Clinical Tests

Question 1

what pulses should be felt in a foot and ankle exam?

Answer 1

dorsalis pedis
posterior tibial

Question 2

what five movements should be assessed in a foot and ankle exam?

Answer 2

dorsiflexion 
plantar flexion 
inversion 
eversion 
metatarsal phalangeal movement

Question 3

what test is done for suspected metatarsophalangeal joint pathology?

Answer 3

the grind test

Question 4

how is the grind test performed?

Answer 4

the first MTPJ is axially loaded and the proximal phalanx is rotated

Question 5

what is a positive grind test?

Answer 5

pain and stiffness at the MTPJ is exacerbated

Question 6

what test is done for suspected ligament instability in the ankle?

Answer 6

anterior drawer test

Question 7

what test is done for suspected morton’s neuroma?

Answer 7

mulder’s click test

Question 8

what test is done for a suspected Achilles’ tendon rupture?

Answer 8

simmond’s test

Question 9

what is a normal response to the simmond’s test?

Answer 9

foot plantar flexes when the calf is squeezed

Question 10

what is a positive response to the simmond’s test?

Answer 10

absent or reduced plantar flexion when the calf is squeezed

Question 11

when are the ottowa ankle rules applied?

Answer 11

in patients with trauma to the foot and ankle

Question 12

what are the ottowa ankle rules used for?

Answer 12

determining if a patient needs an x-ray for their foot/ankle pain

Question 13

in the elbow, which ligament can valgus stress be applied to?

Answer 13

medial collaterals

Question 14

in the elbow, which ligament can valgus stress be applied to?

Answer 14

lateral collaterals

Question 15

what movements should be assessed at the elbow?

Answer 15

flexion
pronation
supination
extension - look for hyperextension

Question 16

what test should be done for suspected tennis elbow?

Answer 16

flex the elbow to 90 in pronation

ask the patient to extend their wrist/index finger against resistance

positive is pain is felt at the lateral epicondyle

Question 17

what test should be done for suspected golfer’s elbow?

Answer 17

flex the elbow to 90 in supination

ask the patient to flex the wrist against resistance

positive is pain at the medial epicondyle

Question 18

what test should be done for suspected cubital tunnel syndrome?

Answer 18

tinel’s test

Question 19

describe tinel’s test

Answer 19

tap over the cubital tunnel

posterior to the medial epicondyle

Question 20

what is a positive result from tinel’s test?

Answer 20

patients symptoms are exacerbated

Question 21

what test should be done for a suspected ulnar nerve palsy?

Answer 21

froment’s test

Question 22

what special test should be done for suspected dupuytren’s contracture?

Answer 22

hueston’s table top test

Question 23

what is a positive Hueston’s table top test?

Answer 23

inability to flatten the hand against the table