ESAT Lower - weeks 8-14

Bringing the patient's foot into passive inversion you feel laxity, Which two ligaments are you suspecting? Anterior tibiofibular ligament and Posterior tibiofibular ligament Calcaneofibular ligament and Anterior talofibular ligament Anterior tibiotalar ligament and Tibionavicular ligament Calcaneofibular ligament and Tibiocalcaneal ligament

Calcaneofibular ligament and Anterior talofibular ligament

The talocrural joint is composed the following bones except... Talus Tibia Fibula Calcaneous

Calcaneous

Patient presents in office after an ankle sprain and you find swelling bilaterally on the patient's ankle, what should you do? Amputation Adjustment Imaging Cryotherapy

Imaging

Following an ankle injury, this is the first thing we are working with patients to restore. Active ROM Passive ROM Wobble board Return to sporting

Passive ROM

When performing goniometry on the hip, you find the patient has unilateral reduced internal rotation on one side. Should you suspect there is a tight/shortened muscle preventing this movement to occur, which muscle should you check first? TFL Piriformis Hamstrings Glute Medius

Piriformis

What Ddx would be indicated if you were told the patient had a nerve piercing and moving through a muscle (rare), causing numbness, tingling down the posterior thigh, and inability to sit on hard surfaces? Meralgia Paresthetica Piriformis Syndrome Labral tear Femoral nerve entrapment

Piriformis Syndrome

If your patient is prone with their knee flexed to 90 degrees and you squeeze the calf muscles, what do you expect to happen? Plantar-flexion of the foot with a damaged or ruptured Achilles tendon Dorsi-flexion of the foot with a damaged or ruptured Achilles tendon Dorsi-flexion of the foot with an intact Achilles tendon Plantar-flexion of the foot with an intact Achilles tendon

Plantar-flexion of the foot with an intact Achilles tendon

What is the action of the muscle that must be palpated when we use a 45 degree, oblique toward the spine palpation? Piriformis TFL Glute Medius Psoas

Psoas

What is the action of the muscle that must be palpated when we use a 45 degree, oblique toward the spine palpation? Psoas TFL Glute Medius Piriformis

Psoas

Following a PCL sprain, we should focus strengthening of the ___ to help shoulder the load of forces while it recovers. Tibialis Anterior Hammies Quads Adductors

Quads

If the patient presents with a bursitis type of injury, which of the following is contraindicated? Soft tissue work directly into the bursa Stretching Adjust surrounding joints Rest

Soft tissue work directly into the bursa

The following muscles are responsible for the action of ankle inversion... Tibialis posterior and tibialis anterior Extensor digitorum longus, tibialis anterior, peroneus tertius, and extensor hallucis longus Flexor digitorum longus and flexor hallucis longus Extensor digitorum longus, peroneus longus and brevis, and peroneus tertius Gastrocnemius, soleus, and plantaris

Tibialis posterior and tibialis anterior

Even though this joint is not part of the knee joint acitivity, this joint can still be the source of knee pain. Tibiofemoral Tibiofibular Glenohumoral Patellofemoral

Tibiofibular

In the standing position, why does the shaft of the femur slant in a medial direction and is not vertically straight? To take weight off of the ankle joints To create the angle of anteversion To place the center of motion of the knee joint under the center of motion of the hip joint Byproduct of the birthing process

To place the center of motion of the knee joint under the center of motion of the hip joint

When adjusting the toes, our thumbs should be facing... Away from each other Toward each other Away from the doctor To the sky

Toward each other

The ______ ligament attaches from the sustentaculum tali to the navicular. The function of this ligament is to keep the medial aspect of the forefoot and hindfoot in apposition and, in so doing, help to maintain the arched configuration of the foot. spring dorsal talonavicular long plantar lateral longitudinal

spring

Functionally, the ____ serves as a link between the leg and the foot. Navicular Cuboid Tibia Talus

talus

Through the normal gait pattern only __ degrees of dorsiflexion and __ degrees of plantar flexion are required. 20, 50 5, 10 10, 20 5, 5

10, 20

Through the normal gait pattern, however, only __ degrees of dorsiflexion and __ degrees of plantar flexion are required. 10;20 20;30 10;30 20;50

10;20

Through the normal gait pattern, however, only __ degrees of dorsiflexion and __ degrees of plantar flexion are required. 20;30 10;30 20;50 10;20

10;20

Morton's Neuroma's are most commonly found at which two interspaces? 3/4 2/3 1/2 4/5

2/3

Forced internal rotation of a femur with a planted tibia creating knee abduction is the hallmark for what type of injury? Collateral ligament injury Meniscus injury ACL injury Patellar injury

ACL injury

Most commonly affected ligament from an ankle sprain is... ATFL - Anterior talofibular ligament ATFL - Anterior tibiofibular ligament Calcaneofibular ligament Deltoid ligament

ATFL - Anterior talofibular ligament

Pronation is made up of all these movements besides which? Abduction Eversion Dorsiflexion Adduction

Adduction

With a menisci injury, generally, ___ would exacerbate , ___ would give relief Rotation to the side of injury, Rotation to the side of non-injury Locked extension, Locked flexion Decompression, compression Compression, Decompression

Compression, Decompression

The following muscles are responsible for the action of ankle dorsiflexion... Extensor digitorum longus, peroneus longus and brevis, and peroneus tertius Tibialis posterior and tibialis anterior Gastrocnemius, soleus, and plantaris Extensor digitorum longus, tibialis anterior, peroneus tertius, and extensor hallucis longus Flexor digitorum longus and flexor hallucis longus

