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Lower Extremity > Final Written > Flashcards

Final Written Flashcards

1
Q

One of the reasons for creating the ottawa knee rules include which statment

A

Overuse of radiographic studies causing a significant economic health care problem in the USA

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2
Q

The stride length in running consists of approximately what percentage of the walking gait cycle

A

60%

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3
Q

Bilateral simultaneous transverse compression squeeze of the foot helps to isolate the involved bone when adjusting an

A

Superior navicular

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4
Q

According to teh article posted on BB how to choose running shoes. A person shopping for running shoes with a neutral (normal) foot, should look for what type of shoe

A

Stability

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5
Q

The alleged part 4 NBCE examination extremity move named posterior cunieform, the angel of knee flexion is

A

45 degrees

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6
Q

Primary shock absorption of the lower extremity is accomplished by the ___ and secondary shock absorption is accomplished by __

A

Medial longitudinal arch

Knee flexion

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7
Q

Looking at shoe wear patterns can be very informative, when finding lateral heel counter tilt and lateral midfoot compression of the sole, which footwear could you recommend to your patient

A

Curved last with valgus rearfoot posting

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8
Q

According to the american orthopedic foot and ankle society lacing article on BB, people with narrow feet should use which lacing technique when tying running shoes

A

Use the eyelets farthest away from the tongue of the shoe

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9
Q

According to lab, when long axis tractioning a superior first cunieform, which way does the intern open the joint

A

Towards you

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10
Q

In lab class, when evaluating the knee move known as wobble, what is this looking at

A

Fixation of the tibial plateua

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11
Q

According to lab protocols, the 4th met base is adjusted with the patient in what position

A

Prone leg extended

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12
Q

Hallux valgus deformity involves a misalignment of the proximal 1st met bone in which way do we adjust the bone

A

Medial and internal

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13
Q

When a patient presents with knee pain to a doc, other than an eduactaed chiro giveing specific diagnosis, what general diagnosis is that patient likely to be given

A

Chondromalacia patella

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14
Q

A patient presents with pain just lateral to the anterior margin/crest of the left tibia. After clearing the spine, an anterior talus was foudn and corrected. Which other subluxation would you commonly suspect and correct next on this same patient

A

Anterior cuboid

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15
Q

Met heads most commonly fixate in which direction

A

Inferior

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16
Q

The tibia must internally rotate up to 20 degrees to accomplish full knee
___ which position is this for the knee and which muslce is responsible

A

Flexion
Open pack position
Popliteus

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17
Q

In the handout/article semi-weight bearing sub-talar neutral casting on BB which type of orthotic is best described as it restricts motion from the proper sequence

A

Accomodative orthotics

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18
Q

When measuring the forefoot so posting can be included for orthotics how many degrees will the intrinsic forefoot varus angulation already be

A

0-6 degrees

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19
Q

The ottawa knee rules research states that the overuse of radiographs was due to fear of lawsuits and which other reason

A

Failure to obtain an adequate history

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20
Q

Accordin gto how to choose running shoes, to determine what type of foot your patient has you should perform

A

The wet test

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21
Q

In the FHL article the atuhor mentions the callus pattern associated iwth FHL would be

A

Under the medial side of the 1st, 2nd, and 3rd met heads and sometimes the 5th met head

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22
Q

Normal first met phalangeal joint dorsiflexion without load should be approximately

A

70 degrees

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23
Q

A soft counce home test could indicate a potential ____ misalignment

A

Posterior tibia

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24
Q

After a patient has bunion surgery on the right foot, while co-managing the recovery and rehabilitation of your patient whidch side of the body should the cane be held and used for support

A

Right

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25
Q

According to ottawa ankle rules, midfoot x-rays are required if there is pain and ____ and in the ER

A

Bone tenderness at the base of the 5th metatarsal

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26
Q

In the FHL article the author mentions that once a diagnosis of FHL is made this is best managed by

A

Custom orthotic

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27
Q

According to FHL article comon pathologies associated to FHL in the foot are

A

Morton’s neuroma

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28
Q

According to the article on BB the role of plantar fascia, gastroc-soleus complex and windlass effects of the dynamic foot the ___ articulation has been described in current literature as one of two joints that undergo a self-locking mechanism that attempts to prevent overpronation at the late midstance phase of gait. The other is the ___ as it changes function

A

Calcaneocuboid

SI joint

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29
Q

Plantar fascitis and the windlass mechanism - researchers reported that low dye taping is helpful in subjects with which kind of foot

A

Pes cavus

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30
Q

According to Dr. Kevin Hearon and as practiced in lab, sub-talar neutral is a position of the foot where ____ joint is equally congruent both on the medial and lateral sides of the foot

