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Biomechanics of Lower Limb – MCQs

1. The hip joint is classified as:

(A) Hinge joint


(B) Ball-and-socket joint


(C) Plane joint


(D) Pivot joint



2. The primary function of the acetabular labrum is:

(A) Deepen hip socket and increase stability


(B) Flex the knee


(C) Extend the ankle


(D) Rotate the pelvis



3. The knee joint is a:

(A) Modified hinge joint


(B) Saddle joint


(C) Ball-and-socket joint


(D) Plane joint



4. The menisci of the knee function to:

(A) Absorb shock and improve joint congruency


(B) Rotate the tibia


(C) Strengthen the patella


(D) Prevent ACL injuries



5. The anterior cruciate ligament (ACL) prevents:

(A) Anterior translation of tibia on femur


(B) Posterior translation of tibia on femur


(C) Valgus stress


(D) Varus stress



6. The posterior cruciate ligament (PCL) prevents:

(A) Posterior translation of tibia on femur


(B) Anterior translation of femur on tibia


(C) Valgus collapse


(D) Lateral shift of patella



7. The patella increases:

(A) Lever arm of quadriceps


(B) Stability of hip


(C) Length of tibia


(D) Hamstring strength



8. The ankle joint is primarily a:

(A) Hinge joint


(B) Ball-and-socket joint


(C) Plane joint


(D) Saddle joint



9. Plantarflexion and dorsiflexion occur at the:

(A) Talocrural joint


(B) Subtalar joint


(C) Midtarsal joint


(D) Metatarsophalangeal joint



10. Inversion and eversion occur at the:

(A) Subtalar joint


(B) Talocrural joint


(C) Knee joint


(D) Hip joint



11. The iliotibial band provides stability to the:

(A) Lateral knee


(B) Medial ankle


(C) Hip joint only


(D) Pelvis only



12. The quadriceps are primary movers for:

(A) Knee extension


(B) Knee flexion


(C) Hip extension


(D) Hip abduction



13. The hamstrings are responsible for:

(A) Knee flexion and hip extension


(B) Knee extension and hip flexion


(C) Ankle dorsiflexion


(D) Pelvis stabilization only



14. The gastrocnemius crosses:

(A) Knee and ankle joints


(B) Hip joint only


(C) Subtalar joint only


(D) Toes only



15. The soleus acts mainly during:

(A) Plantarflexion in standing


(B) Dorsiflexion during swing


(C) Hip extension


(D) Knee flexion



16. The gluteus medius is a prime mover of:

(A) Hip abduction


(B) Hip flexion


(C) Hip extension


(D) Knee extension



17. Weakness of the gluteus medius results in:

(A) Trendelenburg gait


(B) Vaulting gait


(C) Steppage gait


(D) Antalgic gait



18. The main stabilizer of the medial knee is the:

(A) Medial collateral ligament (MCL)


(B) Lateral collateral ligament (LCL)


(C) ACL


(D) PCL



19. The main stabilizer of the lateral knee is the:

(A) Lateral collateral ligament (LCL)


