Deck 8: Joints of the Lower Extremity
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Deck 8: Joints of the Lower Extremity
1
Motion within the pelvis occurs at the:
A)sacroiliac and hip joints
B)pubic symphysis and sacroiliac joints
C)lumbosacral and hip joints
D)sacroiliac and lumbosacral joints
A)sacroiliac and hip joints
B)pubic symphysis and sacroiliac joints
C)lumbosacral and hip joints
D)sacroiliac and lumbosacral joints
pubic symphysis and sacroiliac joints
2
A closed chain activity occurs when the:
A)joints are in closed-packed position
B)joints are in open-packed position
C)distal end of an extremity is fixed
D)proximal end of an extremity is fixed
A)joints are in closed-packed position
B)joints are in open-packed position
C)distal end of an extremity is fixed
D)proximal end of an extremity is fixed
distal end of an extremity is fixed
3
Movement of the pelvis can occur at:
A)one hip joint
B)both hip joints
C)the lumbosacral joint
D)all of these
A)one hip joint
B)both hip joints
C)the lumbosacral joint
D)all of these
all of these
4
What action do the lateral rotators of the thigh at the hip joint have on the pelvis?
A)anterior tilt
B)posterior tilt
C)ipsilateral rotation
D)contralateral rotation
A)anterior tilt
B)posterior tilt
C)ipsilateral rotation
D)contralateral rotation
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5
What is the reverse action of abduction of the thigh at the hip joint?
A)anterior tilt of the pelvis at the hip joint
B)depression of the pelvis at the hip joint
C)elevation of the pelvis at the lumbosacral joint
D)counternutation of the sacrum at the sacroiliac joint
A)anterior tilt of the pelvis at the hip joint
B)depression of the pelvis at the hip joint
C)elevation of the pelvis at the lumbosacral joint
D)counternutation of the sacrum at the sacroiliac joint
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6
Characteristics of the pelvis include that it composed of bones of the:
A)axial skeleton
B)lower extremity
C)axial and appendicular skeletons
D)upper extremity
A)axial skeleton
B)lower extremity
C)axial and appendicular skeletons
D)upper extremity
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7
At what joint does motion between the pelvis and the trunk occur?
A)lumbosacral
B)sacroiliac
C)femoroacetabular
D)pubic symphysis
A)lumbosacral
B)sacroiliac
C)femoroacetabular
D)pubic symphysis
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8
What does the sacral base angle most directly affect?
A)sacroiliac joints
B)posture of the spine
C)pronation of the foot
D)valgus angle of the knee
A)sacroiliac joints
B)posture of the spine
C)pronation of the foot
D)valgus angle of the knee
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9
Anterior tilt of the sacral base is what movement?
A)lateral tilt
B)nutation
C)counternutation
D)hip hike
A)lateral tilt
B)nutation
C)counternutation
D)hip hike
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10
When the pelvis depresses on one side,what occurs to the other side of the pelvis?
A)elevation
B)lateral tilt
C)anterior tilt
D)depression
A)elevation
B)lateral tilt
C)anterior tilt
D)depression
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11
What is considered to be approximately normal for the sacral base angle?
A)10 degrees
B)20 degrees
C)30 degrees
D)40 degrees
A)10 degrees
B)20 degrees
C)30 degrees
D)40 degrees
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12
Anterior tilt and posterior tilt of the pelvis occur in what plane?
A)sagittal
B)frontal
C)transverse
D)horizontal
A)sagittal
B)frontal
C)transverse
D)horizontal
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13
What bones make up the pelvis?
A)sacrum,pelvic bone,and femur
B)coccyx,two pelvic bones,and L5 vertebra
C)L5 vertebra,pelvic bone,and femoral head
D)sacrum,coccyx,and two pelvic bones
A)sacrum,pelvic bone,and femur
B)coccyx,two pelvic bones,and L5 vertebra
C)L5 vertebra,pelvic bone,and femoral head
D)sacrum,coccyx,and two pelvic bones
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14
The sacroiliac joint is considered what type of joint structurally?
A)mixed cartilaginous and fibrous
B)cartilaginous only
C)synovial only
D)mixed fibrous and synovial
A)mixed cartilaginous and fibrous
B)cartilaginous only
C)synovial only
D)mixed fibrous and synovial
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15
The pubic symphysis is considered what type of joint structurally?
A)fibrous syndesmosis
B)cartilaginous synchondrosis
C)cartilaginous symphysis
D)synovial plane
A)fibrous syndesmosis
B)cartilaginous synchondrosis
C)cartilaginous symphysis
D)synovial plane
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16
The hip joint is considerate what type of joint functionally?
A)amphiarthrotic triaxial
B)ball-and-socket synovial
C)diarthrotic triaxial
D)condyloid synovial
A)amphiarthrotic triaxial
B)ball-and-socket synovial
C)diarthrotic triaxial
D)condyloid synovial
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17
Which of the following are ligaments of the hip joint?
