Foot and Ankle OSCE

Question 1

Preparation

Answer 1

Intro
Consent
Wash Hands
Position - standing for posture, then lying

Question 2

Look

Answer 2

Posture:

• Toe Alignment (claw)
• Arch Position (flat)
• Achilles tendon (thickening)
• Hindfoot alignment (inward)
• Hallux Valgus (bunion)

Swelling
Skin Changes
 - Callous
 - Gouty Trophi 
 - Psoriasis
 - Rheumatoid Nodules

Symmetry
Nails 
 - Pitting
 - Oncholyisis 
 - Nail Fold Vasculitis
 - Splinter Haemmorhages

Shoes

• Uneven sole wear
• Insoles
• signs of poor fit

Question 3

Feel

Answer 3

Temperature:

• Forefoot
• Ankle

Joints (bimanual)

• Midfoot
• Ankle
• Subtalar
• MTP

Tenderness 
Swelling
Peripheral pulse
 - Dorsalis pedis
 - posterior tibialis

Question 4

Move

Answer 4

Toes (active and passive)

• Dosiflexion
• Plantarflexion

Midtarsal (passive)

• inversion
• Eversion

Subtalar (active and passive)

• Inversion
• eversion

Ankle

• Dosiflexion
• Plantarflexion

crepitus

Question 5

Function

Answer 5

walk -gait