(B) MCL


(C) ACL


(D) Meniscus



20. The windlass mechanism involves tightening of:

(A) Plantar fascia during toe extension


(B) Achilles tendon during plantarflexion


(C) IT band during hip flexion


(D) Hamstrings during knee extension



21. The hip adductors are active during:

(A) Gait stance phase


(B) Arm swing


(C) Spinal extension


(D) Shoulder abduction



22. Tibialis anterior is a prime mover for:

(A) Dorsiflexion


(B) Plantarflexion


(C) Inversion


(D) Eversion



23. Peroneus longus assists in:

(A) Eversion and plantarflexion


(B) Inversion only


(C) Dorsiflexion only


(D) Knee extension



24. The calcaneus functions as a:

(A) Lever arm for plantarflexors


(B) Flexor pulley


(C) Patella substitute


(D) Axial stabilizer



25. The Q-angle is greater in:

(A) Females


(B) Males


(C) Children


(D) Elderly



26. The ACL is commonly injured in:

(A) Non-contact pivoting movements


(B) Swimming


(C) Cycling


(D) Walking slowly



27. The screw-home mechanism occurs in the:

(A) Knee joint


(B) Hip joint


(C) Ankle joint


(D) Subtalar joint



28. The screw-home mechanism refers to:

(A) Tibial external rotation in terminal extension


(B) Tibial internal rotation during flexion


(C) Hip adduction during stance


(D) Ankle inversion



29. The Achilles tendon is the:

(A) Strongest tendon in the body


(B) Weakest tendon in the body


(C) Shortest tendon in the body


(D) Smallest tendon in the body



30. The plantar arches provide:

(A) Shock absorption and weight distribution


(B) Hip stability


(C) Knee rotation


(D) Spinal extension



31. The medial arch is supported by the:

(A) Spring ligament


(B) LCL


(C) ACL


(D) IT band



32. The lateral arch is stabilized mainly by the:

(A) Long plantar ligament


(B) PCL


(C) Deltoid ligament


(D) Meniscus



33. Genu valgum describes:

(A) Knock knees


(B) Bow legs


(C) Hyperextended knees


(D) Locked knees



34. Genu varum describes:

(A) Bow legs


(B) Knock knees


(C) Hyperextension


(D) Weak arches



35. Excessive pronation of the foot can lead to:

(A) Medial knee stress


(B) Lateral hip stress


(C) Increased wrist pain


(D) Shoulder instability



36. During gait, plantarflexors are most active in:

(A) Push-off phase


(B) Swing phase


(C) Heel strike


(D) Midstance only



37. Hip flexors are most active during:

(A) Swing phase


(B) Stance phase


(C) Heel strike only


(D) Push-off



38. Quadriceps control knee flexion during:

(A) Heel strike and loading response


(B) Midstance


(C) Push-off


(D) Swing phase



39. Hamstrings decelerate the leg during:

(A) Terminal swing


(B) Heel strike


(C) Push-off


(D) Midstance



40. The gluteus maximus is most active during:

(A) Initial stance and rising from sitting


(B) Swing phase


(C) Toe-off only


(D) Plantarflexion



41. Coxa vara is a condition where:

(A) Decreased femoral neck-shaft angle


(B) Increased femoral neck-shaft angle


(C) Knee valgus


(D) Knee varus



42. Coxa valga is:

(A) Increased femoral neck-shaft angle


(B) Decreased femoral angle


(C) Flat feet


(D) Bow legs



43. The pelvis tilts anteriorly during:

(A) Hip flexion


(B) Hip extension


(C) Knee flexion


(D) Ankle dorsiflexion



44. Pelvic drop on one side is prevented by:

(A) Contralateral gluteus medius


(B) Ipsilateral quadriceps


(C) Hamstrings


(D) Gastrocnemius



45. The tibiofibular joints provide:

(A) Stability for ankle mortise


(B) Knee flexion


(C) Hip rotation


(D) Arch support



46. The talus transmits:

(A) Body weight to calcaneus


(B) Hip rotation forces


(C) Only muscular tension


(D) No mechanical load



47. Overuse injury of the tibialis anterior is:

(A) Shin splints


(B) Plantar fasciitis


(C) Achilles rupture


(D) IT band syndrome



48. Plantar fasciitis is caused by:

(A) Inflammation of plantar fascia


(B) Tear of meniscus


(C) IT band friction


(D) ACL sprain



49. The popliteus muscle unlocks the knee by:

(A) Medial rotation of tibia


(B) Lateral rotation of tibia


(C) Extension of tibia


(D) Flexion of femur



50. Functional biomechanics of the lower limb emphasize:

(A) Stability and mobility for gait and weight-bearing


(B) Arm swing mechanics


(C) Wrist motion


(D) Shoulder stability only



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