A)iliofemoral,arcuate,and pubofemoral
B)Y-ligament,ischiofemoral,and lateral collateral
C)iliofemoral,ischiofemoral,and pubofemoral
D)lateral collateral,medial collateral,and ligamentum teres
A)iliofemoral,arcuate,and pubofemoral
B)Y-ligament,ischiofemoral,and lateral collateral
C)iliofemoral,ischiofemoral,and pubofemoral
D)lateral collateral,medial collateral,and ligamentum teres
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18
What action does the external abdominal oblique have on the pelvis?
A)contralateral rotation
B)ipsilateral rotation
C)anterior tilt
D)depression
A)contralateral rotation
B)ipsilateral rotation
C)anterior tilt
D)depression
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19
What pelvic action at the lumbosacral joint is the reverse action of extension of the trunk at the lumbosacral joint?
A)lateral tilt
B)anterior tilt
C)posterior tilt
D)left rotation
A)lateral tilt
B)anterior tilt
C)posterior tilt
D)left rotation
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20
What is the name of the ring of fibrocartilaginous tissue that surrounds the circumference of the acetabulum?
A)lunate cartilage
B)acetabular labrum
C)glenoid labrum
D)ligamentum teres
A)lunate cartilage
B)acetabular labrum
C)glenoid labrum
D)ligamentum teres
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21
What two knee joint structures are most often injured together?
A)lateral meniscus and lateral collateral ligament
B)medial meniscus and medial collateral ligament
C)lateral meniscus and anterior cruciate ligament
D)medial meniscus and lateral collateral ligament
A)lateral meniscus and lateral collateral ligament
B)medial meniscus and medial collateral ligament
C)lateral meniscus and anterior cruciate ligament
D)medial meniscus and lateral collateral ligament
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22
Which knee joint ligaments are intra-articular?
A)anterior cruciate and lateral collateral
B)posterior cruciate and medial collateral
C)medial collateral and lateral collateral
D)anterior cruciate and posterior cruciate
A)anterior cruciate and lateral collateral
B)posterior cruciate and medial collateral
C)medial collateral and lateral collateral
D)anterior cruciate and posterior cruciate
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23
Which of the following joints is located external to the joint capsule of the knee joint?
A)medial tibiofemoral
B)lateral tibiofemoral
C)proximal tibiofibular
D)patellofemoral
A)medial tibiofemoral
B)lateral tibiofemoral
C)proximal tibiofibular
D)patellofemoral
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24
What ligaments attach the periphery of the menisci to the tibial condyle?
A)anterior cruciate and posterior cruciate
B)meniscal horn attachments
C)transverse and posterior meniscofemoral
D)coronary
A)anterior cruciate and posterior cruciate
B)meniscal horn attachments
C)transverse and posterior meniscofemoral
D)coronary
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25
The tibiofemoral joint is considered what type of joint functionally?
A)uniaxial
B)biaxial
C)triaxial
D)nonaxial
A)uniaxial
B)biaxial
C)triaxial
D)nonaxial
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26
The angulation of the femoral head and neck relative to the shaft in the transverse plane is called:
A)coxa vara
B)coxa valga
C)femoral torsion angle
D)femoral angle of inclination
A)coxa vara
B)coxa valga
C)femoral torsion angle
D)femoral angle of inclination
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27
What is the reverse action of lateral rotation of the leg at the knee joint?
A)lateral rotation of the thigh at the knee joint
B)lateral rotation of the thigh at the hip joint
C)medial rotation of the thigh at the knee joint
D)medial rotation of the thigh at the hip joint
A)lateral rotation of the thigh at the knee joint
B)lateral rotation of the thigh at the hip joint
C)medial rotation of the thigh at the knee joint
D)medial rotation of the thigh at the hip joint
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28
In what plane is genu varus measured?
A)sagittal
B)frontal
C)transverse
D)oblique
A)sagittal
B)frontal
C)transverse
D)oblique
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29
The tibiofemoral joint is considered what type of joint structurally?
A)synovial hinge
B)synovial modified hinge
C)synovial condyloid
D)synovial saddle
A)synovial hinge
B)synovial modified hinge
C)synovial condyloid
D)synovial saddle
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30
What is the major articulation of the knee joint complex?
A)tibiofemoral
B)patellofemoral
C)proximal tibiofibular
D)distal tibiofibular
A)tibiofemoral
B)patellofemoral
C)proximal tibiofibular
D)distal tibiofibular
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31
The femoral angle of inclination occurs within what plane?
