PCM OSCE Ankle/Foot

Question 1

ankle/foot movements

Answer 1

dorsiflexion/plantarflexion
ankle inversion/eversion
subtalar inversion/eversion
forefoot adduction/abduction
1st metatarsal flexion/extension

Question 2

ankle/foot dorsiflexion angle

Answer 2

15-20

Question 3

ankle/foot plantarflexion angle

Answer 3

55-65

Question 4

ankle inversion angle

Answer 4

20

Question 5

ankle eversion angle

Answer 5

10-20

Question 6

1st MTP flexion angle

Answer 6

45

Question 7

1st MTP extension angle

Answer 7

70-90

Question 8

knee/ankle/foot dermatomes

Answer 8

L1-3 - anteromedial thigh
L4 - patella and big toe
L5 - anterior leg, ankle, 1st digit
S1 - lateral leg and 5th digit
S1-4 - posterior thigh

Question 9

examination of edema

Answer 9

dorsum of foot
anterior tibia
behind medial malleolus

Question 10

pulses distal to ankle

Answer 10

DP/PT

Question 11

ankle anterior drawer test

Answer 11

positive: pain, no springing, excessive laxity
negative: anterior talofibular L. pathology (lateral ankle sprain)

Question 12

talar tilt test

Answer 12

positive: laxity, increased ROM, pain
indication: calcaneofibular ligament pathology (major), ATF pathology (minor) (lateral ankle sprain)

Question 13

eversion test

Answer 13

positive: laxity, increased ROM
indication: deltoid L. pathology (medial ankle sprain)

Question 14

squeeze test

Answer 14

positive: pain at syndesmosis
indication: syndesmosis pathology (high ankle sprain)

Question 15

Thompson test

Answer 15

positive: absence of plantar flexion
indication: Achilles T. rupture