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Femoral Triangle
The lateral boundary of the femoral triangle is
1 Medial border of Adductor Longus
2 Lateral border of Adductor Longus
3 Medial border of Pectineus
4 Lateral border of Sartorius
5 Medial border of Sartorius
The lateral boundary of the femoral triangle is
1 Medial border of Adductor Longus F
2 Lateral border of Adductor Longus F
3 Medial border of Pectineus F
4 Lateral border of Sartorius F
5 Medial border of Sartorius T
The lateral boundary is the medial edge of Sartorius
The Superior boundary is the inguinal ligament
The muscle labelled Z is called
1 Adductor brevis
2 Pectineus
3 Psoas major
4 iliacus
5 Quadratus Femoris
Inguinal ligament
mediallateral
sartorius
Y
Z
Adductorlongus
The muscle labelled Z is called
1 Adductor brevis F
2 Pectineus T
3 Psoas major F
4 iliacus F
5 Quadratus Femoris F
Inguinal ligament
mediallateral
sartorius
Y
Z
Adductorlongus
The femoral artery
1 lies in the femoral sheath medial to the femoral
vein
2 is medial to the femoral nerve
3 gives off the profunda femoris artery as its first
branch, usually
4 enters the adductor canal lying anterior to the
femoral vein
5 gives a branch which supplies the scrotum
The femoral artery
1 lies in the femoral sheath medial to the femoral
vein
F
2 is medial to the femoral nerve T
3 gives off the profunda femoris artery as its first
branch, usually
F
4 enters the adductor canal lying anterior to the
femoral vein
T
5 gives a branch which supplies the scrotum T
The femoral artery lies lateral to the femoral vein within the sheath
The femoral nerve lies lateral to the femoral sheath
The profunda femoris is usually not the first branch of the femoral artery
The femoral artery gives off the superficial and deep external pudendal arteries as
early branches, and these run medially to supply the scrotum in the male and the
vulva in the female
The sartorius muscle
1 Has two heads
2 Attaches to the anterior superior iliac spine
3 Attaches to the anterior inferior iliac spine
4 Is supplied by the obturator nerve
5 Is supplied by the femoral nerve
The sartorius muscle
1 Has two heads F
2 Attaches to the anterior superior iliac spine T
3 Attaches to the anterior inferior iliac spine F
4 Is supplied by the obturator nerve F
5 Is supplied by the femoral nerve T
Sartorius originates from the anterior superior iliac spine and inserts onto
the the upper part of the medial surface of the tibial shaft, alongside
the tendons of gracilis and semitendinosus.
Sartorius is supplied by the femoral nerve.
The femoral sheath contains the following:
1 femoral nerve
2 ilioinguinal nerve
3 femoral canal
4 femoral artery
5 saphenous nerve
The femoral sheath contains the following:
1 femoral nerve F
2 ilioinguinal nerve F
3 femoral canal T
4 femoral artery T
5 saphenous nerve F
With regard to the arteries in the femoral triangle
1 The medial circumflex artery is usually a branch of the
superficial femoral artery
2 The medial circumflex artery is usually a branch of the
external iliac artery
3 The medial circumflex artery is usually a branch of the
profunda femoris artery
4 The lateral circumflex artery is usually a branch of the
profunda femoris artery
5 The lateral circumflex artery is usually a branch of the
external iliac artery
With regard to the arteries in the femoral triangle
1 The medial circumflex artery is usually a branch of the
superficial femoral artery
F
2 The medial circumflex artery is usually a branch of the
external iliac artery
F
3 The medial circumflex artery is usually a branch of the
profunda femoris artery
T
4 The lateral circumflex artery is usually a branch of the
profunda femoris artery
T
5 The lateral circumflex artery is usually a branch of the
external iliac artery
F
Both the medial and lateral circumflex arteries are usually direct
branches of the profunda femoris artery (also known as the deep
femoral artery)
From lateral to medial the muscles of the floor of the
femoral triangle are in the following order
1 Adductor longus, pectineus, psoas major
2 Pectineus, psoas major, sartorius,
3 Iliacus, pectineus, psoas major, adductor longus
4 Pectineus, psoas major, iliacus
5 Iliacus, psoas major, pectineus, adductor longus
From lateral to medial the muscles of the floor of the
femoral triangle are in the following order
1 Adductor longus, pectineus, psoas major F
2 Pectineus, psoas major, sartorius, F
3 Iliacus, pectineus, psoas major, adductor longus F
4 Pectineus, psoas major, iliacus F
5 Iliacus, psoas major, pectineus, adductor longus T
From lateral to medial the muscles of the floor of the femoral triangle are
Iliacus, psoas major, pectineus and adductor longus
The medial border of Adductor Longus and the medial border of Sartorius
make up the medial and lateral boundaries of the femoral triangle
respectively
The femoral nerve
1 is derived from the 2nd
, 3rd
and 4th
lumbar nerves
2 supplies no muscle above the inguinal ligament
3 has no branches that go distal to the level of the
knee
4 lies between the femoral artery and vein within
the femoral sheath
5 supplies proprioceptive fibres both to the hip
joint and knee joint
The femoral nerve
1 is derived from the 2nd
, 3rd
and 4th
lumbar nerves T
2 supplies no muscle above the inguinal ligament F
3 has no branches that go distal to the level of the
knee
F
4 lies between the femoral artery and vein within
the femoral sheath
F
5 supplies proprioceptive fibres both to the hip
joint and knee joint
T
The femoral nerve supplies iliacus above the inguinal ligament.
