaldeep inguinal ringsuperficial inguinal ringA
87The pulse of the femoral artery is best felt at which superficial reference point? Anterior to the ankle jointFemoral triangleMid-thighPopliteal fossaRight lateral portion of the hypogastriumB
88At which site could one expect to enter the femoral vein with a simple percutaneous (through the skin) introduction of an instrument?Above the middle of the inguinal ligamentLateral to the femoral arterial pulseLateral to the pubic tubercleMedial to the femoral arterial pulseMedial to the pubic tubercleD
89A serious complication of fractures of the femoral neck is avascular necrosis of the femoral head. This usually results from rupture of which artery?Acetabular branch of obturatorDeep circumflex iliacDescending branch of lateral circumflex femoralMedial circumflex femoralSecond perforating branch of lateral circumflexD
90A ruptured aneurysm in the most proximal portion of the deep femoral artery would result in a hematoma located initially in the:Adductor canal.Femoral canal.Femoral triangle.Inguinal canal.Popliteal fossa.
91Childhood immunizations are sometimes given via intramuscular injections into the quadriceps muscles of the anterior thigh. At the mid-thigh level, a needle passing into the space deep to the sartorius muscle might pierce the femoral vessels as they lie in the:Adductor canalAdductor hiatusAdductor triangleFemoral canalFemoral ring
92Which of the following is NOT located within the adductor canal? Saphenous nerveFemoral arteryNerve to vastus medialisFemoral veinDeep femoral artery