S3_L4; Foot Region & Clinical Flashcards

1
Q

The keystone (center) of medial arch is the?

A

talus

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2
Q

The keystone (center) of the lateral arch is the _____ bone.

A

cuboid

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3
Q

TRUE OR FALSE: Both talipes equinovarus and talipes calcaneovalgus is known as rthe conditon: congenital club foot

A

True

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4
Q

TRUE OR FALSE: Both the medial and lateral plantar nerves came from the tibial nerve. Once it goes into the tarsal tunnel, it divides into two.

A. All statements are true
B. All statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

A. All statements are true

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5
Q

TRUE OR FALSE: The gracilis can be used for muscle surgery. In doing so, it will not make such a big difference since there are other major adductors

A. All statements are true
B. All statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

A. All statements are true

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6
Q

The following is true about the tarsal tunnel syndrome, EXCEPT:

A. affects the posterior tibial nerve
B. caused by pinching, compressing and irritation as it passes underneath the soft-tissue tunnel
C. may present with numbness/hyperesthesia
D. the tarsal tunnel is under the extensor retinaculum in the medial side
E. None

A

D. the tarsal tunnel is under the extensor retinaculum in the medial side

NOTE: Tarsal tunnel is under the flexor retinaculum

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7
Q

The following is true about the Pes planus , EXCEPT:

A. cause may be hereditary or age-related
B. observable collapse of medial arch
C. achilles tendon becomes medially deviated
D. weight of the foot is transmitted more on the medial side of the knee
E. None

A

C. achilles tendon becomes medially deviated

NOTE: It is laterally deviated

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8
Q

The following is true about the Plantar fasciitis, EXCEPT:

A. may be d/t flat slippers
B. a common self treatment is to use a towel and pull back your foot
C. overused condition characterized by pain and tenderness about the longitudinal arch
D. due to excessive and unaccustomed standing and walking
E. None

A

E. None

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9
Q

FILL IN THE BLANKS.

In walking, the weight starts at the (1)_____, and the first part of the foot that touches ground is the (2)_____. In running, the weight starts at the (3)______, and the first part of the foot that touches ground are the (4)_____

A
  1. heel
  2. calcaneus
  3. toes
  4. forefoot/toes
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10
Q

The following is true about the Talipes calcaneovalgus, EXCEPT:

A. common in males
B. foot plantar flexed (equinus)
C. pronated foot
D. everted at the midtarsal joints
E. None

A

B. foot plantar flexed (equinus)

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11
Q

Determine which condition is being described.

  1. lateral angulation of the big toe
  2. Pain in medial aspect of the thigh
  3. fracture of the 2nd and 3rd metatarsals shafts

A. Cricket’s thigh
B. Calcaneal spur
C. March fracture
D. Hallux valgus
E. Rider’s bone

A
  1. D
  2. E
  3. C
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12
Q

Determine which condition is being described.

  1. bony spur projecting from the back underside of the heel bone
  2. common in soldiers who march
  3. Lateral dislocation because of smaller lateral condyle

A. Cricket’s thigh
B. Calcaneal spur
C. Patellar Dislocation
D. Hallux valgus
E. Stress fracture

A
  1. B
  2. E
  3. C
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13
Q

Determine which condition is being described.

  1. partial avulsion of the tibial tuberosity
  2. named after a horse (Charley) who was limping after a contest
  3. hematoma around ASIS area d/t avulsion

A. Cricket’s thigh
B. Osgood Schlatter Lesion
C. Hip pointer
D. Rider’s strain
E. Limb deficiency

A
  1. B
  2. A
  3. C
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14
Q

What nerve is affected in Meralgia paresthetica?

A

Lateral femoral cutaneous nerve

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15
Q

Lumbricals and flexor Hallucis brevis are the prime movers for what?

A

Metatarsophalangeal flexion

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16
Q

What action does the soleus muscle perform?

A

Plantarflexion

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17
Q

Which of the following are the 2 prime mover muscles for plantarflexion.

A. Soleus
B. Gastrocnemius
C. Extensor Digitorum Longus
D. Tibialis anterior

A

Soleus & Gastrocnemius

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18
Q

Which of the following is a prime mover muscle/s for eversion.

A. Peroneus longus
B. Peroneus brevis
C. Extensor Digitorum longus
D. Tibialis Posterior

A

Peroneus longus & brevis

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19
Q

What muscle dorsiflexes and everts the foot?

A

Peroneus Tertius

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20
Q

what is another name for the big toe?

A

Hallux

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21
Q

where are the two sesimoid bones located?

A

under the first MP joint

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22
Q

what the strongest and largest metatarsal and supports body for walking?

A

1st metatarsal

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23
Q

what metatarsal is the most commonly fractured?

A

5th metatarsal

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24
Q

what leg bone is not weight bearing?

A

fibula

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25
Q

what motion do lateral ligaments of the ankle resist?

A

inversion

26
Q

what is another name for medial ankle ligaments?

A

deltoid ligaments

27
Q

YES OR NO: Are the medial ankle ligaments commonly injured?

A

No

28
Q

what are the motions of the flexor digitorum longus?

A
  1. plantar flexion
  2. flexion of 2-5 phalanges
29
Q

Define gait.

A

the manner of walking stepping or running

30
Q

Determine if the descriptions pertain to pes planus or pes cavus.

