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Human Anatomy & Physiology I Supplemental · Lab Review
Lab 7 · Lower Limb & Knee
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Lab 7

Lab 7: Appendicular Skeleton — The Lower Limb & Knee Joint

This lab finishes the appendicular skeleton: the pelvic girdle, every bone of the lower limb, and the knee joint. On models and loose bones you will name bones and markings, tell a right bone from a left one, sex a pelvis, and point to the menisci and ligaments of the knee. Lab Exam 2 follows Labs 4–7.

What this lab tests you on

Name the three parts of the hip bone and its landmarks (crest, spines, notches, tuberosity, rami, acetabulum, obturator foramen)
Tell a female pelvis from a male pelvis
Name femur, patella, tibia, and fibula landmarks on any view
Name all 7 tarsals, the metatarsals, and the phalanges
Decide whether a loose lower-limb bone is from the right or left side
Identify the menisci, cruciate and collateral ligaments, patellar ligament, and bursae of the knee

By the end of this review, you will be able to:

  • 1Identify the ilium, ischium, and pubis and every major landmark of the hip bone in lateral and anterior views
  • 2Compare the female and male pelvis using the subpubic angle, inlet shape, and overall build
  • 3Identify the landmarks of the femur, patella, tibia, and fibula and use them to side each bone
  • 4Identify the tarsals, metatarsals, and phalanges of the foot
  • 5Describe the knee joint: its bones, joint type, menisci, ligaments, bursae, and movements

Your lab manual wins. Lab sections vary in which models, slides, and terms they use. If anything here differs from your lab handout or what your instructor emphasized, go with your lab material and tell your tutor so this review can be updated.

Pelvic Girdle

The hip bone (os coxae): three bones fused into one

The pelvic girdle is the two hip bones (also called os coxae or coxal bones). Each starts as three bones — ilium, ischium, and pubis — that fuse by adulthood, and all three meet in the acetabulum, the socket for the femoral head. The hip bones join the sacrum posteriorly at the sacroiliac joints and each other anteriorly at the pubic symphysis. Together with the sacrum and coccyx they form the bony pelvis.

Iliac crestIliumPosterior superior iliac spinePosterior inferior iliac spineGreater sciatic notchIschial spineLesser sciatic notchIschiumIschial tuberosityIschial ramusAnterior superior iliac spineAnterior inferior iliac spineAcetabulumSuperior pubic ramusPubisObturator foramenInferior pubic ramus
Right hip bone, lateral view (blue ilium, green ischium, gold pubis) — anterior is to the right
Part / landmarkWhere it isHow to identify it on a model
IliumSuperior, wing-shaped partThe big flared blade; forms the upper two-fifths of the acetabulum
Iliac crestSuperior border of the iliumThe curved rim you rest your hands on ("hands on hips")
ASIS / AIISAnterior end of the crest / just below itAnterior superior iliac spine is the front point of the crest; the anterior inferior spine is the smaller bump below it
PSIS / PIISPosterior end of the crest / just below itThe posterior pair; the dimples of the lower back sit over the PSIS
Greater sciatic notchPosterior border of the iliumDeep, wide notch above the ischial spine (the sciatic nerve passes through it)
Iliac fossa / auricular surfaceMedial (inner) surface of the iliumSmooth hollow inside the blade; the ear-shaped auricular surface joins the sacrum at the sacroiliac joint
IschiumPosterior-inferior partThe thick lower back part you sit on
Ischial spine / lesser sciatic notchPosterior border, below the greater sciatic notchPointed spine, then the smaller, shallower lesser notch below it
Ischial tuberosityLowest, roughest part of the ischiumBig rough bump — the "sit bone"
Ischial ramusFrom the tuberosity forwardThin bar that joins the inferior pubic ramus (together: ischiopubic ramus)
PubisAnterior-inferior partBody plus superior and inferior rami; meets the other pubis at the pubic symphysis
AcetabulumLateral surface, where all three bones meetDeep cup for the femoral head: smooth horseshoe lunate surface, rough central acetabular fossa, and the acetabular notch opening inferiorly
Obturator foramenBelow and anterior to the acetabulumLargest foramen in the skeleton, framed by the pubis and ischium; mostly closed by a membrane in life
Iliac crestIliumAnterior superior iliac spineAcetabulumIschiumIschial tuberositySacroiliac jointSacrumCoccyxObturator foramenPubic symphysisPubis
Pelvis, anterior view

Spine vs. notch, top to bottom along the back edge: PSIS → PIIS → greater sciatic notch → ischial spine → lesser sciatic notch → ischial tuberosity. Say it out loud while running a finger down the posterior border of a model.