A

Talo-navicular

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31
Q

Following the adjusting protocols taught in class, could these improve the neurological and biomechanical components of the vertebral subluxation adn associated extra spinal articular misalignments

A

Yes

32
Q

Which muscle responsible for 1st 15 degrees of kene flexion

A

Popliteus

33
Q

Closed kinetic chain

A

Putting into action the subtalar joint, locking and unlocking mechanisms of the midfoot across the trans-tarsal joint

34
Q

Medial arch of foot keystone

A

Navicular

35
Q

Abnormal weight bearing patient may also have pinch calluses on the lateral and/or medial edges of the foot from

A

Hyper supination and hyperpronation

36
Q

If subluxated it will block normal motion in the mortise talus and tibia due to the altered weight distribution and the affect upon the locking and unlocking mechanisms of the foot and may lead to numerous foot complaints

A

Talus

37
Q

Most common position of ankle injury

A

Plantar flexion/inversion

38
Q

Function of fibula during dorsiflexion above 90 degrees will create

A

Palpable rising of the fibular head

39
Q

One cause is loss of transverse arch, usually due to altered biomechnics

A

Mortons neuritis/neuroma

40
Q

ASIS to center of patella/tibial tuberosity to center of patella. 20 degrees unstable for all.

A

Q (quadriceps) angle

41
Q

Pain behind the kene on the medial side associated with weak vastus lateralis

A

Patellar femoral arthralgia

42
Q

Pain behind kneecap lateral side while running down hills or down slopes

A

Excessive lateral patellar syndrome

43
Q

Impact at the fibular head may affect

A

The common peroneal nerve

44
Q

Iliotibial band hypertonicity may also cause lateral knee pain with an

A

External snapping hip sound

45
Q

Iliopsoas may also affect the hip and create an

A

Internal snapping hip

46
Q

Use a cane for hip joint support

A

Opposite side of problem

47
Q

Pain with no instability

A

2 weeks healing period

48
Q

Checking lower extremity

A

Distal to proximal

49
Q

Plantar fascitis in 8 visits

A

95% responsed to conservative care

50
Q

A lateral deviation pain on the medial side of. MTP joint can result in external rotation

A

Hallus valgus (bunions)

51
Q

Neuropathy of the posterior tibial nerve

A

Tarsal tunnel syndrome

52
Q

Cause tight external structures, IT band

A

Snapping hip

53
Q

Reasons for creating ottawa knee rules include which

A

All of the above

54
Q

The swing phase consists of approx what percentage of walking gait cycle

A

35-40%

55
Q

Jogging percent walking gait

A

70%

56
Q

Both legs are on the ground about

A

25% of gait cycle

57
Q

When evaluating th efoot for normal weight bearing forces, this occurs in which order and through which structures

A

Calcaneous, the lateral aspect of hte foot, 5th met head adn 1st met head

58
Q

Runner 25 miles a week, how often should change shoes

A

Once every 4 months

59
Q

Coxafemoral distraction has SCP

A

Distal tib/fib

60
Q

Shoe wear - find medial head counter tilt and medial forefoot outer side wear

A

Overpronation

Rigid material in hind foot and extra firm support in medial longitudinal arch

61
Q

Pinch calluses are caused by

A

Loss of medial longitudinal arch

62
Q

Dorsiflexion of the met phalangeal joint causes plantar fascia to tighten midfoot to externally rotate, raising the longitudinal arches

A

Windlass effect

63
Q

Under load 1st MTP should normally dorsiflex up to how many degrees

A

35

64
Q

Hallux valgus bunsion deformityh involves proximal 1st met joint in which way

A

Lateral and external

65
Q

Tarsal tunnel syndrome involves pathology of which one structure

A

Posterior tibialis nerve

66
Q

Pain just lateral to anterior margin/crest of left tibia

A

Inferior navicular

67
Q

Mal-positioned tongue of the shoe

A

Superior navicular

68
Q

The tibia must externally rotate up to 20 degrees to accomplish full knee

A

Extension - close packed position

69
Q

Intrinsic forefoot varus angulation

A

4-6 degrees

70
Q

Criteria for ordering radiographs ottawa knee

A

Pt 55, tenderness over patella an dinability to flex knee to 90 degrees

71
Q

Staright shaped and rigid mid sole

A

Pes planus

72
Q

Possible subluxation of cuboid muscle test

A

Peroneus

73
Q

Posterior tibia may mimic

A

Medial meniscus tear

74
Q

Avulsed right anterior talofibular ligament would require surgery. Which side body cane

A

Right

75
Q

Foot and knee cane

A

Same side

76
Q

Hip cane

A

Opposite side

77
Q

Ottawa ankle, midfoot x-rays are required if there is pain and ___ in the eR

A

Inability to bear weight both immediately

Lower Extremity (2 decks)

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