The saphenous nerve, a sensory branch of the femoral nerve, goes as far
as the ankle - at times as far as the foot
The following structures drain into the superficial
inguinal lymph nodes:
1 anal canal
2 scrotum
3 uterus
4 testis
5 vulva
The following structures drain into the superficial
inguinal lymph nodes:
1 anal canal T
2 scrotum T
3 uterus T
4 testis F
5 vulva T
The distal half of the anal canal drains to the superficial inguinal lymph nodes
bilaterally
The fundus of the uterus does in fact drain to the superficial inguinal lymph
nodes via lymphatics which accompany the round ligament of the uterus
The testes drain to the para-aortic lymph nodes alongside the origins of
the testicular arteries
The long (great) saphenous vein
1 lies in the femoral canal
2 drains into the external iliac vein
3 pierces the deep fascia in the distal thigh to enter
the adductor canal
4 receives the termination of the short saphenous
vein below the level of the knee joint
5 receives the termination of the short saphenous
vein above the level of the knee joint
The long (great) saphenous vein
1 lies in the femoral canal F
2 drains into the external iliac vein F
3 pierces the deep fascia in the distal thigh to enter
the adductor canal
F
4 receives the termination of the short saphenous
vein below the level of the knee joint
F
5 receives the termination of the short saphenous
vein above the level of the knee joint
F
The long saphenous vein drains into the femoral vein
It pierces the deep fascia in the proximal thigh, a short distance below the
inguinal ligament, before draining into the femoral vein
The short saphenous vein empties into the popliteal vein
The femoral triangle
1 is bounded medially by pectineus
2 is bounded laterally by iliacus
3 is bounded laterally by the sartorius
4 has a proximal boundary formed by the inguinal
ligament
5 contains the profunda femoris artery
The femoral triangle
1 is bounded medially by pectineus F
2 is bounded laterally by iliacus F
3 is bounded laterally by the sartorius T
4 has a proximal boundary formed by the inguinal
ligament
T
5 contains the profunda femoris artery T
pectineus and iliacus make up the floor of the femoral triangle
Concerning veins of the lower limb
1 the junction between the short saphenous and popliteal veins
(saphenopopliteal junction) is typically 5 to 6 cm distal to the knee
joint line
2 normally, the direction of blood flow is from the deep veins to the
superficial veins
3 the junction between the long saphenous vein and femoral vein
(the saphenofemoral junction) is typically 6 to 8 cm inferolateral
to the pubic tubercle
4 deep veins do not possess valves
5 the long saphenous vein receives tributaries from the anterior
abdominal wall as well as from the scrotum
Concerning veins of the lower limb
1 the junction between the short saphenous and popliteal veins
(saphenopopliteal junction) is typically 5 to 6 cm distal to the knee
joint line
F
2 normally, the direction of blood flow is from the deep veins to the
superficial veins
F
3 the junction between the long saphenous vein and femoral vein
(the saphenofemoral junction) is typically 6 to 8 cm inferolateral
to the pubic tubercle
F
4 deep veins do not possess valves F
5 the long saphenous vein receives tributaries from the anterior
abdominal wall as well as from the scrotum
T
The saphenopopliteal junction is usually above the level of the knee joint line
The saphenofemoral junction is 1 to 2 cm inferolateral to the pubic tubercle
Deep veins do possess competent valves, albeit in smaller number than in
superficial veins
The tributary from the anterior abdominal wall is called the superficial epigastric
vein and the tributaries from the scrotum are the external pudendal veins
The femoral nerve
1 is a branch of the lumbar plexus
2 has a root value of L5, S1, S2
3 is a content of the femoral sheath
4 supplies iliacus
5 supplies gluteus medius
The femoral nerve