A)sagittal
B)frontal
C)transverse
D)oblique
A)sagittal
B)frontal
C)transverse
D)oblique
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32
The major purpose of the patella is to:
A)decrease friction between the quadriceps femoris and the femoral condyles
B)protect the femoral condyles
C)increase the leverage of the quadriceps femoris
D)increase range of motion of the knee joint
A)decrease friction between the quadriceps femoris and the femoral condyles
B)protect the femoral condyles
C)increase the leverage of the quadriceps femoris
D)increase range of motion of the knee joint
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33
What coupled pelvic joint action occurs with extension of the thigh at the hip joint?
A)anterior tilt
B)posterior tilt
C)rotation
D)depression
A)anterior tilt
B)posterior tilt
C)rotation
D)depression
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34
What coupled pelvic joint action can occur with flexion of the thigh at the hip joint?
A)elevation
B)posterior tilt
C)anterior tilt
D)rotation
A)elevation
B)posterior tilt
C)anterior tilt
D)rotation
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35
How is genu valgus defined?
A)adduction of the tibia at the knee joint
B)abduction of the tibia at the knee joint
C)hyperextension of the tibia at the knee joint
D)full flexion of the tibia at the knee joint
A)adduction of the tibia at the knee joint
B)abduction of the tibia at the knee joint
C)hyperextension of the tibia at the knee joint
D)full flexion of the tibia at the knee joint
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36
With what bone does the patella articulate?
A)fibula
B)tibia
C)pelvic
D)femur
A)fibula
B)tibia
C)pelvic
D)femur
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37
What ligament is primarily responsible for limiting adduction of the leg at the knee joint?
A)anterior cruciate
B)posterior cruciate
C)medial collateral
D)lateral collateral
A)anterior cruciate
B)posterior cruciate
C)medial collateral
D)lateral collateral
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38
An excessive femoral anteversion can result in which of the following conditions?
A)toe-in posture
B)toe-out posture
C)coxa valga
D)coxa vara
A)toe-in posture
B)toe-out posture
C)coxa valga
D)coxa vara
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39
In which of the following is the pull of the quadriceps femoris on the patella measured?
A)genu valgus angle
B)genu varus angle
C)Q-angle
D)tibial torsion angle
A)genu valgus angle
B)genu varus angle
C)Q-angle
D)tibial torsion angle
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40
What ligament is primarily responsible for limiting anterior glide of the tibia at the knee joint?
A)anterior cruciate
B)posterior cruciate
C)medial collateral
D)lateral collateral
A)anterior cruciate
B)posterior cruciate
C)medial collateral
D)lateral collateral
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41
The subtalar joint is located between what two bones?
A)tibia and talus
B)fibula and talus
C)talus and cuboid
D)talus and calcaneus
A)tibia and talus
B)fibula and talus
C)talus and cuboid
D)talus and calcaneus
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42
What two joints make up the transverse tarsal joint?
A)subtalar and talocrural
B)subtalar and calcaneocuboid
C)talonavicular and calcaneocuboid
D)intercuneiform and Chopart's
A)subtalar and talocrural
B)subtalar and calcaneocuboid
C)talonavicular and calcaneocuboid
D)intercuneiform and Chopart's
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43
How many arches are located within the foot?
A)one
B)two
C)three
D)four
A)one
B)two
C)three
D)four
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44
What bones make up a ray of the foot?
A)proximal,middle,and distal phalanges
B)cuneiform,metatarsal,and phalanges
C)metatarsal and phalanges
D)metatarsal and proximal phalanx
A)proximal,middle,and distal phalanges
B)cuneiform,metatarsal,and phalanges
C)metatarsal and phalanges
D)metatarsal and proximal phalanx
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45
What is the closed-packed position of the subtalar joint?
A)pronation
B)eversion
C)abduction
D)supination
A)pronation
B)eversion
C)abduction
D)supination
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46
What type of torsion does the shaft of the tibia usually undergo?
A)anterior
B)posterior
C)medial
D)lateral
A)anterior
B)posterior
C)medial
D)lateral
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47
Which of the following is a medial ligament of the ankle joint?
A)anterior talofibular
B)calcaneofibular
C)deltoid
D)posterior talofibular
A)anterior talofibular
B)calcaneofibular
C)deltoid
D)posterior talofibular
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48
What tarsometatarsal joint is the most stable?
A)first
B)second
C)third
D)fifth
A)first
B)second
C)third
D)fifth
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49
The mortise joint is another name for what joint?
A)talocrural
B)subtalar
C)transverse tarsal
D)distal tibiofibular
A)talocrural
B)subtalar
C)transverse tarsal
D)distal tibiofibular
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50
The windlass mechanism works as a result of the plantar fascia being pulled taut around what joint?
A)talocrural
B)subtalar
C)metatarsophalangeal
D)interphalangeal
A)talocrural
B)subtalar
C)metatarsophalangeal
D)interphalangeal
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51
In what plane do pronation and supination of the subtalar joint occur?
