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A patient is seen in clinic for a follow up appointment and is
disappointed with the results of his custom foot orthotics. The
patient is being treated by you for a Mortons Neuroma (between
the 3rd and 4th metatarsals). The foot orthotic you provided has
utilized "MLA
support and Carlson modifications". What modification would
be most effective to increase the effectiveness of the foot
orthotics:
-Increase MLA support
-Change the top cover to a softer durometer
-Add a metatarsal pad
-Add a lateral extrinsic wedge - ANSWER -Add a metatarsal pad
Select all that are found in Scarpa's triangle
(femoral triangle):
-Femoral
nerve
-Femoral
artery
-Sartorius
muscle
,-Inguinal lymph nodes - ANSWER --
Femoral nerve
-Femoral
artery
-Sartorius
muscle
-Inguinal lymph
nodes
A patient is seen in clinic, You are filling in for a sick practitioner
whom delivered
a KAFO 1 week earlier. The patient was provided the KAFO as
he has 30 deg
genu recurvatum and a 15 deg fixed plantarflexion
contracture. The patient
states he has a hard time getting over his foot at midstance
and that while his
knee extension is decreased he feels excessive pressure on the
posterior aspect of his knee. What adjustments or additions
can you make to remedy this problem: (2)
-Dorsiflex the ankle joint
-Add a 15 deg tapered heel wedge to the foot plate
-Recommend rocker sole shoes
-Add a contralateral heel lift - ANSWER -Add a 15 deg tapered
heel wedge to the foot plate
Add a contralateral heel lift
A patient is seen in clinic. The patient is utilizing foot orthotics
with 3/8" heel lifts to decrease inflammation of her heel chord
,"achilles tendonitis". What lumbar pathologies could this
aggravate:
-Anterior compression fractures of the lumbar spine
-L5-S1 spondylolisthesis
-DJD of the lumbar facet joints
-Lumbar Spondylolysis - ANSWER -L5-S1 spondylolisthesis
DJD of the lumbar facet joints
Lumbar Spondylolysis
What would you recommend for additions to an articulated AFO
for drop foot and posterior lateral hyperextension thrust of the
knee (mild tone is present):
-Elevation of the 2nd-5th MTP joints and digits.
-1/4" heel/lateral wedge.
-PF stop.
-Metatarsal pad. - ANSWER -Elevation of the 2nd-5th MTP joints
and digits. 1/4" heel/lateral wedge.
PF stop.
Metatarsal pad.
What additions can you make to an AFO to decrease excessive
pronation within the AFO:
-Extrinsic medial wedge
-Medial Sabolich tab or trimline
-Sustentaculum tali "ST" pad
-Extrinsic lateral wedge - ANSWER -Extrinsic medial wedge
Medial Sabolich tab or trimline
Sustentaculum tali "ST" pad
, A patient has failed conservative treatment for plantar
fasciitis including foot orthotics, physical therapy, shoe
wear modifications. Choose all that are common surgical
interventions: -Gastroc lengthening procedure
-Plantar fascia release
-Ankle fusion
-Triple arthrodesis - ANSWER -Gastroc lengthening procedure
Plantar fascia release
A patient is seen in clinic whom has been diagnosed with
Guillain-Barre
syndrome. The patient has weak knee extensors, knee
flexors, ankle
plantarflexors, and ankle dorsiflexors. What muscle groups
would you expect to regain strength first if the syndrome
begins to remit:
-Knee extensors
-Ankle plantarfexors
-Ankle dorsiflexors
-Knee Flexors - ANSWER -Knee Extensors
Knee Flexors
Having a patient perform a heel raise, screens what
myotomal level:
-
L4
-
L2