Question 1

A patient has pain on the plantar aspect of the heel with weight bearing after rest. The pain is worsened with dorsiflexion of the foot. What is the initial treatment for this patient?&#10;A) A series of steroid injections&#10;B) Avoiding all high-impact activities&#10;C) Night splints&#10;D) Wearing flat shoes only

Accepted Answer

B

Question 2

A patient who is a distance runner reports pain in one heel that is worse in the morning and seems to improve with exercise. The provider notes localized swelling and a bony prominence at the heel. What is the initial treatment for this condition?

A) Cessation of all sports activities and exercise
B) Crutches and partial weight bearing
C) Physical therapy for ultrasound therapy
D) Referral to an orthopedist for MRI and evaluation

A

Accepted Answer

A

Question 3

A patient injures an ankle while playing soccer and reports rolling the foot inward while falling with immediate pain and swelling of the lateral part of the joint. The patient is able to bear weight and denies hearing an audible sound at the time of injury. What does this history indicate?

A) Likely ankle sprain with a possible fracture
B) Mild ankle injury without fracture
C) Mild soft tissue injury only
D) Serious ankle injury with certain fracture

A

Accepted Answer

The history suggests a lateral ankle sprain with possible fracture as the patient rolled their foot inward while falling, resulting in immediate pain and swelling on the lateral part of the joint. The ability to bear weight may not rule out a fracture, as it is possible to bear weight with some types of fractures. Additionally, not hearing an audible sound does not necessarily rule out a fracture or sprain. A thorough physical examination and imaging may be necessary to further evaluate the extent of the injury.

Deck 154: Ankle and Foot Pain