Deck 21: The Thigh, Hip, Groin, and Pelvis

Question 1

Please identify the muscles that make up the tendinous insertion of the pes anserinus muscle group.

A) Sartorius
B) Gracilis
C) Vastus medialis
D) Adductor magnus
E) Adductor longus
F) Semitendinosus
G) Semimembranosus

Answer 1

Sartorius
Gracilis
Semitendinosus

Question 2

Please check all of the muscles that are stimulated by the obturator nerve.

A) Sartorius
B) Popliteus
C) Adductor magnus
D) Biceps femoris
E) Vastus lateralis
F) Gracilis
G) Vastus intermedius
H) Pectineus
I) Semimembranosus
J) Adductor longus

Answer 2

Adductor magnus
Gracilis
Pectineus
Adductor longus

Question 3

Please check all of the muscles that laterally rotate the thigh.

A) Iliacus
B) Psoas major
C) Superior gemellus
D) Gluteus medius
E) Gluteus maximus
F) Piriformis
G) Obturator internus
H) Tensor fasciae latae

Answer 3

Superior gemellus
Piriformis
Obturator internus

Question 4

Please check all of the special tests that are utilized to check for a tight iliotibial band.

A) Renne's
B) Thomas
C) Ober
D) Kendall
E) Trendelenberg
F) Noble
G) Craig's
H) Ely

Question 5

Please identify which of the following muscles DO NOT insert on some portion of the greater trochanter.

A) Tensor fascia latae
B) Gluteus maximus
C) Gluteus medius
D) Superior gemellus
E) Obturator internus
F) Iliacus
G) Psoas major

Question 6

What muscles originate from the medial and lateral linea aspera of the femur?

A) Sartorius and gracilis
B) Biceps femoris and rectus femoris
C) Vastus medialis and vastus lateralis
D) Semitendinosus and semimembranosus
E) Popliteus and plantaris

Question 7

What is the largest nerve in the body?

A) Femoral nerve
B) Brachial plexus
C) Sacral plexus
D) Greater sciatic nerve
E) Common peroneal nerve

Question 8

Which of the following is a quadriceps muscle that crosses the hip joint?

A) Vastus lateralis
B) Rectus femoris
C) Vastus intermedius
D) Biceps femoris
E) Adductor brevis

Question 9

Which of the following muscles in the thigh is not biarticular?

A) Long head of the biceps femoris
B) Short head of the biceps femoris
C) Semimembranosus
D) Rectus femoris
E) Sartorius

Question 10

What is the significance of the femur's cylindrical shaft that bows forward and outward?

A) It accommodates the stresses placed on the femur during bending of the hip and knee and during weight bearing.
B) It accommodates the large muscle mass of the hamstring and quadriceps muscle groups.
C) It provides leverage to the longest bone of the body during gait patterns.
D) It provides a common insertion point for the pes anserinus muscle group.
E) It provides a common fascial attachment for the quadriceps muscle group.

Question 11

What action does the highlighted muscle perform?

A) Adduction of the thigh and flexes and medially rotates the leg at the knee joint
B) Adduction of the thigh and outwardly rotates the thigh
C) Externally rotates the femur and unlocks the knee for flexion to occur
D) Flexes the thigh at the hip joint, abducts and outwardly rotates the thigh at the hip joint
E) Extends the knee and assists with inwardly rotating the thigh at the hip joint.

Question 12

Which of the following muscles is a part of the anatomical region of the innter thigh referred to as the groin?

A) Gracilis
B) Tensor
C) Gluteus
D) Vastus lateralis
E) Iliopsoas

Question 13

In the history section of a thigh assessment, what would be considered an inappropriate question to ask the patient?

A) Was the onset sudden or slow?
B) Is the pain related to risk?
C) Have you ever had a low-back injury?
D) How was the thigh injured?
E) Has this injury occurred before?

Question 14

Which of the following would be an inappropriate body structure to palpate during the palpation section of the thigh?

A) Ilium
B) Pes anserinus tendon
C) Pectineus
D) Greater trochanter
E) Anterior superior iliac spine

Question 15

What suspected condition would be present that would discourage the patient performance of an isometric resistance to the thigh muscle groups?

A) Muscle strain
B) Ligamentous sprain
C) Bursitis
D) Fracture
E) Tendinitis

Question 16

When managing a quadriceps contusion, what position should the leg be in when providing cryotherapy treatment?

A) Full extension to patient comfort level
B) Slightly flexed
C) Flexed to 90 degrees
D) Fully flexed to patient comfort level
E) Prone position slight extension

Question 17

What is the most common location for a quadriceps muscle strain?

A) The muscle belly
B) The muscle origin
C) The muscle tendon
D) The musculotendinous junction
E) The fascial attachment

Question 18

In managing a quadriceps grade 2 strain, what exercises should be avoided until later phases of the rehabilitation?

