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Anatomy · Lower limb: popliteal fossa
Sample itemA clinician cannot feel the popliteal pulse with the patient's knee extended. Which approach and anatomical reason is correct?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Flex the knee and press deeply, because the artery is the deepest structure in the fossa
In the popliteal fossa the tibial nerve is most superficial, the popliteal vein is deeper, and the popliteal artery lies deepest against the femur and joint capsule. The strong popliteal fascia is lax when the knee is flexed, so deep pressure with the knee flexed makes the pulse easier to feel.
Option by option
A. Flex the knee and press deeply, because the artery is the deepest structure in the fossa (correct)
Correct. The artery is deepest, so flexion and deep pressure are required.
B. Extend the knee fully and press lightly, because the artery is the most superficial structure
The artery is the deepest structure, not the most superficial, and extension tightens the fascia.
C. Extend the knee and feel beneath sartorius, because the artery lies behind it
Sartorius lies medially in the thigh and does not cover the fossa.
D. Flex the knee and feel lateral to biceps femoris, because the artery lies there
The artery lies centrally and deeply, not lateral to biceps femoris, which borders the fossa.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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