1 is a branch of the lumbar plexus T
2 has a root value of L5, S1, S2 F
3 is a content of the femoral sheath F
4 supplies iliacus T
5 supplies gluteus medius F
The root value of the femoral nerve is L2,3 & 4
The femoral nerve lies outside the femoral sheath, lateral to the sheath
Gluteus medius, gluteus minimus and tensor fasciae latae are supplied by the
superior gluteal nerve, not the femoral nerve
The femoral artery
1 is a direct continuation of the internal iliac artery
2 is a direct continuation of the common iliac artery
3 commences at the mid-inguinal point
4 lies medial to the femoral vein in the femoral sheath
5 gives off the profunda femoris artery as a direct branch
The femoral artery
1 is a direct continuation of the internal iliac artery F
2 is a direct continuation of the common iliac artery F
3 commences at the mid-inguinal point T
4 lies medial to the femoral vein in the femoral sheath F
5 gives off the profunda femoris artery as a direct branch T
The femoral artery is a direct continuation of the external iliac artery
The femoral artery commences at the mid-inguinal point which is halfway between
the anterior superior iliac spine (ASIS) and the upper edge of the pubic
symphysis)
Within the femoral sheath the order of structures, from lateral to medial is – femoral
artery, femoral vein and femoral canal, the latter being a space within the femoral
sheath, medial to the femoral vein
The femoral artery
1 is a direct continuation of the internal iliac artery
2 is a direct continuation of the common iliac artery
3 commences at the mid-inguinal point
4 lies medial to the femoral vein in the femoral sheath
5 gives off the profunda femoris artery as a direct branch
The femoral artery
1 is a direct continuation of the internal iliac artery F
2 is a direct continuation of the common iliac artery F
3 commences at the mid-inguinal point T
4 lies medial to the femoral vein in the femoral sheath F
5 gives off the profunda femoris artery as a direct branch T
The femoral artery is a direct continuation of the external iliac artery
The femoral artery commences at the mid-inguinal point which is halfway between
the anterior superior iliac spine (ASIS) and the upper edge of the pubic
symphysis)
Within the femoral sheath the order of structures, from lateral to medial is – femoral
artery, femoral vein and femoral canal, the latter being a space within the femoral
sheath, medial to the femoral vein
The Femoral nerve supplies
1 hip joint
2 adductor longus
3 sartorius
4 quadriceps femoris
5 skin over the anterior aspect of the thigh
The Femoral nerve supplies
1 hip joint T
2 adductor longus F
3 sartorius T
4 quadriceps femoris T
5 skin over the anterior aspect of the thigh T
Adductor longus is supplied by the obturator nerve, not the femoral nerve
The intermediate cutaneous nerve of thigh, a branch of the femoral nerve,
supplies the skin over the front of thigh
Adductor Longus
1 Originates from the ischium
2 Originates from the anterior superior iliac spine
3 Originates from the anterior inferior iliac spine
4 Originates from the femur
5 Originates from the pubis
Adductor Longus
1 Originates from the ischium F
2 Originates from the anterior superior iliac spine F
3 Originates from the anterior inferior iliac spine F
4 Originates from the femur F
5 Originates from the pubis T
Adductor Longus originates from the body of the pubis.
It inserts onto the linea aspera of the Femur
The femoral sheath
1 is derived partially from the fascia transversalis
2 contains the femoral vein
3 contains lymphatics
4 contains the femoral canal
5 contains the femoral nerve
The femoral sheath
1 is derived partially from the fascia transversalis T
2 contains the femoral vein T
3 contains lymphatics T
4 contains the femoral canal T
5 contains the femoral nerve F
The femoral sheath is a funnel-shaped prolongation of extraperitoneal
fascia into the femoral triangle.
