Ankle Diseases, Injuries And Treatments (Msq Drill 179)
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- 1.
The ankle is a hinge joint that is made up of the following three joints:
- A.
Fibula
- B.
Calcaneus
- C.
Fibula
- D.
Talus
Correct Answer(s)
A. Fibula
C. Fibula
D. Talus -
- 2.
The syndesmosis of the ankle is between which two bones?
- A.
Tibio-talar
- B.
Tibio-fibular
- C.
Subtala jjoint
Correct Answer
B. Tibio-fibular -
- 3.
The deltoid complex is on the lateral or medial side of the ankle?
- A.
Lateral
- B.
Medial
Correct Answer
B. Medial -
- 4.
Does the deltoid complex have a superficial and a deep layer?
- A.
Yes, it has two layers
- B.
No, it has one layer only
Correct Answer
A. Yes, it has two layers -
- 5.
Which of the following ligaments are located on the lateral side of the ankle?
- A.
Anterior talo-fibular
- B.
Calcaneal-fibular
- C.
Posterior talo-fibular
- D.
Posterior tibial-fibular
- E.
Anterior tibial-fibular
Correct Answer(s)
A. Anterior talo-fibular
B. Calcaneal-fibular
C. Posterior talo-fibular
D. Posterior tibial-fibular
E. Anterior tibial-fibular -
- 6.
What two tendons pass under the fibular retinaculum?
- A.
Peroneus longus tendon
- B.
Achilles tendon
- C.
Extensor digitorum brevis tendon
- D.
Peroneus brevis
Correct Answer(s)
A. Peroneus longus tendon
D. Peroneus brevis -
- 7.
Do both the anterior and posterior tibial tendons extend to the foot via the medial side or the lateral side?
- A.
Medial
- B.
Lateral
Correct Answer
A. Medial -
- 8.
Lateral collateral ligament sprains are graded by severity by what grading system?
- A.
Grade 1-5
- B.
Grade 0-4
- C.
Grade1-3
Correct Answer
C. Grade1-3 -
- 9.
What grade is: laxity and abnormal motion on exam is present, weight bearing very difficult
- A.
Grade 1
- B.
Grade 2
- C.
Grade 3
Correct Answer
B. Grade 2 -
- 10.
What grade : gross instability, unable to weight bear
- A.
Grade 1
- B.
Grade 2
- C.
Grade 3
Correct Answer
C. Grade 3 -
- 11.
Grade 1 – no laxity, can weight bear, mild injuryTrue or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 12.
The ankle mortise is made up the articulation of which of the following?
- A.
Distal tibia
- B.
Medial malleolus
- C.
Tibia
- D.
Distal fibula
Correct Answer(s)
A. Distal tibia
B. Medial malleolus
C. Tibia
D. Distal fibula -
- 13.
Which of the following make up the lateral collateral ligament?
- A.
Posterior talofibular ligament
- B.
Anterior talofibular ligament
- C.
Middle calcaneal fibular ligament
- D.
Anterior tibiofibular ligament
Correct Answer(s)
A. Posterior talofibular ligament
B. Anterior talofibular ligament
C. Middle calcaneal fibular ligament -
- 14.
The most commonly injured ligament in ankle injuries is the:
- A.
Calcaneofibular ligament
- B.
Deltoid ligament
- C.
Anterior talofibular ligament
Correct Answer
C. Anterior talofibular ligament -
- 15.
What is the most common mechanism of injury seen in LCL sprains?
- A.
Ankle eversion
- B.
Ankle dorsiflexion
- C.
Ankle
- D.
Supination
- E.
Ankle inversion
Correct Answer
D. Supination -
- 16.
Which of the following make up the syndesmosis?
- A.
Interosseous ligament
- B.
Interosseuos membrane
- C.
Anterior inferior tibio-fibular ligament
- D.
Posterior inferior tibio-fibular ligament
Correct Answer(s)
A. Interosseous ligament
B. Interosseuos membrane
C. Anterior inferior tibio-fibular ligament
D. Posterior inferior tibio-fibular ligament -
- 17.
What two tests can you do to test for LCL sprains?
- A.
Anterior draw sign
- B.
Talar tilt sign
- C.
Thompson test
- D.
Thomas test
Correct Answer(s)
A. Anterior draw sign
B. Talar tilt sign -
- 18.
Would you use RICE and braces for grade 1 & 2 ankle sprains?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 19.
There is a difference of opinions on whether to RICE or surgically treat grade 3 sprains. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 20.
Can you order physical therapy for LCL sprains. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 21.
According to the Ottawa rules, everybody who walks into the emergency room complaining of lateral ankle pain should have an x-ray. True or false?
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The Ottawa Rules essentially state that x-rays are necessary only for individuals with suspected ankle sprains who cannot bear weight on the injured leg and for individuals with tenderness over the bones (as opposed to the ligaments)Rate this question:
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- 22.
Ankle syndesmosis injury is usually caused by:
- A.
Internal rotation injury
- B.
External rotation injury
- C.
- D.
Correct Answer
B. External rotation injury -
- 23.
One should remember that in syndesmosis injuries there is usually an accompanying high ankle injury true or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 24.
Why would you perform an external rotation test or squeeze test on a patient. What are you suspecting?
- A.
Low ankle injury
- B.
High ankle injury
Correct Answer
B. High ankle injury -
- 25.
Which is more serious, a high ankle sprain or a lateral ankle sprain?
