30 Common & Not So Common Foot Pathologies 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. Hallux Valgus is most often associated with what pathology?

Arthritis

Bunions

Diabetes

Callouses

3. Your patient is a 6 year old female. Upon examination you notice excess calcaneal eversion during the contact phase of gait followed by slap-foot gait from heel-strike to foot-flat. You suspect:

Cerebral Palsy

Charcot-Marie-Tooth

Calcaneovalgus

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. Upon patient examination, you observe areas of white moist skin between the fourth and fifth toes. This is most likely:

Clavus mollis

Heloma molle

Soft Corn

All of the above.

6. Hard corns are also known as ____.

Dorsal Callouses

Interdigital Corns

Heloma durum

All of the above.

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 diabetic female. She complains of pinpoint pain and swelling localized to the 2nd metatarsal head. She states that pain increases with weight bearing and typically becomes worse with the duration of time spent on the feet. Upon examination, you observe limited ability to flex the 2nd toe. You suspect:

Diabetic Neuropathy

Freiberg’s Infraction

Morton’s Neuroma

Charcot-Marie-Tooth Disease

9. ____ is a condition of pain and discomfort on the posterior aspect of the heel at the area of the insertion of the Achilles tendon.

Haglund's Deformity

Haglund's Syndrome

Pump Bump

All of the above.

10. ____ is a condition, where the navicular bone in the foot undergoes avascular necrosis.

Haglund’s Syndrome

Tarsal Coalition

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 ____.

located under the 1st Metatarsal Head

located under the 2nd, 3rd and 4th Metatarsal Heads

diagnosed in patients with rheumatoid arthritis

All of the above.

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. ____ is a common forefoot disorder where the second digit is longer than the Hallux.

Oblique Forefoot

Marie’s Disease

Digitorum Longus

Morton's Toe

14. Plantar Warts ____.

are contagious.

can spread to genitalia

never resolve without treatment

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 female. The patient complains of numbness over the bottom of the foot, as well as pain, burning, and tingling over the base of the foot and heel. The patient has a history of trauma to the medial malleolus. You suspect:

Exostosis

Plantar Fasciitis

Charcot-Marie-Tooth

Tarsal Tunnel Syndrome

19. Turf toe is ____.

a torsion injury to the 5th digit

rupture of the hallux longus extensor

hyperextension of the 1st MTPJ

fracture of the hallux

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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