The anterior wall of the sheath is derived from fascia transversalis while the
posterior wall of the sheath is derived from the fascia iliaca
The muscle labelled X is called
1 Adductor brevis
2 Pectineus
3 Psoas major
4 iliacus
5 Quadratus Femoris
Inguinal ligament
mediallateral
sartorius
Y
Z
Adductorlongus
The muscle labelled X is called
1 Adductor brevis F
2 Pectineus F
3 Psoas major F
4 iliacus T
5 Quadratus Femoris F
Inguinal ligament
mediallateral
sartorius
Y
Z
Adductorlongus
The medial boundary of the femoral triangle is
1 Lateral border of Adductor Longus
2 Lateral border of Adductor Brevis
3 Lateral border of Adductor Magnus
4 Medial border of Adductor Longus
5 Medial border of Adductor Magnus
The medial boundary of the femoral triangle is
1 Lateral border of Adductor Longus F
2 Lateral border of Adductor Brevis F
3 Lateral border of Adductor Magnus F
4 Medial border of Adductor Longus T
5 Medial border of Adductor Magnus F
Concerning the femoral triangle
1 its medial boundary is formed by the adductor
longus muscle
2 it is continuous distally with the adductor canal
3 it contains the medial and lateral circumflex
femoral arteries
4 the sapheno-femoral junction is lateral to the
femoral canal
5 the obturator externus muscle forms part of its
floor
Concerning the femoral triangle
1 its medial boundary is formed by the adductor
longus muscle
T
2 it is continuous distally with the adductor canal T
3 it contains the medial and lateral circumflex
femoral arteries
T
4 the sapheno-femoral junction is lateral to the
femoral canal
T
5 the obturator externus muscle forms part of its
floor
F
The medial and lateral circumflex arteries are early branches of the profunda
femoris artery, and thus are contents of the femoral triangle
The femoral ring
1 is bounded laterally by the femoral artery
2 is bounded laterally by the femoral vein
3 is bounded medially by the lacunar ligament
4 is bounded posteriorly by the pectineal ligament
5 lies supero-medial to the pubic tubercle
The femoral ring
1 is bounded laterally by the femoral artery F
2 is bounded laterally by the femoral vein T
3 is bounded medially by the lacunar ligament T
4 is bounded posteriorly by the pectineal ligament T
5 lies supero-medial to the pubic tubercle F
The femoral ring is the name given to the opening at the proximal end of
the femoral canal
The femoral ring lies inferolateral to the pubic tubercle
The boundaries of the femoral ring are
•Anteriorly – inguinal ligament
•Medially – lacunar ligament
•Posteriorly – pectineal ligament and pectineus
•Laterally – femoral vein
The profunda femoris artery
1 usually arises from the medial aspect of the
femoral artery
2 usually arises from the posterolateral aspect of
the femoral artery
3 gives off the medial and lateral circumflex
femoral arteries
4 accompanies the femoral artery into the
adductor canal
5 is the principal source of blood to the hamstrings
The profunda femoris artery
1 usually arises from the medial aspect of the
femoral artery
F
2 usually arises from the posterolateral aspect of
the femoral artery
T
3 gives off the medial and lateral circumflex
femoral arteries
T
4 accompanies the femoral artery into the
adductor canal
F
5 is the principal source of blood to the hamstrings T
The profunda femoris usually arises from the posterolateral or posterior aspect of
the femoral artery
The muscle labelled Y is called
1 Adductor brevis
2 Pectineus
3 Psoas major
4 iliacus
5 Quadratus Femoris
Inguinal ligament
mediallateral
sartorius
Y
Z
Adductorlongus
The muscle labelled Y is called
1 Adductor brevis F
2 Pectineus F
3 Psoas major T
4 iliacus F
5 Quadratus Femoris F
Inguinal ligament
mediallateral
sartorius
Y
Z
Adductorlongus
Concerning the femoral canal
1 it is a space within the femoral sheath
2 it lies lateral to the femoral vein
3 it may contain a lymph node
4 it transmits the ilioinguinal nerve
5 normally contains a pouch of peritoneum
Concerning the femoral canal
1 it is a space within the femoral sheath T
2 it lies lateral to the femoral vein F
3 it may contain a lymph node T
4 it transmits the ilioinguinal nerve F
5 normally contains a pouch of peritoneum T
The French call the lymph node within the femoral canal the ‘lymph node of
Cloquet’, while the Germans refer to it as the ‘lymph node of Rosenmuller’!
A pouch of peritoneum in the femoral canal is ALWAYS abnormal, and is termed a
femoral hernia!

