USMLE Step 1 Web Prep Lower Limb: Part 1

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Section III Gross Anatomy and Organogenesis

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Lower Limb (Part 1)

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!ermina" #er$es of L%mbosacra" P"e&%s !ermina" #er$e Femoral nerve &'turator nerve Origin '%sc"es Inner$ated

L2 through L4 Anterior ompartment o! thigh "#uadri eps !emoris$ posterior divisions sartorius pe tineus% L2 through L4 anterior divisions (edial ompartment o! thigh "gra ilis$ addu tor longus$ addu tor 'revis$ anterior portion o! addu tor magnus%

)a'le ***+5+1,
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!ermina" #er$es of L%mbosacra" P"e&%s()ontin%ed) !ermina" #er$e Origin '%sc"es Inner$ated .osterior ompartment o! thigh "semimem'ranosus$ semitendinosus$ long head o! 'i eps !emoris$ posterior portion o! addu tor magnus% )i'ial nerve L4 through -3 anterior divisions .osterior ompartment o! leg "gastro nemius$ soleus$ !le/or digitorum longus$ !le/or hallu is longus$ ti'ialis posterior% .lantar mus les o! !oot
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!ermina" #er$es of L%mbosacra" P"e&%s()ontin%ed) !ermina" #er$e Origin '%sc"es Inner$ated 0ommon peroneal nerve -uper!i ial peroneal nerve 1eep peroneal nerve L4 through -2 -hort head o! 'i eps !emoris posterior divisions Lateral ompartment o! leg "peroneus longus$ peroneus 'revis% Anterior ompartment o! leg "ti'ialis anterior$ e/tensor hallu is$ e/tensor digitorum$ peroneus tertius%

)a'le ***+5+1, )erminal 2erves o! Lum'osa ral .le/us

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)o""atera" #er$e

)o""atera" #er$es of L%mbosacra" P"e&%s Origin '%sc"es Inner$ated L4 through -1 posterior divisions L5 through -2 posterior divisions L5 through -2 posterior divisions 4luteus medius$ gluteus mininus$tensor !as iae latae 4luteus ma/imus -uperior gemellus$ o'turator internus

-uperior gluteal nerve *n!erior gluteal nerve 2erve to superior gemellus and o'turator internus
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)o""atera" #er$e

)o""atera" #er$es of L%mbosacra" P"e&%s Origin '%sc"es Inner$ated

2erve to in!erior gemellus *n!erior gemellus$ L4 through -1 posterior divisions and #uadratus !emoris #uadratus !emoris

Lateral !emoral utaneous L2 through L3 posterior divisions nerve .osterior !emoral utaneous nerve
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-5in o! anterolateral thigh

-1 through -2 posterior divisions and -2 through -3 anterior -5in o! posterior thigh divisions

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#E./E I#01.IES A#D A2#O.'ALI!IES O3 GAI! S%4erior G"%tea" #er$e 0auses loss o! a'du tion o! lim'6 impairment o! gait6 patient annot 5eep pelvis level 7hen standing on one leg, -ign is 8)rendelen'urg gait9 Inferior G"%tea" #er$e .rodu es a 7ea5ened hip e/tension6 patient has di!!i ult: rising !rom a sitting position or lim'ing stairs,
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#E./E I#01.IES A#D A2#O.'ALI!IES O3 GAI! 3emora" #er$e *ndu es 7ea5ened hip !le/ion6 loss o! e/tension o! the 5nee, -ensor: loss o the anterior thigh$ medial leg$ and !oot, urs on

Obd%rator #er$e 0auses a loss o! addu tion o! the thigh as 7ell as sensor: loss on medial thigh,
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#E./E I#01.IES A#D A2#O.'ALI!IES O3 GAI! Sciatic #er$e ;rings a'out a 7ea5ened e/tension o! the thigh6 loss o! !le/ion o! the 5nee6 and loss o! !un tion 'elo7 the 5nee, -ensor: loss on the posterior thigh$ leg "e/ ept medial side%$ and !oot is also o'served, !ibia" #er$e On"y 0auses a loss o! !le/ion o! the 5nee6 and digits6 loss o! plantar !le/ion6 7ea5ened inversion and sensor: loss on the leg "e/ ept medial% and plantar !oot,
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#E./E I#01.IES A#D A2#O.'ALI!IES O3 GAI! )ommon Peronea" #er$e .rodu es a om'ination o! de!i its o! lesion o! the deep and super!i ial peroneal nerves, -ign is 8!oot drop,9 1eep peroneal nerve<<7ea5ened inversion6 loss o! e/tension o! the digits6 loss o! dorsi!le/ion 8!oot drop,9 -ensor: loss on anterolateral leg and dorsum o! the !oot, -uper!i ial peroneal nerve<<loss o! eversion o! the !oot, -ensor: loss on dorsum o! !oot e/ ept the !irst 7e' spa e,
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