Pelvic Girdle

Female vs. male pelvis

On the practical you may be handed a pelvis and asked its sex. Start with the subpubic angle (the angle under the pubic symphysis): make an L with your thumb and index finger — if the arch is wider than your L, it is likely female. Then check the inlet shape and overall heaviness. The female pelvis is built wider and shallower for childbirth.

Male: narrow, heart-shaped inlet;subpubic angle under 90° (V)Female: wide, oval inlet;subpubic angle over 90° (U)
Male (left) vs. female (right), anterior view
FeatureFemale pelvisMale pelvis
Subpubic angle (pubic arch)Wide, greater than 90° (U-shaped)Narrow, less than 90° (V-shaped)
Pelvic inletWide, oval/roundNarrow, heart-shaped
Overall buildLighter, smoother; ilia flare outwardHeavier, thicker, rougher markings; ilia more upright
Ischial spines and tuberositiesFarther apart, turned outwardCloser together, turned inward
Sacrum and coccyxSacrum shorter, wider, less curved; coccyx more movableSacrum longer, narrower, more curved
Acetabulum and obturator foramenAcetabulum smaller; obturator foramen oval/triangularAcetabulum larger; obturator foramen round/oval
Greater sciatic notchWide, shallowNarrow, deep

True vs. false pelvis: the pelvic brim (from the sacral promontory along the arcuate lines to the top of the pubic symphysis) divides the false (greater) pelvis above, between the iliac blades, from the true (lesser) pelvis below. The opening at the brim is the pelvic inlet; the opening at the bottom, framed by the coccyx, ischial tuberosities, and pubic arch, is the pelvic outlet.

Label It · Hip bone

Right hip bone, lateral view (anterior to the right)

Click a numbered pin (or its row), choose the structure it points to, then press Check answers. Wrong answers show the correction in green.

Thigh & Leg

Femur, patella, tibia, and fibula

The femur is the longest and strongest bone in the body. The patella is a sesamoid bone inside the quadriceps tendon. In the leg, the tibia is the medial, weight-bearing bone; the thin fibula runs along its lateral side, joined to it by the interosseous membrane. Learn which landmarks are anterior and which are posterior — that is how you orient a loose bone.

Greater trochanterIntertrochanteric lineShaftLateral epicondyleLateral condyleHeadFovea capitisNeckLesser trochanterPatellar surfaceMedial epicondyleMedial condyle
Right femur, anterior view
HeadIntertrochanteric crestGluteal tuberosityLinea asperaMedial condyleGreater trochanterBase of patellaPatella (anterior view)Apex of patellaIntercondylar fossaLateral condyle
Right femur, posterior view, and patella
Lateral condyleHead of fibulaNeck of fibulaInterosseous membraneFibulaLateral malleolusIntercondylar eminenceMedial condyleTibial tuberosityAnterior borderTibiaMedial malleolus
Right tibia and fibula, anterior view
Intercondylar eminenceSoleal lineMedial malleolusHead of fibulaFibulaLateral malleolus
Right tibia and fibula, posterior view
BoneLandmarkWhereHow to identify it
FemurHead and fovea capitisProximal, medialSmooth ball; the small pit (fovea) anchors the ligament of the head of the femur
NeckBelow the headAngled bar joining head to shaft — common fracture site in older adults
Greater / lesser trochanterProximal, lateral / posteromedialGreater = big lateral knob at hip level; lesser = small knob below the neck, posteromedial
Intertrochanteric line / crestBetween the trochantersLine = faint ridge on the ANTERIOR side; crest = prominent ridge on the POSTERIOR side
Gluteal tuberosity, linea asperaPosterior shaftRough area below the greater trochanter (gluteus maximus); linea aspera = long rough ridge down the back of the shaft
Medial and lateral condylesDistal, mostly posteriorTwo large rounded knuckles that sit on the tibia; the intercondylar fossa lies between them posteriorly
Medial and lateral epicondylesDistal sides, above the condylesBumps for the collateral ligaments of the knee
Patellar surfaceDistal, anteriorSmooth groove where the patella glides
PatellaBase, apex, articular facetsIn the quadriceps tendon, anterior to the kneeSesamoid bone: broad base superior, pointed apex inferior; posterior surface has a larger lateral and a smaller medial facet
Tibia (medial, weight-bearing)Medial and lateral condyles; intercondylar eminenceProximalFlat "plateau" with a raised ridge (eminence) in the middle where the cruciate ligaments and menisci attach
Tibial tuberosityProximal, anteriorRough bump below the knee for the patellar ligament
Anterior border (crest)Front of the shaftSharp shin ridge you can feel under the skin
Soleal linePosterior, proximal shaftOblique rough line running down and medially (soleus muscle)
Medial malleolus; fibular notchDistalInner ankle bump; the fibular notch is on the lateral side of the distal end where the fibula fits
Fibula (lateral, thin)Head, neckProximalKnob below the lateral tibial condyle — NOT part of the knee joint
Lateral malleolusDistalOuter ankle bump; sits lower than the medial malleolus