- A.
High ankle sprain
- B.
Lateral ankle sprain
Correct Answer
A. High ankle sprainExplanation
A high ankle sprain takes longer to heal.Rate this question:
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- 26.
You can treat a high ankle injury with RICE. When would you have to do an internal fixation?
- A.
If the tibia is fractured
- B.
If there is widening between the the distal tibia and fibula
- C.
If the fibula is fractured
Correct Answer
B. If there is widening between the the distal tibia and fibula -
- 27.
Medial ankle sprains are usually caused by ankle inversion or eversion?
- A.
Ankle eversion
- B.
Ankle inversion
Correct Answer
A. Ankle eversion -
- 28.
Is a medial ankle sprain common?
- A.
Yes
- B.
No
Correct Answer
B. No -
- 29.
Deltoid ligament injury requires surgery 100% of the time. True or false?
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
It almost never required surgery even if associated with severe fracture dislocations.Rate this question:
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- 30.
Peroneal tendonitis is frequently misdiagnosed as:
- A.
Medial ankle sprain
- B.
Lateral ankle sprain
Correct Answer
B. Lateral ankle sprain -
- 31.
Which of the following actions might lead to peroneal tendonitis?
- A.
Inversion ankle injury (ATF)
- B.
Eversion ankle injury
- C.
Forceful contraction of the peroneal tendons on a dorsiflexed ankle
- D.
Forceful contraction of the posterior tibial tenson on a plantarflexed ankle
Correct Answer(s)
A. Inversion ankle injury (ATF)
C. Forceful contraction of the peroneal tendons on a dorsiflexed ankle -
- 32.
Can peroneal tendonitis becone cnronic?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 33.
Where would you feel tenderness in a patient with peroneal tendonitis?
- A.
Posterior to the lateral malleolus
- B.
Anterior to the lateral malleolus
- C.
Posterior to the medial malleolus
- D.
Anterior to the medial malleolus
Correct Answer
A. Posterior to the lateral malleolus -
- 34.
If you inject lidocaine in the peroneal tendon and the pain goes away, does this confirm the diagnosis?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 35.
What test would you use to check for peroneal tendonitis?
- A.
Xray
- B.
CT scan
- C.
MRI
Correct Answer
C. MRI -
- 36.
You might order an x-ray in a patient with peroneal tendonitis to look for shelf like fractures around the lateral or medial malleolus. True or false?
- A.
Lateral malleolus
- B.
Medial malleolus
Correct Answer
A. Lateral malleolus -
- 37.
How do you reduce the peroneal tendons before you immobilize the extremity?
- A.
Place in dorsiflexion with slight eversion below the knee
- B.
Plave in plantar flexin with slight evertsion below the knee
- C.
Placein plantar flexion in slight inversion below the knee
- D.
Place in dorsiflexion in slight inversion below the knee
Correct Answer
C. Placein plantar flexion in slight inversion below the knee -
- 38.
If conservative treatment fails is surgery an option for peroneal tnedonitis?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 39.
What is the largest tendon in the human body?
- A.
Tibialis anterior tendon
- B.
Tibialis posterior tendon
- C.
Achilles tendon
Correct Answer
C. Achilles tendon -
- 40.
Is the achilles tendon the most frequently ruptured tendon?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 41.
Overuse from athletic activities can cause achilles tendonitis. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 42.
Which of the following are symptoms of achilles tendonitis?
- A.
Mild pain after excersicing that graduallu worsens
- B.
Episodes of diffuse or localized pain, sometimes severe along the tendon during or a few hours after running
- C.
Morning tenderness or stiffness that gradually diminishes as the tendon warms up with use
- D.
Swelling
- E.
Tenderness at the end of the day from use during the day
Correct Answer(s)
A. Mild pain after excersicing that graduallu worsens
B. Episodes of diffuse or localized pain, sometimes severe along the tendon during or a few hours after running
C. Morning tenderness or stiffness that gradually diminishes as the tendon warms up with use
D. Swelling -
- 43.
What test is useful in diagnosing achilles related ankle pain?
- A.
Thomas
- B.
Thompson
- C.
Ober
Correct Answer
A. Thomas -
- 44.
The mechanism of injury usually determines the type of ankle fracture. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 45.
An achilles tendon should always be injected with a steroid. True or false?
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
You should NEVER inject the achilles tendon with steroids.Rate this question:
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- 46.
In a bimalleolar fracture is the syndesmotic ligament is almost always torn. True or false?
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
they have to be treated with surgery.Rate this question:
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- 47.
The most common fracture around the ankle is the
- A.
Bimalleolar fracture
- B.
Distal fibula fracture
- C.
Avulsion fracture of the distal fracture
- D.
Distal tibial fracture
Correct Answer
B. Distal fibula fracture -
- 48.
When you treat fractures you should use a c-arm. True or false?
- A.
True
- B.
False
Correct Answer
A. True -
- 49.
What types of fractures usually occur after a fall from a high level and are very difficult to fix?
- A.
Bimalleolar fracture
- B.
Distal tibial fracture
- C.
Pilon fracture
Correct Answer
C. Pilon fractureExplanation
fx to the distal tibiaRate this question:
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- 50.
A maisonneuve fracture is a fracture of the _________ right below the knee.
- A.
Tibia
- B.
Fibula
Correct Answer
B. Fibula -
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Jan 11, 2013Quiz Edited by
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