Podiatry

Question 1

What is the first line treatment for onychomycosis?

Answer 1

• terbinafine (lamisil)

Question 2

What is the appropriate way to cut your toe nails?

Answer 2

• straight across

Question 3

What is the acute treatment for gout?

Answer 3

• injection cortisone into gout site

* if you can’t give injection then indomethacin PO is good alternative

Question 4

T/F: Salicylic acid is NOT indicated for treatment of corn and calluses.

Answer 4

• true

Question 5

What is the treatment regimen for plantar fasciitis?

Answer 5

• cortisone injection + plantar strap

- measure for orthotics (if plantar strap helped)

Question 6

How is a broken toe treated?

Answer 6

• buddy split with adjacent toe

Question 7

Reynaud’s syndrome can increase the risk of what foot condition?

Answer 7

• Chilblains

Question 8

How long does it take for stress fractures to heal?

Answer 8

6-8 weeks

Question 9

What is the treatment for refractory ingrown toenails?

Answer 9

• matrixectomy

Question 10

What is the main difference between corns and calluses?

Answer 10

• corns on your toes

- calluses on the bottom of your feet

Question 11

What are chilblains?

Answer 11

skin sores or bumps that occur after exposure to very cold temperatures

Question 12

What is the conservative treatment option for plantar warts?

Answer 12

• Duofilm (topical salicylate)

For isolated lesions = mediplast

Question 13

What is the medical treatment for warts in the pediatric population?

Answer 13

• Cimetidine (Tagamet)

Question 14

What are the 2 methods of treating morton’s neuroma?

Answer 14

• cortisone injection

- kill the nerve

Question 15

What antibiotic should be prescribed for puncture wounds?

Answer 15

• Keflex

Question 16

The majority of gout cases occurs in what gender?

Answer 16

• males

Question 17

T/F: There is no conservative method of treating a bunion.

Answer 17

true

Question 18

How is chilblains treated?

Answer 18

• silvadene

Question 19

What is a bunion?

Answer 19

• malalignment of the first MTP joint.

Question 20

What is the chronic medical treatment for gout?

Answer 20

• allopurinol

Question 21

What are the 2 ways to distinguish a wart and a callus?

Answer 21

• wart = pinpoint bleeding, lateral pressure causes pain

- callus = no bleeding, direct pressure causes pain

Question 22

What are the 3 mechanical etiologies of plantar fasciitis?

Answer 22

• excessive pronation
• extreme foot types (pes planus, cavus)
• anything that causes extra strain on the longitudinal arch

Question 23

What is the most common pathogen of puncture wound?

Answer 23

• pseudomonas

Question 24

A patient presents with pain around the 3/4 metatarsal head. She notes mild relief upon removal of shoes. On physical exam you notice a positive Mulder’s sign. What diagnoses are you concerned about?

Answer 24

• Morton’s neuroma

Question 25

What are the 2 primary systemic etiologies of plantar fasciitis?

Answer 25

- arthritis (OA, RA, gout) | - diseases (Venereal, Reiter's, etc.)

Question 26

What is the definitive treatment for an ingrown toenail?

Answer 26

- removal of the toe nail

Question 27

How long does it take for stress fractures to show up on XR?

Answer 27

2-4 weeks

Question 28

What is the only reason we get corns and calluses?

Answer 28

excessive pressure

Question 29

What is the big adverse effect of terbinafine (lamisil)?

Answer 29

- liver toxicity

Question 30

This is defined as a nail fungus causing thickened, brittle, crumbly, or ragged nails.

Answer 30

onychomycosis

Question 31

What is the cause of gout

Answer 31

- consumption of foods high in purines leads to an increase in uric acid in the blood

Question 32

If your patient has chronic gout attacks they should be referred to what specialist?

Answer 32

- rheumatology

Question 33

What is a hallmark sign of plantar fasciitis?

Answer 33

- feeling like stepping on glass in the morning when they wake up

Question 34

What physical exam test can be done to diagnose Morton's Neuroma?

Answer 34

Mulder's sign - squeeze foot on either side and palpate over lump