  1. The medial longitudinal arch is unduly high
  2. The fore foot is displaced laterally and everted and head of talus is no longer supported
    3.The forefoot and hindfoot are the only ones
    that touches the floor
  3. Body weight forces the talus down and medial between the calcaneum and navicular
  4. Has a problem in the medial longitudinal arch

A. Pes Planus
B. Pes Cavus
C. Both

A
  1. B
  2. A
  3. B
  4. A
  5. C
31
Q

This gait shows of a noticeable foot drop d/t weak tibialis posterior.

A

Steppage Gait

32
Q

What movement does the proximal tibiofibular joint allow?

A

gliding

33
Q

This connects shafts of tibia and fibula to further strengthen joint

A

interosseous membrane

34
Q

What is the nerve supply of the proximal tibiofibular joint?

A

common fibular nerve

35
Q

TRUE OR FALSE: Distal tibiofibular joint is a false joint.

A

True

36
Q

What nerve supplies the distal tibiofibular joint?

A

deep fibular nerve and tibial nerve

37
Q

The following is true about the ankle joint, EXCEPT:

A. the transition zone between the leg and foot
B. pivot joint
C. movements are dorsiflex and plantarflex
D. supplied by deep peroneal and tibial nerves
E. None

A

B. pivot joint

38
Q

TRUE OR FALSE: Medial ligaments consists of the anterior talofibular ligament, posterior talofibular ligament, and calcaneofibular
ligament. It is tight when going to inversion.

A. All statements are true
B. All statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

B. All statements are false

39
Q

This action is produced by anterior compartment muscles

A

Dorsiflexion

40
Q

The following pass beneath or through the extensor retinacula, EXCEPT:

A. Saphenous nerve and great saphenous vein
B. Anterior tibial artery with venae comitantes
C. Deep peroneal nerve
D. Tibialis anterior tendon
E. Peroneus tertius

A

A. Saphenous nerve and great saphenous vein

NOTE: This passes anterior to it.

41
Q

The Flexor retinaculum is divided to medial and lateral side by the _____.

A

Achilles tendon

42
Q

The following structures behind the medial malleolus or tarsal tunnel, EXCEPT:

A. Flexor digitorum longus
B. Peroneus longus and brevis tendons
C. Flexor hallucis longus
D. Tibial nerve
E. None

A

B. Peroneus longus and brevis tendons

43
Q

This is a cyme joint between the inferior surface of body of talus and the upper surface calcaneus.

A

Subtalar Joint

44
Q

The talocalcaneonavicular and the calcaneocuboid joints are together referred to as the __________.

A

midtarsal or transverse tarsal joints

45
Q

What movements take place at the subtalar and transverse tarsal joints

A

inversion and eversion

46
Q

TRUE OR FALSE: The tibialis anterior and
extensor hallucis longus performs eversion

A

False

47
Q

Determine the following ligaments.

  1. a strong ligament on the upper surface of the joint
  2. attaches the anterior tubercle on the
    undersurface of calcaneum and adjoining cuboid bone
  3. attached to the undersurface of the calcaneum behind and cuboid and the bases of the third, fourth, and fifth metatarsal bones
  4. Y shaped
  5. strong and runs from the anterior margin of the sustentaculum tali to the inferior surface and tuberosity of the navicular bone.

A. bifurcated ligament
B. long plantar ligament
C. short plantar ligament
D. plantar calcaneonavicular ligament

A
  1. A
  2. C
  3. B
  4. A
  5. D
48
Q

Determine the type of joint.

  1. Lisfranc’s joint
  2. Interphalangeal joint
  3. Intermetatarsal
  4. Cuboideonavicular joint
  5. Cuneonavicular joint

A. plane joint
B. fibrous joint
C. hinge joint

A
  1. A
  2. C
  3. A
  4. B
  5. A
49
Q

What movements do the Metatarsophalangeal joint allow?

A

flex, extend, abduct, adduct toes

50
Q

TRUE OR FALSE: In the foot, intrinsic muscles are not developed as the in hands. If the child had no upper limbs, their LE will adapt to
be used to grasp things.

A. All statements are true
B. All statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true

A

A. All statements are true

51
Q

Supination is a combination of (1)_____, (2)_____, and (3)_____.

A
  1. inversion
  2. adduction
  3. plantarflexion
52
Q

Pronation is a combination of (1)_____, (2)_____, and (3)_____.

A
  1. dorsiflexion
  2. abduction
  3. eversion
53
Q

The foot serves as a resilient (1)_____ to absorb shock and constructed in the form of (2)_____ to enable it to adapt to (3)_____ surfaces

A
  1. spring
  2. arches
  3. uneven
54
Q

This refers to the top or superior part of foot

A

Dorsum

55
Q

The _____ nerve when it passes the tarsal tunnel will split and become the medial and lateral, medial calcaneal nerve

A

Tibial

56
Q

Medial plantar nerve sensory forms sensation to almost (1)_____ area of the foot an the (2)_____ will be for the lateral plantar nerve

A
  1. 2/3
    2.1/3
57
Q

TRUE OR FALSE: The quadratus plantae is part of the 2nd layer of the sole of the foot.

A

True

58
Q

TRUE OR FALSE: The abductor digiti minimi is part of the 3rd layer of the sole of the foot.

A

False

59
Q

TRUE OR FALSE: The tendon of the tibialis posterior is part of the 2nd layer of the sole of the foot.

A

False

60
Q

What are the 2 main functions of the foot?

A
  1. Serve as a lever to propel body forward in walking and running (spring motion)
  2. To support the body weight
61
Q

Most important ligament in the medial longitudinal arch is?

A

plantar calcaneonavicular ligament

62
Q

This gait is seen when pt uses hand to lock their thigh for them to walk

A

Quadriceps Gait