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Clinical Medicine OMS Year I - Block II > Foot and Ankle Exam > Flashcards

Foot and Ankle Exam Flashcards

1
Q

The flow in portion of the vascular exam includes what 4 exams?

A
  1. Pulse
  2. Capillary Refill Time
  3. Pedal Hair growth
  4. Temperature

The pulses are: dorsalis pedis and Posterior tibial

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2
Q

The flow out portion of the vascular exam includes what 2 exams?

A
  1. Edema
  2. Venous Varicosities
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3
Q

Capillary refill time is normal if toe returns to normal color in what amount of time?

A

<3 seconds

Pressure applied for 3-10 seconds

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4
Q

Checking for temperature during flow in portion of exam is from proximal-distal because?

A

Temperature in one part of the leg does not necessarily mean the temperature in the foot is the same and vice versa

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5
Q

What is a Grade 0 on the pitting edema scale?

A

No clinical edema

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6
Q

What is a Grade 1 on the pitting edema scale?

A

Slight pitting - 2 mm

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7
Q

What is a Grade 2 on the pitting edema scale?

A

Somewhat deeper pit - 4 mm

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8
Q

What is a Grade 3 on the pitting edema scale?

A

Noticeably deeper pit - 6 mm

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9
Q

What is a Grade 4 on the pitting edema scale?

A

Very deep pit - 8 mm

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10
Q

The first part of the University of Texas System Dermatologic exam is examining what?

A

Depth of tissue

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11
Q

Grade 0 on the University of Texas Dermatologic exam indicates what?

A

Pre- or Post-ulcerative that has healed

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12
Q

Grade 1 on the University of Texas Dermatologic exam indicates what?

A

Full thickness ulcer that does not involve the tendon, capsule or bone

Superficial wound

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13
Q

Grade 2 on the University of Texas Dermatologic exam indicates what?

A

Wound down to tendon or capsule but bone is NOT palpable

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14
Q

Grade 3 on the University of Texas Dermatologic exam indicates what?

A

Wound is down to the bone

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15
Q

The second part of the University of Texas System Dermatologic exam is examining what?

A

Infection and blood supply

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16
Q

Stage A of the University of Texas Dermatologic exam indicates what?

A

Non-infected

17
Q

Stage B of the University of Texas Dermatologic exam indicates what?

A

Infected

18
Q

Stage C of the University of Texas Dermatologic exam indicates what?

A

Ischemic

19
Q

Stage D of the University of Texas Dermatologic exam indicates what?

A

Infected and Ischemic

20
Q

The university of texas dermatologic exam is not the same thing as the NPIAP exam which is used for staging of what?

A

Decubitus Ulcerations

Used in hospital setting

21
Q

What is the University of Texas Dermatologic exam used for?

A

Diabetic foot

22
Q

The Semmes-Weistein monofilament exam is a predictor of what? In what type of patients?

A
  1. Risk of foot ulceration and amputation
  2. Diabetic patients
23
Q

What is the indication that there is loss of sensation with the Semmes-Weinstein monofilament exam?

A

If less than 7/10 responses are not identified

24
Q

During the Ipswich Touch Test, the provider lightly rests finger on the patient’s ________, ________ and ____ toes for how many seconds?

A
  1. First
  2. Third
  3. Fifth
  4. 1-2 seconds
25
Q

Reduced foot sensation in the Ipswich touch test is defined as what?

A

2 or more insensate areas

Patient could not feel your finger when touching their toe

26
Q

Muscle strength during musculoskeletal exam is on a scale of what?

A

0-5

27
Q

Ankle dorsiflexion during the musculoskeletal exam is measuring the strength of what muscle?

A

Tibialis Anterior

28
Q

Ankle Plantarflexion during the musculoskeletal exam is measuring the strength of what muscle?

A

Gastrocnemius and Soleus

29
Q

Eversion of the foot during the musculoskeletal exam is measuring the strength of what muscle?

A

Peroneus Brevis

30
Q

Inversion of the foot during the musculoskeletal exam is measuring the strength of what muscle?

A

Tibialis Posterior

31
Q

What is the typical ROM of ankle dorsiflexion required for normal gait and function?

A

10 degrees

32
Q

A person with equinus lacks the ability to do what?

A

Dorsiflex

33
Q

The Silfverskiold test is evaulating for what?

A

Presence of equinus

34
Q

If a patient has improved ROM of dorsiflexion when knee becomes flexed during the Silfverskiold test, that indicates what?

A

Gastrocnemius Equinus

Tightness in gastroc.

35
Q

If a patient does not have improved ROM of dorsiflexion when knee becomes flexed during the Silfverskiold test, that indicates what?

A

Gastrocneumius and and soleus equinus

Achilles tightness/contracture

36
Q

Why does the patient flex their knee during the Silfverskiold test?

A

Reduces tension of gastrocneumius muscle

37
Q

The results of the Silfverskiold test can ultimately alter the treatment plan of the patient, particularly if:

A

Surgical intervention is indicated

38
Q

What are the 2 general features of deformity during the musculoskeletal exam?

A
  1. Laterality
  2. Rigid/Reducible
39
Q

Pertinent negatives are important to document because it tells you what?

A

Want to know what is not an issue on exams as well

Clinical Medicine OMS Year I - Block II (4 decks)

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