Label It · Femur

Right femur: anterior (left) and posterior (right), plus the patella

Click a numbered pin (or its row), choose the structure it points to, then press Check answers. Wrong answers show the correction in green.

Label It · Leg

Right tibia and fibula: anterior (left) and posterior (right)

Click a numbered pin (or its row), choose the structure it points to, then press Check answers. Wrong answers show the correction in green.

Foot

Tarsals, metatarsals, and phalanges

The foot has 26 bones: 7 tarsals, 5 metatarsals, and 14 phalanges. Mnemonic for the tarsals from posterior to anterior and medial to lateral: "Tiger Cubs Need MILk" — talus, calcaneus, navicular, medial / intermediate / lateral cuneiforms; the cuboid sits lateral to the cuneiforms, in front of the calcaneus.

Distal phalanx of halluxProximal phalanx of halluxFirst metatarsalMedial cuneiformNavicularTrochlea of talusMiddle phalanxSecond metatarsalFifth metatarsalLateral cuneiformIntermediate cuneiformCuboidTalusCalcaneus
Right foot, superior (dorsal) view — big toe on the left
GroupBonesHow to identify them
Tarsals (7)Talus, calcaneus, navicular, cuboid, medial, intermediate, and lateral cuneiformsTalus sits on top (its trochlea forms the ankle joint with the tibia and fibula); calcaneus is the heel, the largest tarsal; navicular is boat-shaped, medial, in front of the talus; cuboid is lateral, in front of the calcaneus; three cuneiforms line up in front of the navicular
Metatarsals (5)I–V, numbered from the big toe (medial) to the little toeBase proximal, head distal; the first is shortest and thickest; the fifth has a flared tuberosity at its base on the lateral edge
Phalanges (14)Proximal, middle, distal in toes 2–5; hallux has only proximal and distalSame pattern as the fingers; the big toe (hallux) is like the thumb (pollex)

Label It · Foot

Right foot, superior (dorsal) view — big toe on the left

Click a numbered pin (or its row), choose the structure it points to, then press Check answers. Wrong answers show the correction in green.

Left or Right?

Siding loose bones

Lab practicals often hand you a loose bone and ask "right or left?" Right and left always mean the specimen's own right and left, not yours. The method is always the same: put the bone in anatomical position (proximal end up, anterior surface facing you), find one feature whose medial/lateral position you know, and read the side.

BoneOrient it like thisThen read the side
Hip boneAcetabulum facing laterally (toward you), iliac crest upThe pubis and ASIS point anteriorly. If anterior is on your right, it is a right hip bone
FemurHead up, patellar surface (smooth groove) facing youThe head points medially. Head on your left = left femur; head on your right = right femur
PatellaApex down, articular (posterior) surface facing youThe larger lateral facet is the side cue. Larger facet on your right = right patella
TibiaPlateau up, tibial tuberosity facing youThe medial malleolus is medial. Malleolus on your right = right tibia
FibulaHead up; the flat, triangular articular facet on the lateral malleolus faces medially (toward the tibia), and the malleolar fossa (pit) just behind it faces posteriorlyView it from behind (fossa toward you): facet pointing to your left = right fibula; facet pointing to your right = left fibula
Foot / tarsalsToes away from you, dorsal surface upThe big toe and navicular are medial; the cuboid and fifth metatarsal are lateral. Big toe on your left = right foot
Left femur, anterior view: head on your left
Left tibia and fibula, anterior view: medial malleolus on your left

Quick self-check: stand in anatomical position and hold the bone against your own leg on the side you think it came from. If the head of the femur points toward your midline and the patellar surface faces forward, you guessed right.

