knee, Foot, And Ankle Pain

Question 1

What is the primary motion of the knee and on what type of joint

Answer 1

Flexion and extension on a hinge joint

Question 2

What tests will show a ACL tear

Answer 2

Anterior drawer test or lachman test

Question 3

What tests will show a PCL tear

Answer 3

Posterior drawer test or reverse lachmans

Question 4

What test swill show a MCL tear

Answer 4

Valgus test

Question 5

What test will show a LCL tear

Answer 5

A varus test

Question 6

What tests will show a meniscal injury

Answer 6

Mcmurray test

Apley grind test

Question 7

What tests will show a patellogemoral pathology

Answer 7

Patellar glide

Question 8

What is patellofermoal pain due from

Answer 8

Aka runner knee due to overuse

Question 9

Define the ottawa knee rule to get a radiograph after knee trauma

Answer 9

Pt. Must be >55
Tenderness at head of fibula
Isolated tenderness of patella
Inability to flex knee to 90
Inability to bear weight

Question 10

Define the pittsburgh decision rule to get a knee radiograph

Answer 10

Blunt trauma or a fall as MOI plus either:

1. Younger than 12 or older than 50
2. Inability to walk four weightbearing steps

Question 11

Which rule is more specific when dealing with isolated knee injury

Answer 11

Pittsburgh rule

Question 12

What three speciality. Tests can you perform to test for diabetic neuropathy

Answer 12

Pressure sensation using monofolament testing

Vibration sensation using a tuning fork

Superficial pain prick

Question 13

What tests will show an ankle sprain

Answer 13

Anterio drawer test

Inversion test

Question 14

Most common sprained L. In the lateral ankle

Answer 14

ATF and calcaneofibular L.

Question 15

What does the calcaneofibular L. Do

Answer 15

Plantar flexion and dorsi flexion

Question 16

Define syndesmotic ankle injury

Answer 16

Aka high ankle sprain

Injury to one or moreof the L including the distal tibiofibular syndesmosis

Question 17

What tests will show a syndesmotic ankle injury

Answer 17

Squeeze test

Question 18

Define morton neuroma

Answer 18

Pain between the metatarsal heads from the plantar digital N., most commonly affecting the third web space

Caused by chronic trauma or repeated stress due to tight fitting shoes

Question 19

What specialty test will show a Morton Neuroma

Answer 19

Mulder’s sign

Question 20

Plantar warts on the foot are usually caused by what

Answer 20

HPV bb

Question 21

What DTR is the patella testing

Answer 21

L4

Question 22

What nerve root is Achilles Tendon testing for DTR

Answer 22

S1

Question 23

What does a valgus test indicate

Answer 23

(+) = increased laxitiy with a soft or absent endpoint

Indicates MCL tear

Question 24

What does a varus test indicate

Answer 24

(+) = increased laxity, soft or absent endpoint

Indicates LCL tear

Question 25

What does a mcmurray’s test indicate

Answer 25

(+) = pain or palpable click during extension Possible medial or lateral meniscus tear

Question 26

What does apley grind test indicate

Answer 26

(+) = pain with rotation and/or compression Possible meniscal injury, collateral L injury, or both

Question 27

What does the Apley grind distraction test indicate

Answer 27

(+) = pain with distraction and rotation Possible collateral L. Tear

Question 28

What does the anterior drawer test of the ankle indicate

Answer 28

(+) = pain with excessive laxity Indicates ATF L. Tear

Question 29

What does the talar tilt test indicate

Answer 29

(+) = laxity and pain Indicates calcaneofibular L. Pathology

Question 30

What does the eversion test indicate

Answer 30

(+) = laxity, pain Indicates deltoid L. Pathology

Question 31

What does the squeeze test indicate

Answer 31

(+) = pain Syndesmosis pathology

Question 32

What does cross leg test indicate

Answer 32

(+) = pain at distal ankle Syndesmosis pathology

Question 33

What does thompson test indicate

Answer 33

(+) = absence of plantar flexion Indicates achilles tendon rupture

Question 34

What L. Is involved in a high ankle sprain

Answer 34

Anterior inferior tibiofibular L.

Question 35

Define turf toe

Answer 35

Inflammation and pain at base of 1st MTP Caused by hypersextension of great toe causing damage to the joint capsule