Foot Diseases, Injuries & Treatments (Msq Drill 181)

1. Can you cast a clubfoot?

Yes

No

2. Should you take a comparative view radiologically on foot views?

Yes

No

3. If you are treating a problem that occurs when a patient is weight bearing you should request a weight bearing view radioogically. True or false?

True

False

4. An achilles tendon rupture does not require repair It is usually self healing in all populations. True or false?

True

False

5. A patient with flatfoot or pes planus has weakness of the:

Achilles tendon

Peroneal tendon

Posterior tibial tendon

6. A coalition between the calcaneus and the talus in the middle facet leading to a bony block may lead to which form of congenital flatfoot?

Asymptomatic flexible

Symptomatic - semi flexible

Tarsal coalitions - peroneal spastic

Marfan syndrome

7. What muscle will cause acquired flatfoot?

Peroneus tertius

Posterior tibial dysfunction

Flexor digitorum brevis

8. Damage to what nerve can lead to drop foot?

Posterior tibial nerve

Lateral plantar nerve

Medial plantar nerve

Common peroneal nerve

9. Bad biomechanics can lead to callus formation on the foot. True or false?

True

False

10. Splayfoot affects which metatrsals?

1st

2nd

3rd

4th

5th

Submit

11.
A charcot arthropathy presents like a bad infection. True or false?

True

False

12. Patients with end stage renal dialysis will show some of the following symptoms - check all that apply:-

Hemosiderin deposits

Bad fungal toe nails

A grade 1 ulcer that is very difficult to heal

Submit

13. Hammer toes, mallet toes and claw toes are as a result of bad foot mechanics. True or false?

True

False

14. Inter-metatarsal neuroma occurs most commonly between which two metatarsals

1st and 2nd

2nd and 3rd

3rd and 4th

4th and 5th

15. What test is used to assess for intermetatarsal neuroma?

Squeeze test

Thomas test

Ober test

16. Congenital flatfoot is supinated or pronated?

Supinated

Pronated

17. What differentials will you consider if a patient walks in with a nail that has not been healed by topical fungal ointment & is associated with some occasional bleeding?

Melanoma, get a biopsy

Very bad fungal infection, start IV antibiotics

Poor hygiene

18. Under long strain of poorly controlled diabetes, neuropathies & dialysis what collapses in the foot?

The keypoint or the middle foot

The rear foot

The fore foot

The forefoot cannot lock into the rear foot.

Explanation

The forefoot cannot lock into the rear foot.

19. By bracing and putting a person back into normal mecahnics many patients can be helped. True or false?

True

False

20. Amputations can be decreased by patient education. True or false?

True

False

21. Is there movement between the 3rd and 4th metatarsals?

Yes

No

22. Is clinodactyly usually symptomatic?

Yes

No

AKA "curly toe"

Explanation

AKA "curly toe"

23. The most common congenital toe problem in infants is:

Mallet toe

Metatarsus adductus varus

Digiti qunti varus

Hammer toe

Qualopezi quano varus

1/3-1/2 of clubfoot. The metatarsals are adducted to the main line. i out of a 1000 kids.

Explanation

1/3-1/2 of clubfoot. The metatarsals are adducted to the main line. i out of a 1000 kids.

24. Do extra metatarsals usually require treatment?

Yes

No

If you do surgery preserve the one with the greatest muscle attachment.

Explanation

If you do surgery preserve the one with the greatest muscle attachment.

25. Can flatshoes cause osgood sluatter's disease?

Yes

No

The bone length s overgrowing the tendon. The gastroc pulls and causes separation when they push off in running. Little air fragmetary cracks occur in the heel.

Explanation

The bone length s overgrowing the tendon. The gastroc pulls and causes separation when they push off in running. Little air fragmetary cracks occur in the heel.

26. If the first ray is elevated in neutral position of the gait cycle, the base of the hallux or the proximal phalynx cannot dorsiflex over the first metatarsal and eventually this becomes:

A bunion

Arthritic

A callus

hallux rigidus.

Explanation

hallux rigidus.

27. What tests can you do in the office to check for achilles tendon rupture?

Straight leg raising

Thompson's test

Standing on toes

Faber

Submit

28. Babies who start to walk too early may present with:

Pes cavus

Flatfoot

Bunions

29. Which of the following are types of congenital flatfoot?

Asymptomatic flexbible

Symptomatic flexible - semi flexible

Tarsal coalitions - peroneal spastic

Flatfoot - accessory navicular

Marfan syndrome

Submit

30. The number one cause of non-traumatic amputation in diabetes is due to:

Posterior tibial dysfunction

Arthrosis

Charcot foot

Neuromuscular imbalances

31. An unstable first metatarsal can lead to an abducted ____ tarsal

2nd

3rd

4th

5th

The 2nd toe comes over the first.

