1.
Is there movement between the 3rd and 4th metatarsals?
Correct Answer
A. Yes
2.
Which of the following are types of ingrown nails?
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?
Correct Answer
B. No
Explanation
AKA "curly toe"
4.
A patient has a a hallux that is adducted over the 2nd metatarsal. What is this known as?
Correct Answer
B. Digiti quinti varus
5.
The most common congenital toe problem in infants is:
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.
6.
What is Qualopezi quano varus?
Correct Answer
B. Clubfoot
7.
Is clubfoot common?
Correct Answer
B. No
8.
Can you cast a clubfoot?
Correct Answer
A. Yes
9.
Do extra metatarsals usually require treatment?
Correct Answer
B. No
Explanation
If you do surgery preserve the one with the greatest muscle attachment.
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?
Correct Answer(s)
C. Siever's disease
D. Osgood slauter's disease
Explanation
common in young boys who are obese but very active.
11.
Can flatshoes cause osgood sluatter's disease?
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.
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:
Correct Answer
B. Arthritic
Explanation
hallux rigidus.
13.
Should you take a comparative view radiologically on foot views?
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?
Correct Answer
A. True
15.
An achilles tendon rupture does not require repair It is usually self healing in all populations. True or false?
Correct Answer
B. False
16.
What tests can you do in the office to check for achilles tendon rupture?
Correct Answer(s)
B. Thompson's test
C. Standing on toes
17.
If you see a Cavus foot - immediately rule out:
Correct Answer
B. Neurological problem
18.
A patient with flatfoot or pes planus has weakness of the:
Correct Answer
C. Posterior tibial tendon
19.
Babies who start to walk too early may present with:
Correct Answer
B. Flatfoot
20.
Which of the following are types of congenital flatfoot?
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?
Correct Answer
C. Tarsal coalitions - peroneal spastic
22.
The number one cause of non-traumatic amputation in diabetes is due to:
Correct Answer
C. Charcot foot
23.
What muscle will cause acquired flatfoot?
Correct Answer
B. Posterior tibial dysfunction
24.
What happens to the rearfoot if you go up on your toes?
Correct Answer
B. It inverts due to the posterior tibial
25.
Damage to what nerve can lead to drop foot?
Correct Answer
D. Common peroneal nerve
26.
Bad biomechanics can lead to callus formation on the foot. True or false?
Correct Answer
A. True
27.
Splayfoot affects which metatrsals?
Correct Answer(s)
A. 1st
E. 5th
28.
A charcot arthropathy presents like a bad infection. True or false?
Correct Answer
A. True
29.
An unstable first metatarsal can lead to an abducted ____ tarsal
Correct Answer
A. 2nd
Explanation
The 2nd toe comes over the first.
30.
Patients with end stage renal dialysis will show some of the following symptoms - check all that apply:-
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?
Correct Answer
A. True
32.
Inter-metatarsal neuroma occurs most commonly between which two metatarsals
Correct Answer
C. 3rd and 4th
33.
What test is used to assess for intermetatarsal neuroma?
Correct Answer
A. Squeeze test
34.
Congenital flatfoot is supinated or 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?
Correct Answer
A. Melanoma, get a biopsy
36.
Under long strain of poorly controlled diabetes, neuropathies & dialysis what collapses in the foot?
Correct Answer
A. The keypoint or the middle foot
Explanation
The forefoot cannot lock into the rear foot.
37.
There are tissue planes in the foot. Do infections follow these planes?
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?
Correct Answer
A. True
39.
Amputations can be decreased by patient education. True or false?
Correct Answer
A. True