Case Studies for Pedorthists CD Exam

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1.  Your patient is a 40 year old male. He complains of pain in the left heel when walking or running. You observe that the tendon is painful to touch and the skin over the tendon is swollen and warm.  You suspect:

Peritendonitis

Plantar Fasciitis

Heel Spurs

Sever’s Disease

2. The best pedorthic treatment for Plantar Fasciitis?

Reverse Thomas Heel

Cortisone shots

Metatarsal pad

Arch support

3. Calcaneal apophysitis is another name for:

Peritendonitis

Charcot-Marie-Tooth

Sever's Disease

None of the above

4. Your patient is an 80 year old non-diabetic male. He states that he has Charcot-Marie-Tooth disease. You observe that he has a foot deformity typical to CMT. How would you best describe it?

Pes Planus

Severe Pronation

Pes Cavus

Ankle rigidity

5. Talipes Equinovarus is more commonly known as:

Clavus mollis

Club Foot

CVT

Charcot Foot

6. These hard nodules should be inspected by a physician if they are a new occurrence because they are occasionally cancerous:

Dorsal Callouses

Interdigital Corns

Heloma durum

Plantar Fibromytosis

7. Your patient is a 12 year old female with cerebral palsy. The patient "toe walks". You observe a bouncy gait with early heel lift. Upon examination, you find that the foot is unable to fully dorsiflex against the ground. This condition is called:

Equinus

Sciatica

Pes Cavus

Kohler’s Disease

8.  Your patient is a 22 year old female with Morton's Neuroma.  Which of the following would be a good choice for this patient?

Neuroma pad

Wide toebox

Low heels

All of the above

9. ____ is a condition of pain and discomfort on the posterior aspect of the heel at the growth plate associated with young athletes.

Haglund's Deformity

Sever's Disease

Pump Bump

All of the above.

10.  ____ is a condition, where the navicular bone in the foot subluxes secondary to Peripheral Neuropathy.

Haglund’s Syndrome

Charcot Foot

Freiberg’s Infraction

Kohler's disease

11.  Metatarsalgia is a general term used to denote a painful foot condition in the metatarsal region of the foot. Metatarsalgia is often a secondary condition to:

Calcaneovalgus

Tarsal Tunnel Syndrome

Tarsal Coalition

Equines

12.    Your patient is an 18 year old female. She complains of a burning sensation on the dorsal aspect of her foot between the third and fourth digits. Upon examination you find that she wears tight fitting footwear and works as a cashier. You suspect:

Plantar Fasciitis

Morton's Neuroma

Metatarsalgia

Sesamoiditis

13.  This may begin as a reddened area or an area that does not blanch on the skin.  It is often associated with friction and insensation:

Charcot Marie Tooth Disease

Charcot Foot

Ulcer

Morton's Toe

14.  This may occur secondary to a total hip replacement:

Tarsal Coalition

Club Foot

Limb Length Discrepancy

All of the above.

15.  "Too many toes" sign may be an indication of _____.

adult acquired flatfoot

severe pronation

posterior tibialis dysfunction

All of the above.

16. Your patient is an eleven year old male. He complains of heel pain on exercise, especially running and jumping. He states that the pain is often worse before and after activity and increased on deceleration or when landing from a jump. You observe that the patient is tip toeing and limping.

After a complete exam and assessment you suspect ____.

Reiter's Syndrome

Kohler’s Disease

Sever's Disease

Haglund's Deformity

17.  Your patient is a 15 year old male complaining of chronic hind foot pain and peroneal spasm. Upon examination you observe rigid flat feet, and a rigid talocalcaneal joint. The patient walks with quick, short and soft foot steps. You suspect:
 

Calcaneal Apophysitis

Metatarsalgia

Tarsal Coalition

None of the above.

18.  Your patient is a 47 year old male with Charcot-Marie-Tooth.  He reports a repetitive injury to the lateral side of his ankle and currently complains of pain.  You note an antalgic gait and some bruising.  You suspect:

Exostosis

Plantar Fasciitis

Ankle Sprain

Tarsal Tunnel Syndrome

19.  Your patient is a 36 year old female born with unilateral talipes equinovarus.  Some of the residual issues she is dealing with include:

a shoe size discrepancy between the affected and non-affected side

rupture of the hallux longus extensor

hyperextension of the 1st MTPJ

All of the above.

20.  Your patient is a 48 year old male. The patients foot “spins” in the toe off phase of gait. Upon examination you notice smooth skin under the 1st met head and callusing under the 2nd through 5th. You suspect:

Calcaneal Eversion

Hallux Rigidus

Morton's Toe

Achilles Tendonitis

 

 

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