AP Ankle And Foot

Question 1

Pott’s fracture

Answer 1

Fracture of distal fibula with ligamentous disruption

Question 2

Distal fibula and tibia fx

Answer 2

Bimalleolar fracture

Question 3

Fx of distal fibula, distal tibia, and posterior aspect of tibia
Need to see AP and Lat

Answer 3

Trimalleolar fx

Question 4

Fractured talar dome (half moon shape)

Answer 4

Osteochondritis of the talus

Question 5

Fx of calcaneus

Answer 5

Calcaneal fx

Question 6

Fracture of the 2nd/3rd/4th metatarsal

Answer 6

Stress/march fx

Question 7

Fracture at the base of the 5th metatarsal

Answer 7

Jones/dancer’s

Attachment of peroneus brevis

Question 8

Fracture of distal 5th phalanx

Answer 8

Bedroom fx

Question 9

Avulsion of the calcaneus

Answer 9

Heel spur

Question 10

Heel spur caused by

Answer 10

Reiter’s disease

Plantar fascitis

Question 11

Conditions affecting joints in the foot and hand

Answer 11

RA
OA
PA
Gout
Scleroderma
SLE

Question 12

RA name in children

Answer 12

Still’s disease

Question 13

Autoimmune caused inflammatory arthritis

Answer 13

RA

Question 14

MCPs always involved
DIPS NOT INVOLVED
Symmetrical distribution
BILATERAL uniform loss of joint space 
Localized periarticular osteoporosis
Rat bite erosions

Answer 14

RA

Question 15

Haygarth’s nodes

Answer 15

MCP

Question 16

Haygarth’s nodes, swan neck and boutinneire deformity, ulnar and deviation (lanois deformity)

Answer 16

RA

Question 17

Labs RA

Answer 17

\+RA latex
\+FANA
\+ESR
\+CRP
Normocytic normochromic anemia

Question 18

M/c RA

Answer 18

Women >50
MTP/MCP is most common joint
Never hits the DIP

Question 19

RA case management

Answer 19

Refer to rheumatologist

Question 20

Decreased joint space with sclerosis

Answer 20

OA

Question 21

Gull wing appearance

Answer 21

EOA

Question 22

Inflammatory arthritis

Males 20-50

Answer 22

PA

Question 23

Silver scaly lesions on extensors
Pitted nails
Cocktail sausage digits

Answer 23

PA

Question 24

Increase in joint space
Joint space bigger and darker
Distribution pattern

Answer 24

PA

Question 25

``` Periarticular erosions Mouse ear deformity Pencil in cup deformity Ray sign Auspitz sign Balancing pagota sign ```

Answer 25

PA

Question 26

Labs PA

Answer 26

-Rheumatoid | +HLA B27

Question 27

Looks like RA but affects DIP

Answer 27

PA

Question 28

Inborn inability to metabolize proteins Males >40 Due to overproduction of uric acid Deposition uric acid crystals

Answer 28

Gout

Question 29

Gout

Answer 29

Metabolic arthritide

Question 30

``` Foods high in purines Red meats Red wines Aged cheeses Beer Pork ```

Answer 30

Gout

Question 31

Usually mono-articular with the m/c site at the MTP of the big toe (podagra)

Answer 31

Gout

Question 32

Extremely painful, red, hot, and swollen joint

Answer 32

Gout

Question 33

Overhanging margin | Juxta-articular erosions

Answer 33

Gout

Question 34

Labs gout

Answer 34

Increased uric acid | +ESR

Question 35

Gout

Answer 35

Special tests gout

Question 36

Joint aspiration

Answer 36

Pharmacology gout

Question 37

Acute-colchicine | Chronic allopurinol

Answer 37

Gout

Question 38

Only arthritide that destroys from outside-in

Answer 38

Gout

Question 39

Scleroderma aka

Answer 39

Progressive systemic sclerosis | Inflammatory arthritis

Question 40

Females 30-50 | Associated with erosions of the distal tufts of the phalanges called auto amputation/osteo-acrolysis

Answer 40

Scleroderma

Question 41

CREST syndrome

Answer 41

``` Calcinosis Raynaud’s Esophageal dysfunction Sclerodactyly Teleganctasia ```

Question 42

CREST syndrome found in

Answer 42

Scleroderma

Question 43

Labs scleroderma

Answer 43

+(F)ANA | +RA latex (30%)

Question 44

Females | Sunlight precipitates a skin rash (malar/butterfly rash)

Answer 44

SLE

Question 45

Oral ulcers Discoid lesions Alopecia Raynaud’s phenomenon

Answer 45

SLE

Question 46

Can cause ulnar deviation of the phalanges with no joint destruction (Lanois deformity)

Answer 46

SLE

Question 47

Look exactly like RA deformity but no joint destruction

Answer 47

Lanois deformity

Question 48

Place hands on table can stretch them out to normal

Answer 48

SLE

Question 49

Labs SLE

Answer 49

``` +ANA +LE prep +FANA +RA latex +ESR Leukopenia Thrombocytopenia ```

Question 50

Case management SLE

Answer 50

Co-manage with rheumatologist

Question 51

M/c condition affecting MTPs is

Answer 51

RA

Question 52

PA does not cause

Answer 52

Lanois deformity

Question 53

Swelling/nodes of MCP/MTP

Answer 53

Haygarth’s nodes

Question 54

Swelling/nodes of PIPs

Answer 54

Bouchards nodes

Question 55

Swelling/nodes of DIPS

Answer 55

Heberdens nodes

Question 56

Either OA, PA, or Gout | DIPS

Answer 56

OA whiter PA darker loss of joint space Gout monoarticulation overhang

Question 57

Lateral ankle/foot film

Answer 57

Check each bone for fx Check for calcneal spur Check for AVN’s