Explanation

The 2nd toe comes over the first.

32. There are tissue planes in the foot. Do infections follow these planes?

Yes, pus follows the lest loine of resistance

No, there are no tissue planes in the foot

33. A patient has a a hallux that is adducted over the 2nd metatarsal. What is this known as?

Abductor varus

Digiti quinti varus

Mallet toe

Clindactily

34. What is Qualopezi quano varus?

Abducted big toe

Clubfoot

Adducted big toe

Flatfoot

35. Is clubfoot common?

Yes

No

36. What happens to the rearfoot if you go up on your toes?

It everts due to the posterior tibial

It inverts due to the posterior tibial

37. Which of the following are types of ingrown nails?

Congenital type 1

Congenital type II

Acquired type 1

Acquired type II

Clinodactyly (curly toe) & digiti quinti varus (adductor varus)

Submit

38. A child between 7 and 13 years old c/o pain to the achilles heel that goes up all the way to the back. You determine that they have a traction epipheseal plate disease or traction apophysis. What is this disease also known as?

Legg calve perthes disease

Developmental dysplasia

Siever's disease

Osgood slauter's disease

common in young boys who are obese but very active.

Explanation

common in young boys who are obese but very active.

Submit

39. If you see a Cavus foot - immediately rule out:

Diabetes

Neurological problem

Developmental disorder

Foot Diseases, Injuries & Treatments (Msq Drill 181)

1. Can you cast a clubfoot?

2.

What first name or nickname would you like us to use?

2. Should you take a comparative view radiologically on foot views?

3. If you are treating a problem that occurs when a patient is weight bearing you should request a weight bearing view radioogically. True or false?

4. An achilles tendon rupture does not require repair It is usually self healing in all populations. True or false?

5. A patient with flatfoot or pes planus has weakness of the:

6. A coalition between the calcaneus and the talus in the middle facet leading to a bony block may lead to which form of congenital flatfoot?

7. What muscle will cause acquired flatfoot?

8. Damage to what nerve can lead to drop foot?

9. Bad biomechanics can lead to callus formation on the foot. True or false?

10. Splayfoot affects which metatrsals?

11. A charcot arthropathy presents like a bad infection. True or false?

12. Patients with end stage renal dialysis will show some of the following symptoms - check all that apply:-

13. Hammer toes, mallet toes and claw toes are as a result of bad foot mechanics. True or false?

14. Inter-metatarsal neuroma occurs most commonly between which two metatarsals

15. What test is used to assess for intermetatarsal neuroma?

16. Congenital flatfoot is supinated or pronated?

17. What differentials will you consider if a patient walks in with a nail that has not been healed by topical fungal ointment & is associated with some occasional bleeding?

18. Under long strain of poorly controlled diabetes, neuropathies & dialysis what collapses in the foot?

19. By bracing and putting a person back into normal mecahnics many patients can be helped. True or false?

20. Amputations can be decreased by patient education. True or false?

21. Is there movement between the 3rd and 4th metatarsals?

22. Is clinodactyly usually symptomatic?

23. The most common congenital toe problem in infants is:

24. Do extra metatarsals usually require treatment?

25. Can flatshoes cause osgood sluatter's disease?

26. If the first ray is elevated in neutral position of the gait cycle, the base of the hallux or the proximal phalynx cannot dorsiflex over the first metatarsal and eventually this becomes:

27. What tests can you do in the office to check for achilles tendon rupture?

28. Babies who start to walk too early may present with:

29. Which of the following are types of congenital flatfoot?

30. The number one cause of non-traumatic amputation in diabetes is due to:

31. An unstable first metatarsal can lead to an abducted ____ tarsal

32. There are tissue planes in the foot. Do infections follow these planes?

33. A patient has a a hallux that is adducted over the 2nd metatarsal. What is this known as?

34. What is Qualopezi quano varus?

35. Is clubfoot common?

36. What happens to the rearfoot if you go up on your toes?

37. Which of the following are types of ingrown nails?

38. A child between 7 and 13 years old c/o pain to the achilles heel that goes up all the way to the back. You determine that they have a traction epipheseal plate disease or traction apophysis. What is this disease also known as?

39. If you see a Cavus foot - immediately rule out:

11.
A charcot arthropathy presents like a bad infection. True or false?