Foot and Ankle Exam

Question 1

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

Answer 1

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

The pulses are: dorsalis pedis and Posterior tibial

Question 2

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

Answer 2

1. Edema
2. Venous Varicosities

Question 3

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

Answer 3

<3 seconds

Pressure applied for 3-10 seconds

Question 4

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

Answer 4

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

Question 5

What is a Grade 0 on the pitting edema scale?

Answer 5

No clinical edema

Question 6

What is a Grade 1 on the pitting edema scale?

Answer 6

Slight pitting - 2 mm

Question 7

What is a Grade 2 on the pitting edema scale?

Answer 7

Somewhat deeper pit - 4 mm

Question 8

What is a Grade 3 on the pitting edema scale?

Answer 8

Noticeably deeper pit - 6 mm

Question 9

What is a Grade 4 on the pitting edema scale?

Answer 9

Very deep pit - 8 mm

Question 10

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

Answer 10

Depth of tissue

Question 11

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

Answer 11

Pre- or Post-ulcerative that has healed

Question 12

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

Answer 12

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

Superficial wound

Question 13

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

Answer 13

Wound down to tendon or capsule but bone is NOT palpable

Question 14

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

Answer 14

Wound is down to the bone

Question 15

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

Answer 15

Infection and blood supply

Question 16

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

Answer 16

Non-infected

Question 17

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

Answer 17

Infected

Question 18

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

Answer 18

Ischemic

Question 19

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

Answer 19

Infected and Ischemic

Question 20

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

Answer 20

Decubitus Ulcerations

Used in hospital setting

Question 21

What is the University of Texas Dermatologic exam used for?

Answer 21

Diabetic foot

Question 22

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

Answer 22

1. Risk of foot ulceration and amputation
2. Diabetic patients

Question 23

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

Answer 23

If less than 7/10 responses are not identified

Question 24

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

Answer 24

1. First
2. Third
3. Fifth
4. 1-2 seconds

Question 25

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

Answer 25

2 or more insensate areas

Patient could not feel your finger when touching their toe

Question 26

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

Answer 26

0-5

Question 27

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

Answer 27

Tibialis Anterior

Question 28

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

Answer 28

Gastrocnemius and Soleus

Question 29

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

Answer 29

Peroneus Brevis

Question 30

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

Answer 30

Tibialis Posterior

Question 31

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

Answer 31

10 degrees

Question 32

A person with equinus lacks the ability to do what?

Answer 32

Dorsiflex

Question 33

The Silfverskiold test is evaulating for what?

Answer 33

Presence of equinus

Question 34

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

Answer 34

Gastrocnemius Equinus

Tightness in gastroc.

Question 35

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

Answer 35

Gastrocneumius and and soleus equinus

Achilles tightness/contracture

Question 36

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

Answer 36

Reduces tension of gastrocneumius muscle

Question 37

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

Answer 37

Surgical intervention is indicated

Question 38

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

Answer 38

1. Laterality
2. Rigid/Reducible

Question 39

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

Answer 39

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