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
When obtaining a thorough history for a patient with chronic foot pain, which medication class is most associated with Achilles tendon rupture?
Answer: Fluoroquinolone antibiotics
Fluoroquinolone antibiotics (e.g., ciprofloxacin, levofloxacin) have a black-box warning for tendinopathy and tendon rupture, particularly of the Achilles tendon.
A patient presents with a positive Thompson test. Which structure is most likely injured?
Answer: Achilles tendon
The Thompson test (calf squeeze test) assesses Achilles tendon continuity; absence of plantarflexion on calf squeeze indicates complete Achilles tendon rupture.
When interpreting standing AP radiographs of a pediatric flatfoot, which angle best quantifies talonavicular coverage?
Answer: Talonavicular coverage angle
The talonavicular coverage angle measures the percentage of the talar head covered by the navicular on AP radiograph, quantifying lateral peritalar subluxation in flatfoot.
A patient presents with tarsal tunnel syndrome. Which provocative test reproduces symptoms by percussing over the tarsal tunnel?
Answer: Tinel's sign
Tinel's sign is elicited by percussing over the tarsal tunnel at the medial ankle, reproducing paresthesias in the plantar foot distribution of the tibial nerve.
Which preoperative assessment tool is most useful for quantifying functional outcomes and patient-reported disability related to foot and ankle pathology?
Answer: Foot and Ankle Ability Measure (FAAM)
The FAAM is a validated, patient-reported outcome measure with high reliability and responsiveness specifically designed for foot and ankle functional assessment.
A patient with a suspected stress fracture of the second metatarsal has normal plain radiographs. Which imaging modality should be ordered next for early diagnosis?
Answer: MRI
MRI is the preferred modality for early stress fracture diagnosis, detecting bone marrow edema within days of symptom onset, compared to the 2–3 week delay for radiographic changes.
During assessment of a patient with posterior tibial tendon dysfunction (PTTD), which clinical finding best indicates Stage II disease?
Answer: Flexible flatfoot with positive too-many-toes sign and failed single-heel-rise test
Stage II PTTD presents as a flexible flatfoot with hindfoot valgus, forefoot abduction (too-many-toes sign), and failure of the single-heel-rise test due to tendon insufficiency.