need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

NBME 22 Answers

nbme22/Block 3/Question#20 (reveal difficulty score)
A 43-year-old man is brought to the emergency ...
Fibularis (peroneus) brevis ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

 Login (or register) to see more


 +6  upvote downvote
submitted by โˆ—spow(50)
get full access to all contentpick a username

Of all the options listed, there are two that function in eversion of the foot (and would cause this patient pain): the fibularis brevis and fibularis tertius.

At this point, NBME expects us to have some super asinine knowledge, but here's why (I think) the answer is brevis and not tertius. The brevis muscle runs over the lateral malleolus and therefore directly over this fracture. The tertius takes a different route into the foot, since it arises from the medial fibula and so it runs anterior to the lat malleolus and wouldn't cross the fracture site.

get full access to all contentpick a username



 +3  upvote downvote
submitted by โˆ—dentist(94)
get full access to all contentpick a username

the Fibularis Brevis is the only pure foot eversion muscle listed here. Everting his foot would exacerbate his injury and cause him more pain at the fracture

imo contraction of any of these muscles would be painful in this scenario

get full access to all contentpick a username
weirdmed51  Due to its poor mechanical leverage, fibularis tertius can produce only two weak movements: Foot dorsiflexion around the talocrural (ankle) joint, with the help of extensor digitorum longus and tibialis anterior muscles. Foot eversion at the subtalar joint with the aid of fibularis longus and fibularis brevis muscles. +2



 +3  upvote downvote
submitted by โˆ—niboonsh(409)
get full access to all contentpick a username

This link has good pictures as reference https://www.nielasher.com/blogs/video-blog/trigger-point-therapy-fibularis-peroneus-longus-brevis-tertius

get full access to all contentpick a username

Though both peroneus brevis and tertius are foot evertors, peroneus tertius is an anterior compartment muscle, and peroneus brevis and longus are lateral compartment muscle.

+6/- apurva(101)


 +1  upvote downvote
submitted by โˆ—sweetmed(157)
get full access to all contentpick a username

Heres a good image https://teachmeanatomy.info/lower-limb/muscles/leg/lateral-compartment/

get full access to all contentpick a username



 +1  upvote downvote
submitted by โˆ—spow(50)
get full access to all contentpick a username

Of all the options listed, there are two that function in eversion of the foot (and would cause this patient pain): the fibularis brevis and fibularis tertius.

At this point, NBME expects us to have some super asinine knowledge, but here's why (I think) the answer is brevis and not tertius. The brevis muscle runs over the lateral malleolus and therefore directly over this fracture. The tertius takes a different route into the foot, since it arises from the medial fibula and so it runs anterior to the lat malleolus and wouldn't cross the fracture site.

get full access to all contentpick a username



 +0  upvote downvote
submitted by โˆ—an1(114)
get full access to all contentpick a username

this helped a lot https://www.youtube.com/watch?v=vXI6Z0v8VkI

get full access to all contentpick a username



Must-See Comments from nbme22

sacredazn on Unrearranged immunoglobulin gene
seagull on Decreased binding of RNA polymerase
seagull on Anticholinergic
liverdietrying on Release of stored thyroid hormone from a ...
keycompany on Negative nitrogen balance
kernicterusthefrog on Displacement
mcl on Area labeled โ€˜Dโ€™
joha961 on Displacement
imgdoc on Area labeled โ€˜Cโ€™ (Abducens nucleus, right)
alwaysanonymous on 25 mL/cm H2O
drdoom on 1 in 600
seagull on Glutamine
bubbles on Acute retroviral infection
yotsubato on Phase variation

search for anything NEW!