Knee Joint

The knee: bones, menisci, ligaments, and bursae

The knee is the largest and most complex synovial joint in the body. Functionally it is a hinge joint (some textbooks say "modified hinge"): the main movements are flexion and extension, with slight medial and lateral rotation possible only when the knee is flexed. At full extension the femur rotates slightly medially on the tibia, "locking" the knee so you can stand with little muscle effort; the popliteus muscle "unlocks" it to begin flexion.

Lateral condyle of femurAnterior cruciate ligament (ACL)Fibular (lateral) collateral ligamentLateral meniscusHead of fibulaFibulaMedial condyle of femurPosterior cruciate ligament (PCL)Tibial (medial) collateral ligamentMedial meniscusTibial tuberosityTibia
Right knee, anterior view, flexed, patella removed
FemurMeniscusArticular cartilageTibiaQuadriceps tendonSuprapatellar bursaPatellaPrepatellar bursaInfrapatellar fat padPatellar ligamentDeep infrapatellar bursaSubcutaneous infrapatellar bursa
Knee, sagittal section (anterior to the right)
StructureWhereJob / how to identify
Articulating bonesFemur, tibia, patellaThree articulations: medial and lateral tibiofemoral (condyles on condyles) and the patellofemoral joint. The fibula is not in the knee joint
Medial meniscusOn the medial tibial condyleC-shaped fibrocartilage pad, wide open; fused to the tibial collateral ligament, so it is torn more often
Lateral meniscusOn the lateral tibial condyleSmaller, nearly circular (O-shaped); not attached to the fibular collateral ligament, so it moves more freely
Anterior cruciate ligament (ACL)Inside the joint capsule (outside the synovial cavity), in the intercondylar fossaAnterior intercondylar area of the tibia → medial side of the lateral femoral condyle. Stops the tibia sliding forward and limits hyperextension
Posterior cruciate ligament (PCL)Same space, crossing behind the ACLPosterior intercondylar area of the tibia → lateral side of the medial femoral condyle. Stops the tibia sliding backward
Tibial (medial) collateral ligamentMedial sideBroad, flat band from the medial femoral epicondyle to the tibia; resists forces that push the knee inward (valgus)
Fibular (lateral) collateral ligamentLateral sideRound cord from the lateral femoral epicondyle to the head of the fibula; resists forces that push the knee outward (varus)
Patellar ligamentAnterior, below the patellaPatella apex → tibial tuberosity; the continuation of the quadriceps tendon (often called the patellar tendon)
BursaeAround the front of the kneeFluid sacs that reduce friction: suprapatellar (between quadriceps tendon and femur, continuous with the joint cavity), prepatellar (between skin and patella), infrapatellar (deep: between patellar ligament and tibia; subcutaneous: in front of the tibial tuberosity)
Fat pads, popliteal ligamentsInfrapatellar fat pad behind the patellar ligament; popliteal ligaments on the back of the capsuleCushion the joint; the popliteal ligaments reinforce the capsule posteriorly
ANTERIORPatellar ligamentTibial collateral ligamentMedial meniscusAnterior cruciate ligamentLateral meniscusFibular collateral ligamentPosterior cruciate ligament
Right tibia, superior view (anterior at top, so medial is on your LEFT)

Cruciate memory trick: each cruciate is named for where it attaches on the tibia. They cross like an X: the ACL runs to the lateral femoral condyle, the PCL to the medial one. ACL stops the tibia moving Anteriorly; PCL stops it moving Posteriorly.

Clinical link: a hard blow to the lateral side of a planted knee can tear the tibial collateral ligament, the medial meniscus (fused to it), and the ACL together — the "unhappy triad." ACL tears are among the most common sports injuries.

Label It · Knee

Right knee, anterior view (left) and sagittal section (right)

Click a numbered pin (or its row), choose the structure it points to, then press Check answers. Wrong answers show the correction in green.

