Clinical Podiatry-Crozer

quickster2008's version from 2016-01-08 07:51

Section 1

Question Answer
What are the clinical patterns of chronic tineaMoccasin or papulosquamous
What are the clinical patterns of acute tineaInterdigital or vesicular
What is the most common cause of chronic tineaT. Rubrum
What is the most common cause of acute tineaT. Mentagrophytes
Most common pattern of onychomycosisDistal subungual onychomycosis (DSO)
What are the 4 types of onychomycosisDistal subungual, proximal subungual (PSO), superficial white (SWO), and candidal
What test confirms onychomycosisKOH prep
MOA of LamisilInhibits ergosterol synthesis via squalene epoxidase
What is phenol and what is the percent we useCarbolic acid, 89.9%
What are the three options for a digital block if the pt is allergic to local anestheticSaline block (pressure), pressure cuff, Benadryl block (blocks histamine release)
Why isn't the fibular sesamoid position evaluated during a bunion eval Once it's in the interspace, it moves in the frontal plane so is less reliable
Is the tibial sesamoid or the fibular sesamoid more reliable during a bunion evaluationTibial sesamoid
What is staking the headCut into the Sagittal groove when respecting the medial eminence, can cause hallux varus
Cause of flexor stabilizationPronation, most common deformity
Cause of flexor substitutionWeak triceps surae/Achilles, least common
Cause of extensor substitutionEquinus
What is the result of cutting the quadratus plantaeAdductovarus rotation of digits 4-5
What is the difference between flexible, semi-rigid, and rigid deformitiesFlexible-reducible on NWB and WB, semi-reducible on NWB only, rigid- not reducible
What are the three angles/measurements used to assess haglund's deformityPhillip-Fowler, parallel pitch lines, total calcaneal angle
What is the Lachman testTests for plantar plate tear/rupture, dorsal dislocation greater than 2mm is indicative of tear
What is mulder's signIdentifies Morton's neuroma, squeeze met heads together
What is Sullivan's signSplaying of the digits caused by mass
What is Q-angleAngle between the Axis of femur and libel between the patella and the tibial tuberosity
What are the stages of Raynaud's phenomenonWhite-> blue-> red
At what ABI do we see intermittent claudation0.6-0.8
At what ABI do we see rest pain0.4-0.6
At what ABI do we see ischemic ulcerations<0.4
What causes an ABI of >1Calcification
Normal value for segmental pressures70-120 mmHg
Drop in segmental pressures that indicates pathology30 mmHg
Most common type of skin cancerBasal cell carcinoma
What skin cancer appears cauliflower likeSquamous cell carcinoma
What is the most common type of melanomaSuperficial spreading melanoma
What is the most malignant type of melanomaModular melanoma
What is a modular melanoma often confused withPyogenic granuloma
What is the most benign melanomaLentigo melanoma (back, arms, neck, and scalp)
What melanoma is typically found on the palms, soles, and nail bedsAcral Lentiginous melanoma
What is Hutchinson signPigment changes in the eponychium seen with subungual melanoma
What is the most common vascular proliferationHemangioma
What malignancy appears as a red-blue plaque or nodule, high incidence with AIDsKaposi sarcoma
What conditions may be associated with plantar fibromatosisLedderhose dz, Dupuytren contracture, and Peyronie dz
What is another name for congenital convex pes valgusVertical talus
What are radio graphic findings with CCPVCalcaneus in equinus, PF talus, dorsally dislocated navicular, and increased talo-calcaneal angle
What additional radiograph should be ordered in a neonate with CCPVLumbosacral films (checking for spinal cord deformity)

Section 2

Question Answer
What are the 3 coalitions of the rearfootTalocalcaneal, calcaneonavicular, and talonavicular
What percentage of tarsal coalitions are bilateral50%
What tarsal coalition is most symptomaticCalcaneonavicular
Which tarsal coalition is least symptomaticTalonavicular
Most common tarsal coalitionsT-C> C-N> T-N
Which T-C facet is most commonly fusedMiddle> anterior> posterior
What age do we see T-N coalition symptoms3-5 years old
What age do we see C-N coalitions symptoms8-12 years old
What age do we see T-C coalitions symptoms12-16
2 common radiographic findings with T-C coalitionsHalo sign and talar beaking
Common radiographic sign seen with T-N coalitionsPutter sign
Common radiographic sign seen with C-N coalitionsAnteater sign
2 radiographic views for seeing the anterior facetMedial oblique or ischerwood
Radio graphic view used to see middle and posterior facetHarris beath
What is the Badgley procedureResection of a portion of the C-N bar and interposition of the EDB muscle belly to prevent subluxation of the navicular over the talar head

Section 3

Question Answer
What are 3 components of club footFF adductus, RF varus, and equinus
What is the most accepted theory about club footGerm plasma defect-malposition of head and neck of talus
What is the Simon rule of 15Children <3 y/o talo navicular subluxation T-C angle is <15 degrees and talo-1st met angle is >15 degrees