Deck 17: Orthopedic Management of the Ankle,foot,and Toes

Question 1

A subluxing peroneal tendon injury can be acute or chronic.How does this type of injury occur?

A) Plantar flexion,inversion,and adduction of the foot and ankle
B) Fracture in the medial or lateral malleolus
C) Dorsiflexion or rotation with the foot in a weight-bearing position
D) Passive dorsiflexion with the foot slightly everted

Answer 1

Passive dorsiflexion with the foot slightly everted

Question 2

What is the treatment for acute compartment syndrome?

A) Rest,ice,compression,and elevation (RICE)
B) Elevation and compression
C) Fasciotomy
D) Rest,heat,and pain relievers

Answer 2

Fasciotomy

Question 3

How many weeks should an ankle brace be used for running activities after an injury?

A) 6-8
B) 8-12
C) 12-26
D) 26-52

Answer 3

26-52

Question 4

Which of the following interventions are to be avoided during the maximum protection phase?

A) Isometric exercises
B) Active range of motion (ROM)exercises-plantar flexion and inversion
C) Active ROM exercises-dorsiflexion and eversion
D) General fitness exercises

Question 5

Which of the following interventions is the most effective means to reducing swelling?

A) Elevation and compression
B) Application of ice and maximum protection
C) Casting and ice applications
D) Elevation and casting

Question 6

Which of the following exercises for Achilles tendinopathy are safe without any evidence of adverse effects?

A) Ballistic motions
B) Vigorous exercises that stretch the Achilles
C) Standing cord stretches that bounce the Achilles tendon
D) Daily eccentric training exercises

Question 7

Which of the following injuries are among the most common sports and orthopedic injuries?

A) Fractures of the ankle
B) Ankle sprains
C) Cartilage tears in the ankle
D) Twisted ankles

Question 8

Inversion ankle sprains occur frequently.How?

A) Plantar flexion,inversion,and adduction of the foot and ankle
B) Fracture in the medial or lateral malleolus
C) Dorsiflexion or rotation with the foot in a weight-bearing position
D) Passive dorsiflexion with the foot slightly everted

Question 9

Select the ankle complication that results in laxity of the ankle ligaments.

A) Functional instability
B) Mechanical instability
C) Lifestyle instability
D) General instability

Question 10

Using Leach's classification model,which of the following would be classified as a first-degree ankle sprain?

A) A completely torn single ligament
B) Completely torn anterior talofibular and fibulocalcaneal ligaments
C) Torn anterior and posterior talofibular and fibulocalcaneal ligaments
D) None of the above

Question 11

When does the moderate protection phase begin?

A) When the swelling is gone and the patient is pain-free
B) When the patient can run short distances with moderate pain
C) When the patient can bear weight without crutches but with some pain
D) When the pain level decreases to a moderate amount

Question 12

Using Leach's classification model,which of the following would be classified as second-degree ankle sprain?

A) A completely torn single ligament
B) Completely torn anterior talofibular and fibulocalcaneal ligaments
C) Torn anterior and posterior talofibular and fibulocalcaneal ligaments
D) None of the above

Question 13

Surgical repair procedures such as bone block,rerouting,periosteal flaps,groove deepening,and tendon slings are done for which type of ankle injury?

A) Acute subluxing peroneal tendons
B) Third-degree sprains
C) Chronic subluxing peroneal tendons
D) Achilles tendinopathy

Question 14

Select the ankle complication that results in the patient feeling that the ankle joint is giving way without affecting ligament laxity.

A) Functional instability
B) Mechanical instability
C) Lifestyle instability
D) General instability

Question 15

Which position is the ankle most likely in just before an injury?

A) Full weight bearing
B) Partial weight bearing
C) Non-weight bearing
D) All of the above

Question 16

Which of the following repairs have better success rates and a significant increase in ultimate recovery of strength,power,and endurance after an Achilles tendon rupture?

A) Nonoperative treatment with casting for at least 8 weeks
B) Surgical repair of the tendon
C) Immediate initiation of physical therapy with light casting
D) None of the above

Question 17

An athlete enters the emergency room complaining of localized pain at the midportion,distal third,and insertion on the calcaneus.What do you suspect?

A) Subluxing peroneal tendon
B) Acute ankle sprain
C) Lateral ligament injury
D) Achilles tendinopathy

Question 18

Which of the following interventions is used in the initial management phase of an acute inversion ankle sprain?

A) No weight bearing
B) Partial weight bearing
C) Weight bearing as tolerated
D) Plyometrics

Question 19

A skier's ankle is forced into dorsiflexion and the structures supporting the ankle are injured.Which injury has likely occurred and which test would be diagnostic for the injury?

A) Deltoid ligament sprain; X-ray
B) High ankle sprain; squeeze test
C) Inversion ankle sprain; talar tilt test
D) Grade III ankle sprain; talar tilt test

Question 20

Why is acute elevated intracompartmental pressure in the lower leg considered a medical emergency?

A) The fracture has not been realigned and the patient's pain continues to be extreme until the fracture is aligned.
B) Ischemia and reduced neuromuscular function can result in permanent damage if left 12 or more hours.
C) Ischemia results in continued swelling.
D) None of the above