A) Weight-bearing
B) Isometrics
C) Active range of motion
D) Passive stretching
E) Cryokinetics

Question 19

Which of the following modalities could lead to the development of myositis ossifications if used in treatment during the initial stages of a quadriceps contusion?

A) Cryotherapy
B) Heat therapy
C) Aspiration of a hematoma
D) Isometric stretching
E) Eccentric strength training

Question 20

Which of the following causal theories of muscle strains is inappropriate based on the actions of the hamstring muscle group?

A) When an individual has 65 percent strength ratio of the hamstring muscle group to the quadriceps muscle group
B) When an individual suddenly changes direction or starts too slowly
C) When an individual has a quick change of the hamstring muscle from the role of knee stabilization to that of extending the hip when running
D) When an individual is experiencing muscle fatigue or has a faulty posture
E) When an individual contracts the hamstring and quadriceps muscle groups at the same time

Question 21

What condition would create a higher incidence of reinjury hamstring muscle strain?

A) Psychosocial issues
B) Limited range of motion
C) Excessive fibrous scar tissue
D) Overstretching
E) Unhealthy inflammation phase

Question 22

For fractures that occur across the epiphysis of the femur among adolescents, what condition is likely to develop?

A) Slipped epiphysis
B) Joint contracture
C) Myositis ossificans
D) Osteoporosis
E) Avascular necrosis

Question 23

Which of the following symptoms would indicate a grade 2 hamstring strain?

A) A palpable gap in the muscle
B) A sudden snap or tear of the muscle
C) A palpable mass in the muscle
D) Severe edema of the muscle
E) Major hemorrhage in the muscle

Question 24

If a patient were suffering from a femoral stress fracture, how would the gait pattern be altered?

A) The patient would not be weight-bearing on the affected leg.
B) The patient would use an abduction lurch-type movement.
C) The patient would use an adduction lurch-type movement.
D) The patient would avoid hip extension.
E) The patient would heel placement.

Question 25

What injury to the thigh region is present in the x-ray image?

A) Quad strain
B) Hamstring strain
C) Thigh contusion
D) Myositis ossificans
E) Myositis dissecans

Question 26

For the highlighted muscle in the image, what range of motion would be limited if the muscle were strained?

A) Hip extension
B) Hip external rotation
C) Knee flexion lying prone
D) Knee flexion seated
E) Lumbar extension

Question 27

What movement is present at the sacroiliac junction?

A) A small backward-forward movement
B) A small anterior-posterior tilt
C) A small lateral shift
D) A small axial rotation
E) It is an innominate bone.

Question 28

Where does the spherical head of the femur fit?

A) Within the joint capsule
B) In the acetabulum
C) In the hip girdle
D) In the obturator foramen
E) In the ischium

Question 29

Which of the following structures lines the acetabular socket?

A) Obturator membrane
B) Synovial membrane
C) Interosseous membrane
D) Serous membrane
E) Cutaneous membrane

Question 30

What is known as the strongest ligament of the body?

A) The Y ligament of Deuce
B) The X ligament of Bigelow
C) The ischiofemoral ligament
D) The Y ligament of Bigelow
E) The V ligament of the acetabulum

Question 31

Which of the following is an anterior hip muscle?

A) Iliacus
B) Piriformis
C) Gluteus minimus
D) Gemellus superior
E) Quadratus femoris

Question 32

What nerve branches to supply the thigh and lower leg?

A) Greater sciatic nerve
B) Popliteal nerve
C) Femoral nerve
D) Posterior tibial nerve
E) Common peroneal nerve

Question 33

Which of the following directions is an inappropriate action performed by the pelvis?

A) Anterior tilt
B) Lateral tilt
C) Rotation
D) Posterior tilt
E) Extension

Question 34

Which of the following muscles performs anterior tilting of the pelvis in the sagittal plane?

A) Hip abductors
B) Gluteus maximus
C) Rectus abdominus
D) Iliopsoas
E) Pectineus

Question 35

Which of the following structures serves as the attachment site for abdominal muscles?

A) Greater trochanter
B) Iliac crest
C) Femoral neck
D) Symphisis pubis
E) Lateral epicondyle

Question 36

Please draw a line in the correct location that separates the false and true pelvic areas.

A)
B)
C)
D)
E)

Question 37

Which of the following tests can be used to assess hip flexor tightness?

A) The flexion internal rotation test
B) The scour test
C) The Thomas test
D) The Trendelenberg's test
E) The resisted hip abduction test

Question 38

Which of the following positions should a patient be in when undergoing Nobel's test?

A) Lying down in supine position
B) Lying down with one leg raised
C) Standing, with both feet on the ground
D) Standing, with one foot on the ground
E) Lying down in prone position

Question 39

Which of the following information would an athletic trainer gather while preparing the history section of the assessment of a potential hip, groin, or pelvis injury?