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Exam Questions Femoral Triangle

  • 2. The lateral boundary of the femoral triangle is 1 Medial border of Adductor Longus 2 Lateral border of Adductor Longus 3 Medial border of Pectineus 4 Lateral border of Sartorius 5 Medial border of Sartorius
  • 3. The lateral boundary of the femoral triangle is 1 Medial border of Adductor Longus F 2 Lateral border of Adductor Longus F 3 Medial border of Pectineus F 4 Lateral border of Sartorius F 5 Medial border of Sartorius T The lateral boundary is the medial edge of Sartorius The Superior boundary is the inguinal ligament
  • 4. The muscle labelled Z is called 1 Adductor brevis 2 Pectineus 3 Psoas major 4 iliacus 5 Quadratus Femoris Inguinal ligament mediallateral sartorius Y Z Adductorlongus
  • 5. The muscle labelled Z is called 1 Adductor brevis F 2 Pectineus T 3 Psoas major F 4 iliacus F 5 Quadratus Femoris F Inguinal ligament mediallateral sartorius Y Z Adductorlongus
  • 6. The femoral artery 1 lies in the femoral sheath medial to the femoral vein 2 is medial to the femoral nerve 3 gives off the profunda femoris artery as its first branch, usually 4 enters the adductor canal lying anterior to the femoral vein 5 gives a branch which supplies the scrotum
  • 7. The femoral artery 1 lies in the femoral sheath medial to the femoral vein F 2 is medial to the femoral nerve T 3 gives off the profunda femoris artery as its first branch, usually F 4 enters the adductor canal lying anterior to the femoral vein T 5 gives a branch which supplies the scrotum T The femoral artery lies lateral to the femoral vein within the sheath The femoral nerve lies lateral to the femoral sheath The profunda femoris is usually not the first branch of the femoral artery The femoral artery gives off the superficial and deep external pudendal arteries as early branches, and these run medially to supply the scrotum in the male and the vulva in the female
  • 8. The sartorius muscle 1 Has two heads 2 Attaches to the anterior superior iliac spine 3 Attaches to the anterior inferior iliac spine 4 Is supplied by the obturator nerve 5 Is supplied by the femoral nerve
  • 9. The sartorius muscle 1 Has two heads F 2 Attaches to the anterior superior iliac spine T 3 Attaches to the anterior inferior iliac spine F 4 Is supplied by the obturator nerve F 5 Is supplied by the femoral nerve T Sartorius originates from the anterior superior iliac spine and inserts onto the the upper part of the medial surface of the tibial shaft, alongside the tendons of gracilis and semitendinosus. Sartorius is supplied by the femoral nerve.
  • 10. The femoral sheath contains the following: 1 femoral nerve 2 ilioinguinal nerve 3 femoral canal 4 femoral artery 5 saphenous nerve
  • 11. The femoral sheath contains the following: 1 femoral nerve F 2 ilioinguinal nerve F 3 femoral canal T 4 femoral artery T 5 saphenous nerve F
  • 12. With regard to the arteries in the femoral triangle 1 The medial circumflex artery is usually a branch of the superficial femoral artery 2 The medial circumflex artery is usually a branch of the external iliac artery 3 The medial circumflex artery is usually a branch of the profunda femoris artery 4 The lateral circumflex artery is usually a branch of the profunda femoris artery 5 The lateral circumflex artery is usually a branch of the external iliac artery
  • 13. With regard to the arteries in the femoral triangle 1 The medial circumflex artery is usually a branch of the superficial femoral artery F 2 The medial circumflex artery is usually a branch of the external iliac artery F 3 The medial circumflex artery is usually a branch of the profunda femoris artery T 4 The lateral circumflex artery is usually a branch of the profunda femoris artery T 5 The lateral circumflex artery is usually a branch of the external iliac artery F Both the medial and lateral circumflex arteries are usually direct branches of the profunda femoris artery (also known as the deep femoral artery)
  • 14. From lateral to medial the muscles of the floor of the femoral triangle are in the following order 1 Adductor longus, pectineus, psoas major 2 Pectineus, psoas major, sartorius, 3 Iliacus, pectineus, psoas major, adductor longus 4 Pectineus, psoas major, iliacus 5 Iliacus, psoas major, pectineus, adductor longus
