Written Examination Part III (Essay) 1998 - Lower Limb and Thorax

Structural Basis of Medical Practice -- Gross Anatomy

The Pennsylvania State University College of Medicine
Note:  This guide indicates key points to address in answering the question. This is not the "answer."

  1. Review the boundaries (6 in number), structures entering and leaving, and the lymphatic drainage of the popliteal fossa, and state the relationships of these structures within the fossa.  (12 pts.)
  1. Review the bones, articulations, ligaments, muscles, and fascial specializations that contribute to the stability of the hip joint.  State when and why the hip joint is maximally stabilized.  (10pts)
  1. Discuss the medial longitudinal arch and indicate your understanding of the bones, ligaments, muscles, and fascial specializations.  Relate your anatomical explanations to clinical problems, particularly a loss of senstaion in the plantar aspect of the foot, and complaints of cold feet.  (10 pts)
  1. A patient leans to the right during swing phase of the left leg.  The previous day this patient received an intragluteal injection into the upper medial quadrant.  Using your knowledge of the nerves, muscles, relationshiops and function of the gluteal region, provide an explanation for these clinical findings. (8 pts)
  1. What are the structural entities that support the function of the right ventricle?  (8 pts)
  1. Define the posterior mediastinum and discuss the contents (nerves, vasculature, viscera, lymphatics) in the posterior mediastinum.  Provide an understanding of the relationship of the structures within the posterior mediastinum.  (8 pts)
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The Structural Basis of Medical Practice