Check Yourself

Lower limb and knee review

Question 1
Which three bones fuse to form each hip bone?
Why: The sacrum and coccyx are axial bones. The ilium, ischium, and pubis fuse at the acetabulum.
Question 2
The "sit bone" you feel when you sit on a hard chair is the:
Why: The ischial tuberosity is the roughened lowest part of the ischium and bears your weight when you sit.
Question 3
A pelvis has a subpubic angle of about 70°, a heart-shaped inlet, and heavy, rough markings. It is most likely:
Why: A narrow (less than 90°) pubic arch and a heart-shaped inlet are classic male features.
Question 4
This hip bone is in lateral view. Which side is it from?
Why: In lateral view the acetabulum faces you. The pubis and the anterior superior iliac spine point anteriorly — here, to your right — so it is a right hip bone.
Question 5
Which femoral landmark is on the POSTERIOR surface?
Why: The linea aspera is the long rough ridge down the back of the shaft. The intertrochanteric line and patellar surface are anterior.
Question 6
This femur is shown in anterior view. Which side is it?
Why: The head always points medially. With the patellar surface facing you, the head is on your left, so this is a left femur.
Question 7
The patellar ligament runs from the patella to the:
Why: The quadriceps tendon becomes the patellar ligament below the patella and inserts on the tibial tuberosity.
Question 8
Which bone is NOT part of the knee joint?
Why: The fibula only reaches the underside of the lateral tibial condyle (proximal tibiofibular joint) and gives attachment to the fibular collateral ligament.
Question 9
Which tarsal bone articulates with the tibia and fibula to form the ankle joint?
Why: The trochlea of the talus fits between the medial and lateral malleoli. The calcaneus is the heel below it.
Question 10
A soccer player's tibia is pushed forward relative to the femur and the knee becomes unstable. Which ligament is most likely torn?
Why: The ACL prevents anterior displacement of the tibia on the femur (and limits hyperextension).
Question 11
Which meniscus is C-shaped and fused to the tibial collateral ligament, making it the one torn more often?
Why: The medial meniscus is anchored to the tibial (medial) collateral ligament, so it cannot slide out of the way. The lateral meniscus is O-shaped and more mobile.
Question 12
Kneeling for long periods irritates the bursa between the skin and the patella. Which bursa is it?
Why: The prepatellar bursa lies just under the skin over the patella; inflammation is sometimes called "housemaid's knee."
First-try score: 0

Rapid Recall

Lower limb and knee flashcards

Say the answer out loud, then tap the card to check. Shuffle and go again until every card is automatic.

Parts of the hip bone
Ilium (superior), ischium (posterior-inferior), pubis (anterior-inferior) — fuse at the acetabulum
Back edge of the hip bone, top to bottom
PSIS, PIIS, greater sciatic notch, ischial spine, lesser sciatic notch, ischial tuberosity
Obturator foramen
Largest foramen in the body; framed by pubis and ischium; below and anterior to the acetabulum
Female pelvis
Subpubic angle over 90°, oval inlet, lighter build, wider and shorter sacrum
Intertrochanteric line vs. crest
Line = anterior, faint. Crest = posterior, prominent
Fovea capitis
Pit on the femoral head for the ligament of the head of the femur
Patella
Sesamoid bone in the quadriceps tendon; base up, apex down; larger lateral facet
Tibial tuberosity
Anterior bump below the knee; patellar ligament attaches here
Medial vs. lateral malleolus
Medial = tibia; lateral = fibula (sits lower)
The 7 tarsals
Talus, calcaneus, navicular, cuboid, medial / intermediate / lateral cuneiforms
Hallux
Big toe: metatarsal I, only proximal and distal phalanges
Knee joint type
Synovial hinge (modified hinge): flexion and extension, slight rotation when flexed
ACL
Anterior tibia → lateral femoral condyle; stops anterior sliding of the tibia
PCL
Posterior tibia → medial femoral condyle; stops posterior sliding of the tibia
Collateral ligaments
Tibial (medial, MCL): broad, fused to medial meniscus. Fibular (lateral, LCL): cord to fibular head
Knee bursae
Suprapatellar, prepatellar, deep and subcutaneous infrapatellar

Practical Simulation

Lab 7 practical: 22 random stations

This runs like a real lab practical: one pinned structure, picture, or question per station, a timer, and you type the answer — no word bank. Each attempt draws 22 stations at random from a pool of 81, so run it several times. Spell names fully; common synonyms (ASIS, MCL, LCL, ACL, PCL, patellar tendon) are accepted.