  • 15. From lateral to medial the muscles of the floor of the femoral triangle are in the following order 1 Adductor longus, pectineus, psoas major F 2 Pectineus, psoas major, sartorius, F 3 Iliacus, pectineus, psoas major, adductor longus F 4 Pectineus, psoas major, iliacus F 5 Iliacus, psoas major, pectineus, adductor longus T From lateral to medial the muscles of the floor of the femoral triangle are Iliacus, psoas major, pectineus and adductor longus The medial border of Adductor Longus and the medial border of Sartorius make up the medial and lateral boundaries of the femoral triangle respectively
  • 16. The femoral nerve 1 is derived from the 2nd , 3rd and 4th lumbar nerves 2 supplies no muscle above the inguinal ligament 3 has no branches that go distal to the level of the knee 4 lies between the femoral artery and vein within the femoral sheath 5 supplies proprioceptive fibres both to the hip joint and knee joint
  • 17. The femoral nerve 1 is derived from the 2nd , 3rd and 4th lumbar nerves T 2 supplies no muscle above the inguinal ligament F 3 has no branches that go distal to the level of the knee F 4 lies between the femoral artery and vein within the femoral sheath F 5 supplies proprioceptive fibres both to the hip joint and knee joint T The femoral nerve supplies iliacus above the inguinal ligament. The saphenous nerve, a sensory branch of the femoral nerve, goes as far as the ankle - at times as far as the foot
  • 18. The following structures drain into the superficial inguinal lymph nodes: 1 anal canal 2 scrotum 3 uterus 4 testis 5 vulva
  • 19. The following structures drain into the superficial inguinal lymph nodes: 1 anal canal T 2 scrotum T 3 uterus T 4 testis F 5 vulva T The distal half of the anal canal drains to the superficial inguinal lymph nodes bilaterally The fundus of the uterus does in fact drain to the superficial inguinal lymph nodes via lymphatics which accompany the round ligament of the uterus The testes drain to the para-aortic lymph nodes alongside the origins of the testicular arteries
  • 20. The long (great) saphenous vein 1 lies in the femoral canal 2 drains into the external iliac vein 3 pierces the deep fascia in the distal thigh to enter the adductor canal 4 receives the termination of the short saphenous vein below the level of the knee joint 5 receives the termination of the short saphenous vein above the level of the knee joint
  • 21. The long (great) saphenous vein 1 lies in the femoral canal F 2 drains into the external iliac vein F 3 pierces the deep fascia in the distal thigh to enter the adductor canal F 4 receives the termination of the short saphenous vein below the level of the knee joint F 5 receives the termination of the short saphenous vein above the level of the knee joint F The long saphenous vein drains into the femoral vein It pierces the deep fascia in the proximal thigh, a short distance below the inguinal ligament, before draining into the femoral vein The short saphenous vein empties into the popliteal vein
  • 22. The femoral triangle 1 is bounded medially by pectineus 2 is bounded laterally by iliacus 3 is bounded laterally by the sartorius 4 has a proximal boundary formed by the inguinal ligament 5 contains the profunda femoris artery
  • 23. The femoral triangle 1 is bounded medially by pectineus F 2 is bounded laterally by iliacus F 3 is bounded laterally by the sartorius T 4 has a proximal boundary formed by the inguinal ligament T 5 contains the profunda femoris artery T pectineus and iliacus make up the floor of the femoral triangle
  • 24. Concerning veins of the lower limb 1 the junction between the short saphenous and popliteal veins (saphenopopliteal junction) is typically 5 to 6 cm distal to the knee joint line 2 normally, the direction of blood flow is from the deep veins to the superficial veins 3 the junction between the long saphenous vein and femoral vein (the saphenofemoral junction) is typically 6 to 8 cm inferolateral to the pubic tubercle 4 deep veins do not possess valves 5 the long saphenous vein receives tributaries from the anterior abdominal wall as well as from the scrotum
  • 25. Concerning veins of the lower limb 1 the junction between the short saphenous and popliteal veins (saphenopopliteal junction) is typically 5 to 6 cm distal to the knee joint line F 2 normally, the direction of blood flow is from the deep veins to the superficial veins F 3 the junction between the long saphenous vein and femoral vein (the saphenofemoral junction) is typically 6 to 8 cm inferolateral to the pubic tubercle F 4 deep veins do not possess valves F 5 the long saphenous vein receives tributaries from the anterior abdominal wall as well as from the scrotum T The saphenopopliteal junction is usually above the level of the knee joint line The saphenofemoral junction is 1 to 2 cm inferolateral to the pubic tubercle Deep veins do possess competent valves, albeit in smaller number than in superficial veins The tributary from the anterior abdominal wall is called the superficial epigastric vein and the tributaries from the scrotum are the external pudendal veins
