Extra Spinal 2 Final

Reasons for creating the Ottawa Knee Rules include which of the following statements?
A. Overuse of radiographic studies causing a significant economic health care problem in the USA
B. Unnecessary radiation exposure to the patient
C. The use of a selective ordering of radiographs resulting in more efficient evaluation of the patient
D. All of the above
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Reasons for creating the Ottawa Knee Rules include which of the following statements?
A. Overuse of radiographic studies causing a significant economic health care problem in the USA
B. Unnecessary radiation exposure to the patient
C. The use of a selective ordering of radiographs resulting in more efficient evaluation of the patient
D. All of the above
All of the above
The swing phase consists of approximately what percentage of the walking gait cycle?
A. 20-25%
B. 25-30%
C. 30-35%
D. 35-40%
35-40%
When evaluating the foot for normal weight bearing forces, this occurs in which order and through which structures?
A. Calcaneous, the lateral aspect of the foot, 5th metatarsal head, and then the first metatarsal head
b. Calcaneous, the medial aspect of the foot, 1st metatarsal head and then 5th metatarsal head
c. Calcaneous, the medial aspect of the foot, 1st cuneiform, 5th metatarsal tubercle
d. Calcaneous, the lateral aspect of the foot, 5th tubercle and then 1st cuneifor
Calcaneous, the lateral aspect of the foot, 5th metatarsal head, and then the first metatarsal head
According to the article as discussed in class and posted on balckboard - "how to choose running shoes" if a runner was averaging 25 miles a week, how often should a runner change shoes to ensure proper function from the shoe
alternating so they can dry out.
a. Once every 3 months
b. One every 4 months
c. Once every 5 months d. Once every 6 months
Once every 4 months
The alleged part four NBCE examination extremity move named, coxofemoral distraction, has a segmental contact point of which one of the following?
a. Distal midfoot
b. Distal talus ankle distraction, bimanual reinforced interphalangeal grasp-anterior
talus
c. Distal tib/fib
d. Distal femur
Distal tib/fib
Primary shock absorption of the lower extremity is accomplished by the ____ and the secondary shock absorption is accomplished by ____?
a. Medial longitudinal arch,
b. Medial longitudinal arch, knee flexion
c. Talus flexion and dorsiflexion, knee flexion
d. Tibial rotation, forefoot flexion
Medial longitudinal arch, knee flexion
Looking at shoe wear patterns can be very informative, when finding medial heal counter tilt, and medial forefoot outer side wear, which of the following could you recommend to your patient?
A. Rigid material in the hind foot and extra firm support in the medial longitudinal arch
B. Flexible material in the hind foot and regular support in the lateral longitudinal arch
C. Curves last, with both valgus rearfoot and forefoot posting
D. Slip last shoe, and valgus forefoot posting
Rigid material in the hind foot and extra firm support in the medial longitudinal arch
Pinch calluses are caused by which of the following problems?
a. Plantar fasciitis
b. Loss of medial longitudinal arch
c. Corns
d. Hammer toe
Loss of medial longitudinal arch
The most common ankle injury is a ____ position of the foot, which is ___ packed position of the foot?
a. Dorsiflexion and eversion, closed
b. Plantar flexion and eversion, closed
c. Dorsiflexion and inversion, open
d. Plantar flexion and inversion, open
Plantar flexion and inversion, open
Biomechanically, dorsiflexion of the metatarsal phalangeal joint causes the plantar fascia to tighten, the mid foot to externally rotate, raising the longitudinal arches. Which one of the following does this best describe?
a. Tibial varum
b. Windlass effect
c. Equinus syndrome
d. Femoral tension
Windlass effect
Under load (weight bearing), the first MTP should normally dorsiflex up to how many degrees? A.15 ̊ b. 25 ̊ c. 35 ̊ d. 45 ̊35Hallux valgus Bunions deformity involves the proximal 1st metatarsalphalangeal joint (the base), in which way has the involved bone varied? a. Lateral and external b. medial and external c. Lateral and internal d. Medial and internalLateral and externalTarsal tunnel syndrome involves pathology of which one of the following structures? a. Flexor digitorum longus tendon b. Flexor hallicus longus tendon c. Posterior tibialis tendon d. Posterior tibialis nervePosterior tibialis nerveA patient present with pain just lateral to the anterior margin/crest of the left tibia. After clearing the spine, an anterior talus was found and corrects. Which one of the following subluxations would you suspect and correct next on this same patient ? A. Inferior cuboid B. Inferior navicular C. Superior metatarsal head D. Superior third cuneiformInferior navicularWhen a patient complains of a mal-positioned tongue of the shoe bothering them, which one of the following subluxation should be found and corrected? A. Inferior navicular B. inferior cuboid C. superior navicular D. Superior metatarsal headSuperior nevicularThe tibia must externally rotate up to twenty degrees to accomplish full knee ___? a. Flexion, open pack position b. Extension, open pack position c. Flexion, closed pack position d. Extension, closed pack positionExtension, closed pack positionWhich of the following types of orthotic is best described as "restrict motion form the proper sequence" A. functional orthotics B. Genetic orthotics C. Accommodative orthotics D. off the shelf orthoticsAccommodative orthoticsWhen measuring the forefoot so posting can be included for orthotics, generally, how many degrees will the intrinsic forefoot varus angulation already be (built into the orthotics as demonstrated in labs or described in the orthotics handout) a. 0 ̊-2 ̊ b. 2 ̊-4 ̊ c. 4 ̊-6 ̊ d. 6 ̊-8 ̊4 ̊-6 ̊Which of the following statement satisfies the criteria for ordering radiographs, in accordance with the Ottawa Knee Rules? A. Patient who is 55, has tenderness over the patella and the inability to flex the knee to 90 deg B. Patient who is 45, has tenderness over the fibular tail and the inability to extend the knee to 0 deg C. Patient who is 40, has tenderness over the tibial tubercle and the inability to flex the knee to 90 t of age D. Patient who is 60, has tenderness over the fibular head and the inability to extend the knee to 180Patient who is 55, has tenderness over the patella and the inability to flex the knee to 90 degAccording to the article as discussed in class and posted on blackboard- "How to choose Running Shoes", straight shaped and rigid mid sole to a running shoe is for a person with which of the fooling A. pes cavus B. pes planus C. pes equinus D. pes dispenserpes planusWhich muscle test indicates a possible subluxation of the cuboid? a. Anterior tibialis b. Posterior tibialis C. peroneus D. Extensor digitorum longusPeroneusWhen the first metatarsal phalangeal joint does not dorsiflex properly (with or without load), which one of the following is this dysfunction known as? a. Flexor Hallux Limitus b. Functional Hallux Ligament c. Flexor Hallux Ligament d. Functional Hallux LimitusFunctional Hallux LimitusA posterior tibia subluxation, may mimic which one of the following pathologies? a. Medial meniscus Tear b. Medial Collateral Ligament Tear C. osgood schlatters D. jumpers kneeMedial meniscus tearAn avulsed right anterior talo-fibular ligament would require surgical intervention. Which co-managing the recovery and rehabilitation of your patient, which side of the body should the cane be held and used for support a. Right b. LeftrightAccording to the Ottawa Ankle Rules, midfoot x-rays are required if there is pain and ___ in the emergency department? a. Bone tenderness at the tip of the lateral malleolus b. Bone tenderness at the tip of the medial malleolus c. Inability to bear weight both immediately d. Bone tenderness at the posterior edge of the medial malleolusInability to bear weight both immediately