FootAnkle

Question 1

doctor places one hand on anterior tibia and the other on posterior calcaneous and pulls the foot anterior

Answer 1

anterior drawer sign

Question 2

test that looks for anterior talofibular ligament instability

Answer 2

anterior drawer test (ankle)

Question 3

what could be causing increased size of one calf compared to the other during calf circumference test

Answer 3

acute compartment syndrome

Question 4

what cold be causing decreased size of one calf compared to the other during calf circumference test

Answer 4

muscle atrophy

Question 5

the patient walks for one minute briskly while the doctor observes

Answer 5

claudication test

Question 6

modifications to the claudication test

Answer 6

• walk in place at 120 steps per minute for 60 seconds

- toe raisers at same pace

Question 7

positive claudication test

Answer 7

• muscle weakness
• cramping or pain
• discomfort or color changes

Question 8

positive claudication test could indicate what

Answer 8

1. peripheral vascular weakness
2. intermittent vascular claudication
3. atherosclerosis
4. popliteal artery entrapment syndrome

Question 9

the patient lies supine and the doctor raises the leg up 45 degrees, squeezes the calf and quickly dorsiflexes the foot

Answer 9

homan’s sign

Question 10

positive homan’s sign

Answer 10

persistent achy calf pain or deep calf pain of a short duration

Question 11

postive homan’s sign indicates

Answer 11

• thrombophlebitis

- gastroc/soleus strain

Question 12

patient lies prone and the doctor flexes the knee to 90 degrees and squeezes the calf. this is done quickly in order for the blood not to drain

Answer 12

moses’ test

Question 13

positive moses’ test

Answer 13

persistent achy calf pain or deep calf pain of a short duration

Question 14

positive moses’ test could indicate what

Answer 14

• lower extremity vascular insufficiency
• thrombophlebitis
• arteriosclerosis obliterans
• gastroc/soleus strain

Question 15

patient lies prone and doctor flexes knee to 90 degrees and squeezes the calf while observing for plantar flexion

Answer 15

thompson’s test

Question 16

positive thompson’s test

Answer 16

• no plantar flexion

- localized pain or short, deep pain

Question 17

what could a positive thompson’s test indicate

Answer 17

• ruptured achilles tendon
• gastroc/soleus strain
• thrombophlebitis

Question 18

doctor applies upward force to the head of the first metatarsal and the patient attempts to plantar flex

Answer 18

duchenne’s sign

Question 19

positive duchenne’s sign

Answer 19

supination (inversion) of the foot with attempted plantar flexion against resistance

Question 20

positive duchenne’s sign could indicate what

Answer 20

superficial peroneal nerve lesion or a L4-S1 lesion

Question 21

patient stands and doctor looks at the achilles tendons

Answer 21

helbing’s sing

Question 22

positive helbing’s sign

Answer 22

medial curve of the achilles tendon

Question 23

positive helbing’s sign could indicate what

Answer 23

overpronation syndrome

Question 24

overpronation syndrome is common in what disorder

Answer 24

cerebral palsy

Question 25

doctor squeezes foot around the metatarsal heads

Answer 25

morton’s test

Question 26

positive morton’s test

Answer 26

pain

Question 27

positive morton’s test could indicate waht

Answer 27

1. morton’s neuroma if between 3rd and 4th metatarsal
2. arthritis
3. stress fracture of metatarsal heads
4. metatarsalgia

Question 28

doctor rapidly flexes the patients toes

Answer 28

strunsky’s sign

Question 29

positive strunsky’s sign

Answer 29

pain in forefoot

Question 30

positive strunsky’s sign could indicate what

Answer 30

metatarsalgia or OA