Podiatry Flashcards

1
Q

What is the first line treatment for onychomycosis?

A
  • terbinafine (lamisil)
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2
Q

What is the appropriate way to cut your toe nails?

A
  • straight across
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3
Q

What is the acute treatment for gout?

A
  • injection cortisone into gout site

* if you can’t give injection then indomethacin PO is good alternative

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4
Q

T/F: Salicylic acid is NOT indicated for treatment of corn and calluses.

A
  • true
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5
Q

What is the treatment regimen for plantar fasciitis?

A
  • cortisone injection + plantar strap

- measure for orthotics (if plantar strap helped)

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6
Q

How is a broken toe treated?

A
  • buddy split with adjacent toe
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7
Q

Reynaud’s syndrome can increase the risk of what foot condition?

A
  • Chilblains
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8
Q

How long does it take for stress fractures to heal?

A

6-8 weeks

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9
Q

What is the treatment for refractory ingrown toenails?

A
  • matrixectomy
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10
Q

What is the main difference between corns and calluses?

A
  • corns on your toes

- calluses on the bottom of your feet

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11
Q

What are chilblains?

A

skin sores or bumps that occur after exposure to very cold temperatures

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12
Q

What is the conservative treatment option for plantar warts?

A
  • Duofilm (topical salicylate)

For isolated lesions = mediplast

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13
Q

What is the medical treatment for warts in the pediatric population?

A
  • Cimetidine (Tagamet)
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14
Q

What are the 2 methods of treating morton’s neuroma?

A
  • cortisone injection

- kill the nerve

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15
Q

What antibiotic should be prescribed for puncture wounds?

A
  • Keflex
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16
Q

The majority of gout cases occurs in what gender?

A
  • males
17
Q

T/F: There is no conservative method of treating a bunion.

A

true

18
Q

How is chilblains treated?

A
  • silvadene
19
Q

What is a bunion?

A
  • malalignment of the first MTP joint.
20
Q

What is the chronic medical treatment for gout?

A
  • allopurinol
21
Q

What are the 2 ways to distinguish a wart and a callus?

A
  • wart = pinpoint bleeding, lateral pressure causes pain

- callus = no bleeding, direct pressure causes pain

22
Q

What are the 3 mechanical etiologies of plantar fasciitis?

A
  • excessive pronation
  • extreme foot types (pes planus, cavus)
  • anything that causes extra strain on the longitudinal arch
23
Q

What is the most common pathogen of puncture wound?

A
  • pseudomonas
24
Q

A patient presents with pain around the 3/4 metatarsal head. She notes mild relief upon removal of shoes. On physical exam you notice a positive Mulder’s sign. What diagnoses are you concerned about?

A
  • Morton’s neuroma
25
Q

What are the 2 primary systemic etiologies of plantar fasciitis?

A
  • arthritis (OA, RA, gout)

- diseases (Venereal, Reiter’s, etc.)

26
Q

What is the definitive treatment for an ingrown toenail?

A
  • removal of the toe nail
27
Q

How long does it take for stress fractures to show up on XR?

A

2-4 weeks

28
Q

What is the only reason we get corns and calluses?

A

excessive pressure

29
Q

What is the big adverse effect of terbinafine (lamisil)?

A
  • liver toxicity
30
Q

This is defined as a nail fungus causing thickened, brittle, crumbly, or ragged nails.

A

onychomycosis

31
Q

What is the cause of gout

A
  • consumption of foods high in purines leads to an increase in uric acid in the blood
32
Q

If your patient has chronic gout attacks they should be referred to what specialist?

A
  • rheumatology
33
Q

What is a hallmark sign of plantar fasciitis?

A
  • feeling like stepping on glass in the morning when they wake up
34
Q

What physical exam test can be done to diagnose Morton’s Neuroma?

A

Mulder’s sign

  • squeeze foot on either side and palpate over lump