  • 26. The femoral nerve 1 is a branch of the lumbar plexus 2 has a root value of L5, S1, S2 3 is a content of the femoral sheath 4 supplies iliacus 5 supplies gluteus medius
  • 27. The femoral nerve 1 is a branch of the lumbar plexus T 2 has a root value of L5, S1, S2 F 3 is a content of the femoral sheath F 4 supplies iliacus T 5 supplies gluteus medius F The root value of the femoral nerve is L2,3 & 4 The femoral nerve lies outside the femoral sheath, lateral to the sheath Gluteus medius, gluteus minimus and tensor fasciae latae are supplied by the superior gluteal nerve, not the femoral nerve
  • 28. The femoral artery 1 is a direct continuation of the internal iliac artery 2 is a direct continuation of the common iliac artery 3 commences at the mid-inguinal point 4 lies medial to the femoral vein in the femoral sheath 5 gives off the profunda femoris artery as a direct branch
  • 29. The femoral artery 1 is a direct continuation of the internal iliac artery F 2 is a direct continuation of the common iliac artery F 3 commences at the mid-inguinal point T 4 lies medial to the femoral vein in the femoral sheath F 5 gives off the profunda femoris artery as a direct branch T The femoral artery is a direct continuation of the external iliac artery The femoral artery commences at the mid-inguinal point which is halfway between the anterior superior iliac spine (ASIS) and the upper edge of the pubic symphysis) Within the femoral sheath the order of structures, from lateral to medial is – femoral artery, femoral vein and femoral canal, the latter being a space within the femoral sheath, medial to the femoral vein
  • 30. The femoral artery 1 is a direct continuation of the internal iliac artery 2 is a direct continuation of the common iliac artery 3 commences at the mid-inguinal point 4 lies medial to the femoral vein in the femoral sheath 5 gives off the profunda femoris artery as a direct branch
  • 31. The femoral artery 1 is a direct continuation of the internal iliac artery F 2 is a direct continuation of the common iliac artery F 3 commences at the mid-inguinal point T 4 lies medial to the femoral vein in the femoral sheath F 5 gives off the profunda femoris artery as a direct branch T The femoral artery is a direct continuation of the external iliac artery The femoral artery commences at the mid-inguinal point which is halfway between the anterior superior iliac spine (ASIS) and the upper edge of the pubic symphysis) Within the femoral sheath the order of structures, from lateral to medial is – femoral artery, femoral vein and femoral canal, the latter being a space within the femoral sheath, medial to the femoral vein
  • 32. The Femoral nerve supplies 1 hip joint 2 adductor longus 3 sartorius 4 quadriceps femoris 5 skin over the anterior aspect of the thigh
  • 33. The Femoral nerve supplies 1 hip joint T 2 adductor longus F 3 sartorius T 4 quadriceps femoris T 5 skin over the anterior aspect of the thigh T Adductor longus is supplied by the obturator nerve, not the femoral nerve The intermediate cutaneous nerve of thigh, a branch of the femoral nerve, supplies the skin over the front of thigh
  • 34. Adductor Longus 1 Originates from the ischium 2 Originates from the anterior superior iliac spine 3 Originates from the anterior inferior iliac spine 4 Originates from the femur 5 Originates from the pubis
  • 35. Adductor Longus 1 Originates from the ischium F 2 Originates from the anterior superior iliac spine F 3 Originates from the anterior inferior iliac spine F 4 Originates from the femur F 5 Originates from the pubis T Adductor Longus originates from the body of the pubis. It inserts onto the linea aspera of the Femur
  • 36. The femoral sheath 1 is derived partially from the fascia transversalis 2 contains the femoral vein 3 contains lymphatics 4 contains the femoral canal 5 contains the femoral nerve
  • 37. The femoral sheath 1 is derived partially from the fascia transversalis T 2 contains the femoral vein T 3 contains lymphatics T 4 contains the femoral canal T 5 contains the femoral nerve F The femoral sheath is a funnel-shaped prolongation of extraperitoneal fascia into the femoral triangle. The anterior wall of the sheath is derived from fascia transversalis while the posterior wall of the sheath is derived from the fascia iliaca
