MT Practice Questions

Question 1

Normal weight bearing 3 sites of callus formation-

Answer 1

calcaneus, 1st and 5th met head and plantar surface of big toe

Question 2

Keystone of transverse arch

Answer 2

2nd metatarsal head

Question 3

Most common position of ankle injury (open pack position/closed kinetic chain-strain/sprain)

Answer 3

Plantarflxn/Inversion

Question 4

Dorsiflxn/Eversion- closed pack position –typicallya ________or ________ is involved

Answer 4

Fraction or dislocation

Question 5

The function of the fibula during dorsiflxn above 90 degrees will create a palpable rising of the

Answer 5

fib head (post/sup/lat)

Question 6

feels like walking on chards of glass for 1st dozen steps in morning

Answer 6

Plantar Fascitis

Question 7

Cause of Morton’s Neuritis

Answer 7

loss of transverse arch usually due to altered biomechanics

Question 8

Mortons neuritis- Most common subluxation _____ and ______ ____________ ,

Answer 8

3rd and 4th Metatarsal head

2nd most common 2nd and 3rd Met head

Question 9

What are the three main divisions of the foot and their respective osseseous anatomy

Answer 9

Forefoot (metatarsals and phalanges - 5 rays)
Mid foot (navicular, cuboid, cuneiform 1,2,3)
Rearfoot (calcaneus, talus)
Ray = Metatarsal + Phalange
Rearfoot aka Hindfoot- Calcaneus & Talus

Question 10

Only bone with 3 anterior facets

What bones does the aforementioned bone articulate with?

Answer 10

Navicular

The cuneiforms

Question 11

What is hyperpronation syndrome distortion?

Answer 11

Too much internal rotation of the foot

Question 12

Normal weight bearing and subsequent callus formation usually occurs at three sites: calcaneus, 1st and 5th metatarsal heads and often the plantar surface of big toe. What other structure is involved _________, _________, __________.

Answer 12

Flexor Pollicis Longus

Question 13

pes planus aka flat feet occurs where?

Answer 13

occurs at calcaneus, 2nd, 3rd, and 4th metatarsal heads, which create the forces which may lead to Morton’s neuroma. Patient may also have Pinch Calluses on the lateral and/or medial edges of foot from hyper supination and hyper pronation (L4 or S1 dermatome

Question 14

The longitudinal arches are supported and stabilized by

Muscles……

Muscles…..

Answer 14

Muscles whose tendons run into the apex of the arches and tends to increase their height –> Tibialis Anterior

Muscles whose tendons run into the sole of the foot where they have a longitudinal course

Question 15

Runner 25 miles/week how often should change shoes?

a. 6 months
b. 5 months
c. 4 months
d. 3 months

Answer 15

4 months

Question 16

trans-tarsal joint

Answer 16

aka midtarsal

joint (talus/navicular and calcaneus/cuboid)

Question 17

When checking lower extremity, assess ____ to ____.

Tarsal tunnel syndrome = neuropathy of the posterior tibial nerve

Answer 17

distal to proximal

Question 18

In lecture, and quoted by the medical profession, On average Plantar fascitis patients present with a ____% success rate after 8 visits.

Answer 18

95

Question 19

a lateral deviation pain on medial side of the MTP joint can, which can result in external rotation.

Answer 19

Hallus Valgus (bunions)

Question 20

Ottawa Guideline (Ankle)

In a non-pregnant patient, ___ years of age or older
Presenting for the first time in the ________ setting
The patient has no ____ or sensory impairment

Answer 20

19

Ambulatory setting

Cognitive

Question 21

Ottawa Guideline (Ankle)

Ankle x-rays are indicated only if there is pain in the ______ zone and any of what findings

Answer 21

bone tenderness at the posterior edge or tip of the lateral or medial malleoli

or an inability to bear weight both immediately and in the emergency department

Question 22

Differential Diagnosis for Tarsel Tunnel-

Answer 22

Nerve root entrapment, heel spur or plantar fasciitis