A)sagittal
B)frontal
C)transverse
D)oblique
A)sagittal
B)frontal
C)transverse
D)oblique
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52
The talocrural joint is considered what type of joint structurally?
A)plane
B)condyloid
C)modified hinge
D)hinge
A)plane
B)condyloid
C)modified hinge
D)hinge
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53
Which of the following structures helps stop bowstringing of tendons?
A)retinaculum
B)tendon sheath
C)bursa
D)plantar fascia
A)retinaculum
B)tendon sheath
C)bursa
D)plantar fascia
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54
The interosseus membrane of the leg forms what joint?
A)proximal tibiofibular
B)middle tibiofibular
C)talocrural
D)acetabulofemoral
A)proximal tibiofibular
B)middle tibiofibular
C)talocrural
D)acetabulofemoral
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55
A excessive arch of the foot is also known as:
A)pes planus
B)hallux valgus
C)flatfoot
D)pes cavus
A)pes planus
B)hallux valgus
C)flatfoot
D)pes cavus
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56
Which of the following are tarsal joints?
A)talocrural and subtalar
B)transverse tarsal and subtalar
C)subtalar and tarsometatarsal
D)tarsometatarsal and metatarsophalangeal
A)talocrural and subtalar
B)transverse tarsal and subtalar
C)subtalar and tarsometatarsal
D)tarsometatarsal and metatarsophalangeal
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57
What ligament is primarily important for stabilizing the transverse tarsal joint but also helps stabilize the subtalar joint?
A)cervical
B)interosseus talocalcaneal
C)spring
D)bifurcate
A)cervical
B)interosseus talocalcaneal
C)spring
D)bifurcate
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58
The subtalar joint is considered what type of joint functionally?
A)diarthrotic uniaxial
B)diarthrotic biaxial
C)diarthrotic triaxial
D)amphiarthrotic biaxial
A)diarthrotic uniaxial
B)diarthrotic biaxial
C)diarthrotic triaxial
D)amphiarthrotic biaxial
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59
What bones are located within the hindfoot?
A)calcaneus and cuboid
B)tibia,fibula,and talus
C)navicular and cuneiform
D)calcaneus and talus
A)calcaneus and cuboid
B)tibia,fibula,and talus
C)navicular and cuneiform
D)calcaneus and talus
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60
What ankle joint ligament is most often sprained?
A)deltoid
B)anterior talofibular
C)posterior talofibular
D)calcaneofibular
A)deltoid
B)anterior talofibular
C)posterior talofibular
D)calcaneofibular
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61
Which of the following word roots means big toe?
A)pes
B)ray
C)hallux
D)vara
A)pes
B)ray
C)hallux
D)vara
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62
The imaginary reference line for abduction-adduction of the toes runs through what ray?
A)first
B)second
C)third
D)fourth
A)first
B)second
C)third
D)fourth
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63
The metatarsophalangeal joint is considered what type of joint functionally?
A)uniaxial
B)biaxial
C)triaxial
D)nonaxial
A)uniaxial
B)biaxial
C)triaxial
D)nonaxial
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64
Which of the following word roots means triangular?
A)deltoid
B)bifurcate
C)sciatic
D)malacia
A)deltoid
B)bifurcate
C)sciatic
D)malacia
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65
What joints have plantar plates?
A)transverse tarsal and intermetatarsal
B)tarsometatarsal and metatarsophalangeal
C)metatarsophalangeal and interphalangeal
D)intermetatarsal and interphalangeal
A)transverse tarsal and intermetatarsal
B)tarsometatarsal and metatarsophalangeal
C)metatarsophalangeal and interphalangeal
D)intermetatarsal and interphalangeal
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66
The interphalangeal joints of the foot are considered what type of joints structurally?
A)synovial hinge
B)synovial modified hinge
C)synovial condyloid
D)fibrous syndesmosis
A)synovial hinge
B)synovial modified hinge
C)synovial condyloid
D)fibrous syndesmosis
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67
Which of the following word roots means unnamed?
A)cruciate
B)innominate
C)vara
D)nutation
A)cruciate
B)innominate
C)vara
D)nutation
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68
Which of the following word roots means bent back?
A)retinaculum
B)nutation
C)hallux
D)recurvatum
A)retinaculum
B)nutation
C)hallux
D)recurvatum
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69
Which of the following word roots means lip?
A)valga
B)bunion
C)coxa
D)labrum
A)valga
B)bunion
C)coxa
D)labrum
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70
How many intermetatarsal joints are located between each two contiguous metatarsals?
A)one
B)two
C)three
D)four
A)one
B)two
C)three
D)four
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71
How many interphalangeal joints are in one lower extremity?
A)5
B)9
C)10
D)15
A)5
B)9
C)10
D)15
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72
Which of the following word roots means against?
A)counter
B)valga
C)varum
D)nutation
A)counter
B)valga
C)varum
D)nutation
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