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A 54-Year-Old Man Was Told by His Physician to Reduce

Question 16

Multiple Choice

A 54-year-old man was told by his physician to reduce his weight. He was prescribed a diet and was advised to exercise more. One morning while jogging, he heard a sharp snap and felt a sudden pain in his right lower calf. On examination in the emergency department, the physician noted that the upper part of the right calf was swollen and a gap was apparent between the swelling and the heel. A diagnosis of rupture of the right Achilles tendon was made.
-The following statements concerning this patient are correct except which?


A) With the patient supine, gentle squeezing of the upper part of the right calf did not produce plantar flexion of the ankle joint.
B) The Achilles tendon is the tendon of insertion of the gastrocnemius and soleus muscles.
C) The Achilles tendon is inserted into the posterior surface of the talus.
D) Rupture of the Achilles tendon results in the bellies of the gastrocnemius and soleus muscles retracting upward, leaving a gap between the divided ends of the tendon.
E) Normally, the gastrocnemius and soleus muscles are the main muscles responsible for plantar flexion of the ankle joint.

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