  • 38. The muscle labelled X is called 1 Adductor brevis 2 Pectineus 3 Psoas major 4 iliacus 5 Quadratus Femoris Inguinal ligament mediallateral sartorius Y Z Adductorlongus
  • 39. The muscle labelled X is called 1 Adductor brevis F 2 Pectineus F 3 Psoas major F 4 iliacus T 5 Quadratus Femoris F Inguinal ligament mediallateral sartorius Y Z Adductorlongus
  • 40. The medial boundary of the femoral triangle is 1 Lateral border of Adductor Longus 2 Lateral border of Adductor Brevis 3 Lateral border of Adductor Magnus 4 Medial border of Adductor Longus 5 Medial border of Adductor Magnus
  • 41. The medial boundary of the femoral triangle is 1 Lateral border of Adductor Longus F 2 Lateral border of Adductor Brevis F 3 Lateral border of Adductor Magnus F 4 Medial border of Adductor Longus T 5 Medial border of Adductor Magnus F
  • 42. Concerning the femoral triangle 1 its medial boundary is formed by the adductor longus muscle 2 it is continuous distally with the adductor canal 3 it contains the medial and lateral circumflex femoral arteries 4 the sapheno-femoral junction is lateral to the femoral canal 5 the obturator externus muscle forms part of its floor
  • 43. Concerning the femoral triangle 1 its medial boundary is formed by the adductor longus muscle T 2 it is continuous distally with the adductor canal T 3 it contains the medial and lateral circumflex femoral arteries T 4 the sapheno-femoral junction is lateral to the femoral canal T 5 the obturator externus muscle forms part of its floor F The medial and lateral circumflex arteries are early branches of the profunda femoris artery, and thus are contents of the femoral triangle
  • 44. The femoral ring 1 is bounded laterally by the femoral artery 2 is bounded laterally by the femoral vein 3 is bounded medially by the lacunar ligament 4 is bounded posteriorly by the pectineal ligament 5 lies supero-medial to the pubic tubercle
  • 45. The femoral ring 1 is bounded laterally by the femoral artery F 2 is bounded laterally by the femoral vein T 3 is bounded medially by the lacunar ligament T 4 is bounded posteriorly by the pectineal ligament T 5 lies supero-medial to the pubic tubercle F The femoral ring is the name given to the opening at the proximal end of the femoral canal The femoral ring lies inferolateral to the pubic tubercle The boundaries of the femoral ring are •Anteriorly – inguinal ligament •Medially – lacunar ligament •Posteriorly – pectineal ligament and pectineus •Laterally – femoral vein
  • 46. The profunda femoris artery 1 usually arises from the medial aspect of the femoral artery 2 usually arises from the posterolateral aspect of the femoral artery 3 gives off the medial and lateral circumflex femoral arteries 4 accompanies the femoral artery into the adductor canal 5 is the principal source of blood to the hamstrings
  • 47. The profunda femoris artery 1 usually arises from the medial aspect of the femoral artery F 2 usually arises from the posterolateral aspect of the femoral artery T 3 gives off the medial and lateral circumflex femoral arteries T 4 accompanies the femoral artery into the adductor canal F 5 is the principal source of blood to the hamstrings T The profunda femoris usually arises from the posterolateral or posterior aspect of the femoral artery
  • 48. The muscle labelled Y is called 1 Adductor brevis 2 Pectineus 3 Psoas major 4 iliacus 5 Quadratus Femoris Inguinal ligament mediallateral sartorius Y Z Adductorlongus
  • 49. The muscle labelled Y is called 1 Adductor brevis F 2 Pectineus F 3 Psoas major T 4 iliacus F 5 Quadratus Femoris F Inguinal ligament mediallateral sartorius Y Z Adductorlongus
  • 50. Concerning the femoral canal 1 it is a space within the femoral sheath 2 it lies lateral to the femoral vein 3 it may contain a lymph node 4 it transmits the ilioinguinal nerve 5 normally contains a pouch of peritoneum
  • 51. Concerning the femoral canal 1 it is a space within the femoral sheath T 2 it lies lateral to the femoral vein F 3 it may contain a lymph node T 4 it transmits the ilioinguinal nerve F 5 normally contains a pouch of peritoneum T The French call the lymph node within the femoral canal the ‘lymph node of Cloquet’, while the Germans refer to it as the ‘lymph node of Rosenmuller’! A pouch of peritoneum in the femoral canal is ALWAYS abnormal, and is termed a femoral hernia!