Knee, Ankle, Foot

Question 1

Special questions for knee:

Answer 1

swelling
locking/catching
bucking/giving out
popping

Question 2

Medial / Lateral Instabilities

assess:

Answer 2

MCL

Question 3

Normal range of varus and valgus stress

Answer 3

0-30

Question 4

Anterior instabilities asses:

Answer 4

ACL
Lachman
anterior drawer

Question 5

Posterior instabilities

Answer 5

sag sign

posterior drawer

Question 6

Meniscal lesions

Answer 6

bounce home
thessaly
Mcmurrays

Question 7

Patellofemoral Disorders

Answer 7

Assess patellar mobility 
Apprehension test (lateral)

Question 8

Ottawa Knee Rules

Answer 8

1. Age > 55
2. Tenderness at the head of the fibula
3. Isolated tenderness of the patella during palpation
4. Inability to flex the knee to 90 degrees
5. Inability to bear weight immediately and upon ER evaluation

Question 9

Meniscal Pathology Test Item Cluster

Answer 9

1. History of catching or locking reported by the patient
2. Joint line tenderness
3. Pain with forced hyperextension (modified bounce home test)
4. Pain with maximal passive knee flexion
5. Pain or audible click with McMurray manuever

Question 10

Ottawa Ankle Rules

Answer 10

bone tenderness at posterior edge or tip of lateral/medial malleolus
inability to bear weight
base of 5th
navicular

Question 11

What is OA characterized by?

Answer 11

Degeneration of cartilage

Hypertrophy of bone

Question 12

Two types of OA

Answer 12

primary

secondary

Question 13

Primary

Answer 13

DIP, PIP, hip, knee, carpometacarpal joint of the thumb, MTP, cervical and lumbar spine

Question 14

Secondary

Answer 14

sequela to articular injury (intra-articular vs extra-articular, acute vs chronic)

Question 15

Signs and Symptoms of OA:

Answer 15

Insidious onset
Articular stiffness
Pain on motion
Flexion contracture or varus deformity of the knee
Limitation of motion
Crepitus
Joint effusion
No systemic manifestations

Question 16

Imaging of OA

Answer 16

Narrowing of the joint space
Osteophyte formation
Lipping of marginal bone
Thickened, dense subcondral bone
Bone cysts

Question 17

NSAIDS:

Answer 17

pain relief
fever relief
anti inflammatory
anticoagulant