22 stations · 60 seconds each · stations come in random order every attempt.

Watch Out

Where students lose points on this lab

The mistakeThe fix
Siding a bone from your own point of view.Right and left are always the specimen's. Put the bone in anatomical position first, then find a medial feature (femoral head, medial malleolus, big toe).
Calling the ischial spine the ischial tuberosity.Spine = small, pointed, higher, between the two sciatic notches. Tuberosity = big rough "sit bone" at the bottom.
Mixing up the greater and lesser sciatic notches.Greater is the big, deep notch on the ilium above the ischial spine; lesser is the small notch below the spine.
Swapping the intertrochanteric line and crest.Line = anterior and faint; crest = posterior and raised. If the linea aspera is facing you, you are looking at the crest side.
Listing the fibula as part of the knee joint.The knee is femur + tibia + patella. The fibula only anchors the fibular collateral ligament.
Reversing the cruciate attachments.Named by tibial attachment: ACL starts anterior on the tibia and runs to the lateral femoral condyle; PCL starts posterior and runs to the medial condyle.
Calling the medial meniscus the lateral one on a superior view of the tibia.Medial is C-shaped and larger; lateral is nearly a closed O. On a right tibia seen from above with anterior at the top, medial is on your left.
Confusing the navicular (foot) with the scaphoid (hand).Both are boat-shaped, but navicular = foot, between the talus and the cuneiforms. Scaphoid = wrist.

Cheat Sheet

Everything on one page

Print it or screenshot it for a last look before the lab.

Lab 7: Appendicular Skeleton — The Lower Limb & Knee Joint

KingCretot Experience · A&P I lab review cheat sheet
TopicKnow this
Hip boneIlium + ischium + pubis, fused at the acetabulum; joins sacrum (sacroiliac joint) and other hip bone (pubic symphysis)
Ilium landmarksIliac crest, ASIS, AIIS, PSIS, PIIS, greater sciatic notch, iliac fossa (medial), auricular surface (medial), gluteal lines
Ischium landmarksIschial spine, lesser sciatic notch, ischial tuberosity, ischial ramus
Pubis landmarksBody, superior and inferior rami, pubic symphysis; obturator foramen framed by pubis + ischium
AcetabulumLunate surface (smooth horseshoe), acetabular fossa (center), acetabular notch (inferior)
Female vs. male pelvisFemale: subpubic angle over 90°, oval inlet, light build, wide sacrum. Male: under 90°, heart-shaped inlet, heavy
FemurHead, fovea capitis, neck, greater/lesser trochanters, intertrochanteric line (ant) and crest (post), gluteal tuberosity, linea aspera, condyles, epicondyles, intercondylar fossa, patellar surface
PatellaSesamoid; base superior, apex inferior; larger lateral facet
TibiaMedial and lateral condyles, intercondylar eminence, tibial tuberosity, anterior border, soleal line (post), medial malleolus, fibular notch
FibulaHead, neck, shaft, lateral malleolus; not in the knee joint
Foot7 tarsals (talus, calcaneus, navicular, cuboid, 3 cuneiforms), 5 metatarsals, 14 phalanges; hallux has 2
SidingFemoral head medial; tibial tuberosity anterior; medial malleolus medial; big toe medial; patella larger facet lateral
Knee jointSynovial hinge (modified); femur, tibia, patella; flexion/extension, slight rotation when flexed; locks in full extension
MenisciFibrocartilage. Medial = C-shaped, fused to tibial collateral. Lateral = O-shaped, mobile
Knee ligamentsACL (stops anterior tibial slide), PCL (stops posterior slide), tibial (medial) and fibular (lateral) collaterals, patellar ligament, popliteal ligaments
Knee bursaeSuprapatellar, prepatellar, deep and subcutaneous infrapatellar; infrapatellar fat pad

Debrief

Ready for the lab

You have now covered the pelvic girdle, the whole lower limb, and the knee joint. When the practical feels easy, move on to the Lab Exam 2 review.

💭 Before the real thing: run the practical simulation until you score 90% or better twice in a row. Then do it once with the timer on.