Foot Diseases, Injuries & Treatments (Msq Drill 181)


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by DrKash


Questions and Answers
  • 1. 

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

    • A.

      Yes

    • B.

      No

    Correct Answer
    A. Yes
  • 2. 

    Which of the following are types of ingrown nails?

    • A.

      Congenital type 1

    • B.

      Congenital type II

    • C.

      Acquired type 1

    • D.

      Acquired type II

    • E.

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

    Correct Answer(s)
    A. Congenital type 1
    B. Congenital type II
    C. Acquired type 1
    E. Clinodactyly (curly toe) & digiti quinti varus (adductor varus)
  • 3. 

    Is clinodactyly usually symptomatic?

    • A.

      Yes

    • B.

      No

    Correct Answer
    B. No
    Explanation
    AKA "curly toe"

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  • 4. 

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

    • A.

      Abductor varus

    • B.

      Digiti quinti varus

    • C.

      Mallet toe

    • D.

      Clindactily

    Correct Answer
    B. Digiti quinti varus
  • 5. 

    The most common congenital toe problem in infants is:

    • A.

      Mallet toe

    • B.

      Metatarsus adductus varus

    • C.

      Digiti qunti varus

    • D.

      Hammer toe

    • E.

      Qualopezi quano varus

    Correct Answer
    B. Metatarsus adductus varus
    Explanation
    1/3-1/2 of clubfoot. The metatarsals are adducted to the main line. i out of a 1000 kids.

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  • 6. 

    What is Qualopezi quano varus?

    • A.

      Abducted big toe

    • B.

      Clubfoot

    • C.

      Adducted big toe

    • D.

      Flatfoot

    Correct Answer
    B. Clubfoot
  • 7. 

    Is clubfoot common?

    • A.

      Yes

    • B.

      No

    Correct Answer
    B. No
  • 8. 

    Can you cast a clubfoot?

    • A.

      Yes

    • B.

      No

    Correct Answer
    A. Yes
  • 9. 

    Do extra metatarsals usually require treatment?

    • A.

      Yes

    • B.

      No

    Correct Answer
    B. No
    Explanation
    If you do surgery preserve the one with the greatest muscle attachment.

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  • 10. 

    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?

    • A.

      Legg calve perthes disease

    • B.

      Developmental dysplasia

    • C.

      Siever's disease

    • D.

      Osgood slauter's disease

    Correct Answer(s)
    C. Siever's disease
    D. Osgood slauter's disease
    Explanation
    common in young boys who are obese but very active.

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  • 11. 

    Can flatshoes cause osgood sluatter's disease?

    • A.

      Yes

    • B.

      No

    Correct Answer
    A. Yes
    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.

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  • 12. 

    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.

      A bunion

    • B.

      Arthritic

    • C.

      A callus

    Correct Answer
    B. Arthritic
    Explanation
    hallux rigidus.

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  • 13. 

    Should you take a comparative view radiologically on foot views?

    • A.

      Yes

    • B.

      No

    Correct Answer
    A. Yes
  • 14. 

    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?

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
  • 15. 

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

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
  • 16. 

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

    • A.

      Straight leg raising

    • B.

      Thompson's test

    • C.

      Standing on toes

    • D.

      Faber

    Correct Answer(s)
    B. Thompson's test
    C. Standing on toes
  • 17. 

    If you see  a Cavus foot -   immediately rule out:

    • A.

      Diabetes

    • B.

      Neurological problem

    • C.

      Developmental disorder

    Correct Answer
    B. Neurological problem
  • 18. 

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

    • A.

      Achilles tendon

    • B.

      Peroneal tendon

    • C.

      Posterior tibial tendon

    Correct Answer
    C. Posterior tibial tendon
  • 19. 

    Babies who start to walk too early may present with:

    • A.

      Pes cavus

    • B.

      Flatfoot

    • C.

      Bunions

    Correct Answer
    B. Flatfoot
  • 20. 

    Which of the following are types of congenital flatfoot?

    • A.

      Asymptomatic flexbible

    • B.

      Symptomatic flexible - semi flexible

    • C.

