Quiz: Quiz #1 - Quadriceps

OBSERVATION QUIZ – Study the illustrations, use logic for answers. Take quiz as many times as you like. Choose “back” instead of “next” to try another answer and see the alternative explanation.

  1. Question 1 of 8

    1.

    Name Derivation: How many muscles are in the Quadriceps Femoris muscle group, partially shown in red on this image?

    • Four is the usual answer. A fifth muscle, the Articularis genu, lies directly under the quadriceps on the femur/bone just above the knee, keeping the kneecap out of the way during joint function. Some people feel the Articularis genu should be considered a “fifth” Quadricep.

    • Quad means 4. Cep means head. Four different muscles blend above the knee into the Quadriceps tendon. If you answered 5, you would not be wrong, since some consider the Articularis genu as a 5th quadricep muscle. If you answered 3, that is erroneous. Although only 3 of the 4 quads are visible on the thigh, if you peel away the Rectis Femoris you can see the 4th quadriceps muscle.

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  2. Question 2 of 8

    2.

    Name derivation: Of the three vastus (meaning large, or vast) quadriceps muscles named in the picture on the right, which one is completely obscured by the overlying Rectus Femoris seen in the picture on the left?

    • Correct Answer: The Vastus Intermedius is completely hidden under the Rectus Femoris in an ordinary thigh. The Latin name, “vastus,” reflects that the quadriceps are the largest muscles in the human body (just as the knee is the largest joint in the body). (Choose the back arrow and an incorrect answer to see the definitions of lateralis, medialis, and intermedius.)

    • The Vastus Lateralis (outside of thigh) and the Vastus Medialis (inside of thigh) are only partially hidden by the Rectus Femoris in an ordinary thigh, seen from the top. Only the Vastus Intermedius is completely hidden. Intermedius definition: An anatomical element or organ between right and left or lateral and medial structures (www.dictionary.reference.com).

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  3. Question 3 of 8

    3.

    Which of the four Quadriceps Femoris (femur-related) muscles does NOT have its origin attached to the top of the femur (hammer-shaped thigh bone)? (Image: http://faculty.utpa.edu/ “Quadriceps Femoris”). (The skeletal images show the origin/attachment points of the related muscle.)

    • Correct answer: The Rectus Femoris is attached to two bone sites above the femur, by way of an aponeurosis and tendon structure called the iliofemoral ligament. The tendon-to-bone origin points are located on the anterior (front) inferior iliac spine and the iliac (hip) crest (just above the hip ball and socket. The socket is anatomically shaped like a Roman “little vinegar cup,” and so, in Latin, the socket is called the acetabulum). It is clear that the Rectus Femoris is not attached to the femur on its way down to the knee because the Vastus Intermedius lies underneath it, and that muscle is extensively attached to the femur.

    • The Vastus Lateralis, Vastus Medialis, and Vastus Intermedius have origins along the top and midsection of the femur (thigh bone). The Rectus Femoris quadricep has two origin points above the femur, one for each spindle-like side of the Rectus Femoris. It is clear that the Rectus Femoris is not attached to the femur on its way down to the knee because the Vastus Intermedius lies underneath it, and that muscle is attached to the femur.

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  4. Question 4 of 8

    4.

    Name Derivation: Which of the quadriceps muscles appears more straight than the others?

    • Your answer is correct. Rectus is Latin for straight. Anatomically, straight refers to direction of pull (Gray, Anatomy of the Human Body; see http://www.bartleby.com/107/102.html) , and direction may be identified not only by whether the muscle goes straight from its origin to its end point of insertion, but also by its fiber architecture. Each side of the Rectus Femoris has a “fusiform” or spindle-like fiber structure, a slight variation on a purely straight, or “strap-like” structure. A straight muscle will have a good range of motion.

    • Your response was incorrect. The vasti (plural of vastus) quadriceps, being attached to the femur for some length, have a pennate structure (like the quils of a feather), so do not have a straight pulling action, as individual muscles. A pennate muscle will have more strength and less range of motion.

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  5. Question 5 of 8

    5.

