Foot/ankle Exam

Question 1

When inspecting the medial aspect of the foot, it is important to assess:

Answer 1

The arch of the foot for pes planus/pes cavus

Question 2

Pes planus is suggested if <_ fingers are able to be accommodated beneath the medial arch

Answer 2

2

Question 3

When inspecting the lateral aspect of the foot it is important to look for:

Answer 3

Claw/hammer toe deformities

Question 4

Posterior inspection

Answer 4

Gastrocnemius muscle bulk
Skin changes over the achilles tendon
Normal hindfoot valgus alignment

Question 5

What is being assessed in the single heel raise test?

Answer 5

Tibialis posterior tendon insufficiency

Question 6

In the single heel raise test, a positive sign is indicated by:

Answer 6

Difficulty performing a single heel raise

Question 7

Inspection of the plantar foot

Answer 7

Plantar ecchymosis

Question 8

Plantar ecchymosis is pathognomonic for:

Answer 8

Lisfranc fracture

Question 9

If a patient has pes cavus, which follow up special test is indicated?

Answer 9

Coleman block test

Question 10

Gait examination

Answer 10

Inspection of footwear, rate, rhythm, phases, height, tiptoe/heel walk

Question 11

Phases of the gait cycle

Answer 11

Heel strike, stance, toe off, swing

Question 12

A high stepping gait is associated with damage to:

Answer 12

The common peroneal or sciatic nerve

Question 13

STRAWS gait abnormalities

Answer 13

Short leg, Trendelenberg, rigid, antalgic, weak, supratentorial

Question 14

Sensation of the deep peroneal nerve is tested over:

Answer 14

The first dorsal webspace

Question 15

Sensation of the medial plantar nerve is tested over:

Answer 15

The medial plantar surface

Question 16

Sensation of the sural nerve is tested over:

Answer 16

The lateral malleolus

Question 17

Sensation of the superficial peroneal nerve is tested over:

Answer 17

The dorsal surface of the third toe

Question 18

Sensation of the saphenous nerve is tested over:

Answer 18

The medial malleolus

Question 19

Lateral palpation landmarks

Answer 19

Lateral malleolus, subtalar joint, lateral tarsal bones, cuboid, fifth metatarsal base

Question 20

Medial palpation landmarks

Answer 20

Medial tarsal bones, deltoid ligament, medial malleolus, tibialis anterior tendon (with foot dorsiflexed), tibialis posterior, lateral ligament complex, achilles tendon

Question 21

When testing passive ankle dorsiflexion the heel:

Answer 21

Should be cupped in one hand

Question 22

The following movements should be tested during a foot and ankle exam

Answer 22

Dorsiflexion, plantarflexion, eversion, inversion

Question 23

Power of the deep peroneal nerve is tested:

Answer 23

By dorsiflexion of the ankle and great hallux

Question 24

The muscles supplied by the deep peroneal nerve are:

Answer 24

Tibialis anterior/extensor hallucis longus

Question 25

The power of the tibial nerve is tested:

Answer 25

By plantarflexion of the ankle and great hallux

Question 26

The muscles supplied by the tibial nerve are:

Answer 26

Tibialis posterior/flexor hallucis longus

Question 27

The power of the superficial peroneal nerve is tested:

Answer 27

By eversion of the ankle

Question 28

The superficial peroneal nerve supplies the following muscles:

Answer 28

Peroneus longus/brevis

Question 29

Hopkins test is used to:

Answer 29

Evaluate for injury to the tibiofibular syndesmosis

Question 30

A positive Hopkins test occurs when:

Answer 30

There is pain in the distal third of the leg when the tibia and fibula are squeezed together

Question 31

Anterior drawer test of the ankle tests:

Answer 31

The ATFL

Question 32

Thompsons test tests for:

Answer 32

Achilles tendon rupture

Question 33

Thompsons test is performed by:

Answer 33

Squeezing the calf

Question 34

A positive finding in the Thompsons test is:

Answer 34

When there is an absence of plantarflexion

Question 35

The talar tilt test tests:

Answer 35

ATFL/CFL

Question 36

Talar tilt test is positive when:

Answer 36

There is excessive inversion of the ankle

Question 37

Weber A

Answer 37

Stable, below syndesmosis

Question 38

Weber B

Answer 38

Potentially unstable, at level of syndesmosis

Question 39

Weber C

Answer 39

Unstable, above level of syndesmosis

Question 40

Ottawa ankle rules

Answer 40

Tenderness at lateral malleolus
Tenderness at medial malleolus
Tenderness at base of fifth metatarsal
Tenderness at navicular
Inability to weight bear for 4 steps