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AN19.1-7 | Back of Leg & Sole — Gate Quiz

Graded 10 questions · 20 min · 3 attempts

Click any question card to reveal the correct answer.

Q1 AN19.1 1 pt

A patient is asked to plantarflex his foot against resistance. Which muscle would be the primary contributor when the knee is in full extension?

A A. Soleus
B B. Gastrocnemius
C C. Tibialis posterior
D D. Flexor hallucis longus

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Q2 AN19.1 1 pt

Which of the following correctly describes the nerve supply and primary action of the popliteus muscle?

A A. Common peroneal nerve; dorsiflexion
B B. Tibial nerve; unlocks the knee by medially rotating the tibia
C C. Femoral nerve; extends the knee
D D. Obturator nerve; adducts the leg

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Q3 AN19.4 1 pt

During examination of a 32-year-old badminton player with acute posterior leg pain, you squeeze the calf in mid-portion and observe no plantar flexion of the foot. This finding indicates:

A A. Rupture of the plantaris tendon
B B. Complete rupture of the calcaneal tendon (positive Thompson test)
C C. Deep vein thrombosis of the popliteal vein
D D. Tibialis posterior tendon dysfunction

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Q4 AN19.4 1 pt

Calcaneal tendon ruptures most commonly occur at the 'avascular zone'. What is the location of this zone?

A A. At the musculotendinous junction of gastrocnemius
B B. At the osseous insertion on the calcaneus
C C. 2–6 cm proximal to the calcaneal insertion
D D. Behind the medial malleolus

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Q5 AN19.3 1 pt

A post-operative patient is advised early ambulation to prevent deep vein thrombosis. The primary venous return mechanism being activated by walking is:

A A. Arteriovenous pressure gradient
B B. Respiratory thoracic pump
C C. Calf muscle pump (peripheral heart)
D D. Hepatic sinusoidal back-pressure

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Q6 AN19.5 1 pt

The primary static support of the medial longitudinal arch of the foot is provided by:

A A. Tibialis posterior tendon
B B. Plantar calcaneonavicular (spring) ligament
C C. Peroneus longus tendon
D D. Long plantar ligament

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Q7 AN19.6 1 pt

A newborn is noted to have a foot in equinus, varus, and adducted position. The correct first-line management is:

A A. Immediate surgical correction
B B. Serial casting using the Ponseti method
C C. Dynamic splinting after 3 months
D D. Passive stretching exercises only

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Q8 AN19.7 1 pt

A 48-year-old police constable presents with right heel pain that is most severe on taking the first few steps after waking up but improves after 10-15 minutes of walking. Examination reveals point tenderness at the medial calcaneal tubercle. What is the most likely diagnosis?

A A. Calcaneal stress fracture
B B. Retrocalcaneal bursitis
C C. Tarsal tunnel syndrome
D D. Plantar fasciitis

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Q9 AN19.2 1 pt

Which of the following structures pass posterior to the medial malleolus in the tarsal tunnel, and in what order (anterior to posterior)?

A A. Tibialis posterior → FDL → Posterior tibial artery/vein → Tibial nerve → FHL
B B. FHL → Tibial nerve → Posterior tibial vessels → FDL → Tibialis posterior
C C. Tibial nerve → Posterior tibial artery → FHL → FDL → Tibialis posterior
D D. Tibialis posterior → Tibial nerve → FDL → Posterior tibial vessels → FHL

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Q10 AN19.6 1 pt

A 35-year-old presents with adult-acquired flat foot. On examination, standing on tiptoe does not restore the medial arch, and there is a 'too many toes sign' on posterior view. The most likely underlying pathology is:

A A. Rupture of the spring ligament alone
B B. Tibialis posterior tendon dysfunction
C C. Peroneus brevis tendon tear
D D. Plantar fascia rupture

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