Extensor digitorum longus, tibialis anterior, peroneus tertius, and extensor hallucis longus

The following muscles are responsible for the action of ankle dorsiflexion... Extensor digitorum longus, tibialis anterior, peroneus tertius, and extensor hallucis longus Tibialis posterior and tibialis anterior Extensor digitorum longus, peroneus longus and brevis, and peroneus tertius Gastrocnemius, soleus, and plantaris Flexor digitorum longus and flexor hallucis longus

Extensor digitorum longus, tibialis anterior, peroneus tertius, and extensor hallucis longus

The following muscles are responsible for the action of ankle dorsiflexion... Flexor digitorum longus and flexor hallucis longus Gastrocnemius, soleus, and plantaris Extensor digitorum longus, peroneus longus and brevis, and peroneus tertius Extensor digitorum longus, tibialis anterior, peroneus tertius, and extensor hallucis longus Tibialis posterior and tibialis anterior

Extensor digitorum longus, tibialis anterior, peroneus tertius, and extensor hallucis longus

T/F - Calcaneal heel spurs are a result of plantar fasciitis

False

The following muscles are responsible for the action of ankle plantar flexion... Extensor digitorum longus, peroneus longus and brevis, and peroneus tertius Tibialis posterior and tibialis anterior Extensor digitorum longus, tibialis anterior, peroneus tertius, and extensor hallucis longus Gastrocnemius, soleus, and plantaris Flexor digitorum longus and flexor hallucis longus

Gastrocnemius, soleus, and plantaris

The following muscles are responsible for the action of ankle plantar flexion... Flexor digitorum longus and flexor hallucis longus Extensor digitorum longus, tibialis anterior, peroneus tertius, and extensor hallucis longus Extensor digitorum longus, peroneus longus and brevis, and peroneus tertius Tibialis posterior and tibialis anterior Gastrocnemius, soleus, and plantaris

Gastrocnemius, soleus, and plantaris

___ is a lateral deviation of the big toe, usually with a concomitant metatarsal varum. Improperly fitting footwear, as well as an unstable and pronated foot, has been blamed for this condition. Shin Splints Hallux valgus Inversion sprain of the ankle Plantar fasciitis

Hallux valgus

A segmental contact point of anterior aspect of the proximal femur is associated with which of the following adjustments? Bimanual Grasp/Distal Tibia Pull; Long-Axis Distraction Hypothenar/Proximal Femur, Palmar/Distal Femur Grasp; Anterior-to-Posterior Glide Bimanual Grasp/Proximal Femur; External Rotation Bimanual Grasp/Proximal Femur; Internal Rotation

Hypothenar/Proximal Femur, Palmar/Distal Femur Grasp; Anterior-to-Posterior Glide

Pronation is a combination of three movements, which is NOT one of them? Dorsiflexion Eversion Inversion Abduction

Inversion

Which of the of the following is not part of the Unhappy Triad? Being, 3 associated structures where when one is damaged, you must check the others due to a close relationship due to biomechanics or anatomial connection Medial Meniscus MCL ACL LCL

LCL

Eversion ankle injuries are at risk for fx primarily on the ___ side of the foot Posterior Lateral Anterior Medial

Lateral

Which ligament attaches to the fovea capitis? Ligamentum Teres Iliofemoral Pubofemoral ligament Transverse

Ligamentum Teres

Patient's who have Pronation Syndrome would show increased wear on their shoes of which region Medial heel Lateral heel Toe box Uniform

Medial heel

Do we typically have more external or internal rotation of the hip? More external More internal

More external

If you are creating internal rotation of the patient's right 3rd DIP and you are set up in the correct doctor position, how are you moving the toe? Rotating toward you Rotating away from you

Rotating away from you

The navicular articulates with the _____ proximally and _____ distally. Talus; Cuneiforms Cuboid; Talus Talus; Cuboid Cuneiforms; Talus

Talus; Cuneiforms

Why do we add "a little bit of flexion" to most of our knee adjustments? The knee locks in extension as it externally rotates It helps lock the knee and make it more stable You just like to make up new rules for no reason It gives us a better grip on the patient's calf tissue

The knee locks in extension as it externally rotates

When setting up for Hypothenar/proximal tibia with leg stabilization; lateral-to-medial glide, what type of force are we putting into the knee joint to bring it to pretension? Varus Valgus A-P None of the above

Valgus

Which muscle is generally WEAK OR INHIBITED, which could lead to lateral tracking of the patient's patella? Vastus Intermedius Rectus femoris Vastus medialis Vastus lateralis

Vastus medialis

T/F- A pronated foot creates a rigid structure for the foot, needed for heel-strike.

false

T/F- Commonly, ankle injuries have a chronic and insidious onset disorders whereas the foot is more likely to develop an acute traumatic onset from stress overload.

false

___ results as a strain to the plantar fascia on the sole of the foot. This may be a result of standing on hard surfaces, quick acceleration or deceleration, repeated shocks, standing on ladders, or long periods of pronation. Inversion sprain of the ankle Shin Splints Hallux valgus Plantar fasciitis

plantae faciitis

___ refer to a generalized, deep aching or, sometimes, sharp pain along the tibia. It is considered an overuse or abuse syndrome occurring commonly because of running or jumping on a hard surface. This activity causes the talus to be driven upward into the mortise, forcing the tibia and fibula to separate. Stress to the interosseous membrane results and may cause a periostitis. Shin Splints Inversion sprain of the ankle Plantar fasciitis Hallux valgus

shin splints

T/F- Commonly, ankle injuries have an acute traumatic onset, whereas the foot is more likely to develop chronic and insidious onset disorders from stress overload.

true