    Muscle function: Muscle fibers attach to bone (through a tendon) at two basic points: point of (1) origin and (2) point of insertion. If the origin-to-insertion direction is at a slant, like barbs of a feather, the muscle has a pennate (or penniform) structure. A slant that resembles one half of a feather, being on one side of a muscle, is called unipennate. A slant in different directions on each side of a central tendon, as though each side of a feather were equal in size, is called bipennate. From the images below, which of the 4 Quadriceps Femoris muscles have a unipennate structure?

    • Your answer is correct. The slant of the muscle fiber bundles (fascicles) of the Vastus Lateralis and Vastus Medialis is the same at their origins near the hip as at their insertions into the Quadriceps Tendon above the knee. Their muscle structure is unipennate (“uni” meaning “one”). Penniform structure provides strength, whereas fusiform structure provides range of motion. Go back and select the incorrect response to see the explanation of why the Rectus femoris and Vastus intermedius are bipennate.

    • Your answer is incorrect. Of the 4 Quadriceps Femoris, only the Vastus Lateralis and Vastus Medialis are unipennate. The Vastus Intermedius attaches to a central tendon, and has points of insertion on both sides of the muscle, and so is bipennate. The Rectus Femoris is considered bipennate in structure, since its fibers join both sides of a central tendon at an angle. However, it has the qualities of a parallel structure, with parallel fibers twisted into a fusiform (spindle-like) shape.

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  6. Question 6 of 8

    6.

    Muscle function: If you examine the image of the Vasti muscles with the Rectus Femoris peeled away, you can see that the Vastus Intermedius has a penniform structure on each side of its center. Its pennate direction is opposite to that of the Vastus Lateralis and Vastus Medialis with which it seems to merge as it extends to the knee. This is also the structure of the Rectus Femoris. Each side slants to a central tendon, creating a two-sided pennate structure known as bipennate. What are some advantages of the bipennate fusiform structure?

    • Your answer was correct if you chose either that the fusiform structure provides for range of motion, or that the bipennate structure provides for strength.

    • Your answer was incorrect if you overlooked the trick part of this question which suggests the bipennate structure of the Vastus Intermedius is parallel to the directions of the unipennate Vasti muscles. The direction of the pennate structures in the Rectus Femoris and Vastus Intermedius is opposite to the direction of the pennate structures of the Vastus Lateralis and Vastus Medialis.

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  7. Question 7 of 8

    7.

    The three Vasti muscles originate from both the anterior and posterior femur. Which of the quadriceps muscles takes up the most space on the anterior (front) femur?

    • You chose the correct answer: The Vastus Intermedius takes up the most space on the anterior (front) femur. However, like the other two Vasti quadriceps muscles, a portion of its origin is also from the posterior femur. The Articularis Genu, sometimes called a fifth quadricep, also has its origin on the front of the femur.

    • If you chose a muscle other than Vastus Intermedius, that would be incorrect. On the anterior femur, the Vastus Lateralis and Vastus Medialis only originate at the top, while on the posterior femur, their origins are in a continuous line down the femur. The origin of the Rectus Femoris is at points on the iliac crest and iliac spne.

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  8. Question 8 of 8

    8.

    What are the qualities of the Quadriceps Tendon?

    • Correct response: The Quadriceps Tendon is an aponeurosis. Pennate muscles, such as the 4 quadriceps, typically merge into an aponeurosis at their points of ORIGIN and INSERTION. An aponeurosis is stronger and stretches more than the tendon into which it thins out. The aponeurosis and tendon can be long and continuous between two sides of a muscle, as in the case of the Rectus Femoris at its origin, or can be long and continuous attached to a bone, as in the case of the Vasti muscles at their origins. The Quadriceps Femoris muscle group merges into a single aponeurosis, called the “Quadriceps Tendon,” prior to thinning into a pure tendon at the point of INSERTION into the patella and patellar tendon.

    • Incorrect response: The Quadriceps Tendon is not made of muscle. Rather, it is an aponeurosis. An aponeurosis operates like a spring. It is stronger than muscle, and although similar to a tendon, is more stretchy than a tendon. The four quadriceps muscles merge into a single Quadriceps Tendon (or aponeurosis) before thinning into a pure tendon, at the point of insertion into the patella and patellar tendon.

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