Foot/ankle

Question 1

Objective exam for ankle (9)

Answer 1

Includes observation
Gait analysis
ROM
Joint mobility
MMT
Flexibility
Palpation
Functional tests
Special tests

Question 2

Normal WB foot characteristics (6)

Answer 2

Slight calcaneal eversion,
1-2 lateral toes visible posteriorly,
resting metatarsal heads perpendicular to calcaneus bisection,
distal third of lower leg is vertical,
static medial arch

Question 3

Wells Criteria for DVT (10)

Answer 3

Current dx of cancer or w/in past 6mo.

Paralyzed leg

Recently bedridden 3+ days or major surgery w/in past 4 weeks

Tenderness near a deep vein

Swollen leg

Swollen calf w/ diameter 3+ cm larger than contralateral side

Unilateral pitting edema

Large veins present

Previous DVT

Other diagnosis more likely (-2)

Question 4

Two tier vs Three tier model for DVT (scoring)

Answer 4

2+ = DVT likely // 0-1 = not likely

3+ = high risk // 1-2 = moderate risk // 0 = low risk

Question 5

POLICE

Answer 5

Protection, Optimal Loading, Ice, Compression, Elevation

Question 6

Post ankle injury/sprain, start w/ what for ther ex?

Answer 6

Isometrics (sub max to max)

Question 7

Function of elastic bandage, taping, air casting for ankle sprain - appropriate grade 1-2

Answer 7

Minimize inv/ev, while allowing for PF, DF

Question 8

10% rule in running

Answer 8

Total increase in volume per week

Question 9

Functional phase of rehab - goals/objectives

Answer 9

Normal jt kinematics and full ROM

NM and proprioceptive control in WB

Observe quality of movement and prohibit favoring of injured side (str and endurance for this too)

Question 10

Pronated foot may be due to? (5)

Answer 10

Congenital deformities

Equinus

Ligament laxity

Achilles tendon tightness

Hindfoot Valgus

Question 11

Pain w/ Pes planus may be due to/located?

Answer 11

Medial longitudinal arch

Lateral drifting of calcaneus - impingement of calcaneous along fibula

Question 12

Pes cavus may also present w/ (mechanics)

Answer 12

Tibial ER
Increased forefoot, hindfoot varus

Question 13

Pes cavus - pain location

Answer 13

Dorsal and plantar surface

Question 14

Normal range of hindfoot varus, pathology?

Answer 14

2-3*

Greater than 5* of calcaneal eversion (Valgus) or inversion (varus)

Question 15

MOI for high ankle/ syndesmotic sprain (3)

Answer 15

Forceful ER of foot

Forceful eversion of talus

Forceful DF

Question 16

Ankle sprains in adolescents - important to rule out?

Answer 16

Fx- due to skeletal immaturity

Question 17

Ottawa foot rules (3)

Answer 17

Bone tenderness at navicular
Bone tenderness 5th met styled process
Inability to bear weight both immediately after injury or in ED for 4 steps

Question 18

Peritendinitis v Tendinitis v Tendinosis

Answer 18

Tendon sheath inflammation

Tendon inflammation

Tendon degeneration

Question 19

Lack of DF in Achilles tendinopathy - 2 values indicating different structures

Answer 19

Lacking by 20 in knee extension due to adaptive shortening of gastroc

Lacking by 30 in knee flexion due to adaptive shortening of the Soleus

Question 20

Sever’s disease

Answer 20

Calcaneal apophysitis/ osteochondrosis

**growth plate!!

Question 21

Plantar fasciitis associated with pronation or supination?

Answer 21

Pronation

Question 22

Plantar fasciitis associated with what at the hip?

Answer 22

Hip add angle greater on involved side than uninvolved side