A) Recent sexual activity of the patient
B) Abnormal movements during ambulation
C) Tilt of the pelvis
D) Leg-length discrepancy
E) Types of pain experienced

Question 40

In the observation section of a hip, groin, and pelvis assessment, what would be difficult to observe without performing a special test?

A) Symmetrical view of the hips
B) Anterior or posterior tilted pelvis
C) Patellar alignments
D) Tight musculature
E) Even height of the posterior superior iliac spines

Question 41

Which of the following structures would be unable to be discovered during the palpation section of a hip, groin, and pelvis assessment if there were no swelling?

A) Trochanteric bursa
B) Pubic symphysis
C) Piriformis
D) Tensor fasciae latae
E) Posterior inferior iliac spine

Question 42

Which of the following tests can be used to determine the presence of gluteal tendinopathies?

A) The resisted hip abduction test
B) The Trendelenberg test
C) The scour test
D) The flexion internal rotation test
E) The patellar-pubic percussion test

Question 43

In order to accurately measure anatomical leg-length discrepancy, the measurements should occur between which of the following anatomical structures?

A) Posterior superior iliac spine to the lateral malleoli
B) Posterior superior iliac spine to the medial malleoli
C) Anterior superior iliac spine to the medial malleoli
D) Anterior to the lateral malleoli
E) The umbilicus to the lateral malleoli

Question 44

Based on this picture, what is most likely wrong with this person?

A) Femoral retroversion
B) Femoral anteversion
C) Pathological sacroiliac joint dysfunction
D) Leg-length discrepancy
E) Tightness of the rectus femoris

Question 45

A track athlete complains of pain in the lateral hip with pain radiating down to the knee causing a limp. What is the condition?

A) Groin strain
B) Trochanteric bursitis
C) Sprain of the hip joint
D) Avascular necrosis
E) Slipped capital femoral epiphysis

Question 46

Which of the following is a likely complication of a posterior hip dislocation?

A) Palsy of the sciatic nerve
B) Fracture of the femur
C) Ill shaped head of the femur
D) Slippage of the capital femoral epiphysis
E) Fracture of the ishial tuberosity

Question 47

Which of the following conditions results from the temporary or permanent loss of blood supply to the proximal femur?

A) Quadriceps contusion
B) Subungual hematoma
C) Avascular necrosis
D) Myositis ossificans
E) Trochanteric bursitis

Question 48

Which of the following hip problems occurs in male children ages 4 to 10?

A) Slipped capital femoral epiphysis
B) Avascular necrosis
C) Legg-Calve-Perthes disease
D) Osteitis pubis
E) Snapping hip

Question 49

What condition occurs in boys who are characteristically tall and thin, or obese and between the ages of 10 and 17?

A) Slipped capital femoral epiphysis
B) Avascular necrosis
C) Legg-Calve-Perthes disease
D) Osteitis pubis
E) Snapping hip

Question 50

A bone scan should be utilized to diagnose which of the following problems?

A) Stress fracture
B) Ostetis pubis
C) Athletic pubalgia
D) Apophysitis
E) Legg-Calve-Perthes Disease

Question 51

Which of the following is usually the first type of exercise imparted in strength rehabilitation programs?

A) An isometric exercise
B) An isotonic progressive-resistive exercise
C) An isokinetic exercise
D) An active isotonic contraction
E) An active isokinetic contraction

Question 52

What is this special test checking for?

A) Tight hamstring muscles
B) Tight iliotibial band
C) Tight rectus femoris
D) Tight gastrocnemius
E) Tights hip flexor

Question 53

What special test measures for femoral retroversion and femoral anteversion version?

A) Craig's test
B) Apparent leg length discrepancy
C) Patrick Faber
D) Thomas test
E) Thompson test

Question 54

Which of the following sign or symptom would the patient report during the appropriate healing of a quadriceps contusion?

A) Pain
B) Burning
C) Muscle weakness
D) Swelling
E) Decrease muscle function

Question 55

In the history section of a hip, groin, and pelvis assessment, what would be considered an inappropriate question to ask the patient?

A) Are you sexually active?
B) Do you think you may be pregnant?
C) What is your age?
D) Does the pain radiate?
E) Are you taking contraceptives?

Question 56

Internal hip rotation in excess of what degree is characteristic of femoral anteversion?

A) 15 degrees
B) 20 degrees
C) 25 degrees
D) 30 degrees
E) 35 degrees

Question 57

What is the most common mechanism of injury for a hip dislocation?

A) The femoral shaft adducts and flexes
B) The femoral shaft abducts and flexes
C) The femoral shaft adducts and extends
D) The femoral shaft abducts and extends
E) The femoal shaft is internally rotated and extended