Patient Assessment and Evaluation Flashcards
7 cards from real ABFAS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment and Evaluation flashcards as text
During vascular assessment of the foot, which finding on Doppler ultrasound is most consistent with severe peripheral arterial disease?
Answer: Monophasic waveform with low amplitude at the posterior tibial artery
A monophasic waveform with low amplitude indicates severely reduced arterial flow, characteristic of advanced peripheral arterial disease.
A patient presents with a cavovarus foot deformity. Which neurological condition should be highest on the differential diagnosis?
Answer: Charcot-Marie-Tooth disease
Charcot-Marie-Tooth disease is the most common hereditary peripheral neuropathy and classically presents with progressive cavovarus foot deformity.
When assessing subtalar joint range of motion, what is considered the normal ratio of inversion to eversion?
Answer: 3:1
Normal subtalar joint motion exhibits approximately 3:1 ratio of inversion to eversion, with roughly 30 degrees inversion and 10 degrees eversion.
A 55-year-old diabetic patient has a non-healing plantar ulcer. Which classification system grades ulcer depth AND the presence of infection and ischemia?
Answer: University of Texas Wound Classification
The University of Texas Wound Classification grades wounds on both depth (0–3) and presence of infection/ischemia, providing a more complete staging system than Wagner alone.
Which gait phase is most critical to assess when evaluating a patient with a weak tibialis anterior muscle?
Answer: Loading response
During loading response, tibialis anterior eccentrically controls foot drop; weakness causes a characteristic foot slap or steppage gait.
On a Harris mat imprint, a patient with pes planus shows lateral column overload. Which associated deformity should be evaluated?
Answer: Forefoot supinatus
Forefoot supinatus is a flexible acquired deformity that commonly co-exists with adult-acquired flatfoot and can contribute to lateral column stress.
A patient reports pain in the second intermetatarsal space that worsens with toe extension and is relieved by removing their shoes. The Mulder sign is positive. What is the most likely diagnosis?
Answer: Interdigital neuroma
A positive Mulder sign (palpable or audible click with transverse metatarsal compression) combined with interspace pain is pathognomonic for an interdigital neuroma.