      Tarsal coalitions - peroneal spastic

    • D.

      Flatfoot - accessory navicular

    • E.

      Marfan syndrome

    Correct Answer(s)
    A. Asymptomatic flexbible
    B. Symptomatic flexible - semi flexible
    C. Tarsal coalitions - peroneal spastic
    D. Flatfoot - accessory navicular
    E. Marfan syndrome
  • 21. 

    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?

    • A.

      Asymptomatic flexible

    • B.

      Symptomatic - semi flexible

    • C.

      Tarsal coalitions - peroneal spastic

    • D.

      Marfan syndrome

    Correct Answer
    C. Tarsal coalitions - peroneal spastic
  • 22. 

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

    • A.

      Posterior tibial dysfunction

    • B.

      Arthrosis

    • C.

      Charcot foot

    • D.

      Neuromuscular imbalances

    Correct Answer
    C. Charcot foot
  • 23. 

    What muscle will cause acquired flatfoot?

    • A.

      Peroneus tertius

    • B.

      Posterior tibial dysfunction

    • C.

      Flexor digitorum brevis

    Correct Answer
    B. Posterior tibial dysfunction
  • 24. 

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

    • A.

      It everts due to the posterior tibial

    • B.

      It inverts due to the posterior tibial

    Correct Answer
    B. It inverts due to the posterior tibial
  • 25. 

    Damage to what nerve can lead to drop foot?

    • A.

      Posterior tibial nerve

    • B.

      Lateral plantar nerve

    • C.

      Medial plantar nerve

    • D.

      Common peroneal nerve

    Correct Answer
    D. Common peroneal nerve
  • 26. 

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

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
  • 27. 

    Splayfoot affects which metatrsals?

    • A.

      1st

    • B.

      2nd

    • C.

      3rd

    • D.

      4th

    • E.

      5th

    Correct Answer(s)
    A. 1st
    E. 5th
  • 28. 

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

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
  • 29. 

    An unstable first metatarsal can lead to an abducted ____ tarsal

    • A.

      2nd

    • B.

      3rd

    • C.

      4th

    • D.

      5th

    Correct Answer
    A. 2nd
    Explanation
    The 2nd toe comes over the first.

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  • 30. 

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

    • A.

      Hemosiderin deposits

    • B.

      Bad fungal toe nails

    • C.

      a grade 1 ulcer that is very difficult to heal

    Correct Answer(s)
    A. Hemosiderin deposits
    B. Bad fungal toe nails
    C. a grade 1 ulcer that is very difficult to heal
  • 31. 

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

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
  • 32. 

    Inter-metatarsal neuroma occurs most commonly between which two metatarsals

    • A.

      1st and 2nd

    • B.

      2nd and 3rd

    • C.

      3rd and 4th

    • D.

      4th and 5th

    Correct Answer
    C. 3rd and 4th
  • 33. 

    What test is used to assess for intermetatarsal neuroma?

    • A.

      Squeeze test

    • B.

      Thomas test

    • C.

      Ober test

    Correct Answer
    A. Squeeze test
  • 34. 

    Congenital flatfoot is supinated or pronated?

    • A.

      Supinated

    • B.

      Pronated

    Correct Answer
    B. Pronated
  • 35. 

    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?

    • A.

      Melanoma, get a biopsy

    • B.

      Very bad fungal infection, start IV antibiotics

    • C.

      Poor hygiene

    Correct Answer
    A. Melanoma, get a biopsy
  • 36. 

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

    • A.

      The keypoint or the middle foot

    • B.

      The rear foot

    • C.

      The fore foot

    Correct Answer
    A. The keypoint or the middle foot
    Explanation
    The forefoot cannot lock into the rear foot.

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  • 37. 

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

    • A.

      Yes, pus follows the lest loine of resistance

    • B.

      No, there are no tissue planes in the foot

    Correct Answer
    A. Yes, pus follows the lest loine of resistance
  • 38. 

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

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
  • 39. 

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

    • A.

      True

    • B.

      False

    Correct Answer
    A. True

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  • Jul 26, 2019
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