BD - ch 9 quiz

To allow for proper gait, the talocrural joint must provide ____ degrees of dorsiflexion during walking and ____ degrees during running as the opposite limb goes from the stance to the swing phase. a. 10; 15 b. 15; 20 c. 5; 10 d. 2; 7

a. 10; 15

The tibial nerve is located in which of the four leg compartments? a. Deep posterior compartment b. Lateral compartment c. Anterior compartment d. Superficial posterior compartment

a. Deep posterior compartment

A fracture of only the fibular shaft is often termed a ______________ fracture. a. Hugier b. stress fracture c. trimalleolar d. Maisonneuve

a. Hugier

Which of the following is not an anatomical and physiological factor predisposing individuals to lateral ankle sprains? a. Increased muscular strength b. Lack of muscular coordination c. Decreased proprioceptive ability d. Tightness of the triceps surae muscle group

a. Increased muscular strength

Which of the following is the difference between traumatic compartment syndrome and chronic exertional compartment syndrome? a. Onset of the injury b. Treatment of the injury c. Signs of the injury d. Symptoms of the injury

a. Onset of the injury

Which of the following describes correct patient positioning for the Thompson Test? a. Prone with the foot off the table b. Supine with the foot on the table c. Prone with the foot on the table d. Supine with the foot off the table

a. Prone with the foot off the table

An os trigonum injury forms when _____________ separates from the __________. a. Stieda's process; talus b. the lateral facet; talus c. the sustentaculum tali; calcaneus d. the navicular tuberosity; navicular

a. Stieda's process; talus

What bony structure can be palpated approximately one finger's width inferior from the medial malleolus and serves as an attachment site for the spring ligament? a. Sustentaculum tali b. Navicular bone c. Cuboid d. Peroneal tubercle

a. Sustentaculum tali

Which muscle of the deep posterior compartment is responsible for controlling pronation? a. Tibialis posterior b. Flexor hallucis longus c. Flexor digitorum longus d. Soleus

a. Tibialis posterior

Which two ligaments of the collective deltoid ligament tighten during dorsiflexion of the ankle? a. Tibiocalcaneal and posterior tibiotalar b. Tibionavicular and posterior tibiotalar c. Anterior tibiotalar and tibionavicular d. Tibiocalcaneal and tibionavicular

a. Tibiocalcaneal and posterior tibiotalar

Joint stability tests (stress testing and special tests) are most accurate when they are performed how many days following injury? a. 7 to 10 days b. 4 to 7 days c. 2 to 4 days d. 1 to 2 days

b. 4 to 7 days

According to current research, what is suggested for early management of ankle sprains? a. Weight-bearing ambulation b. Pain-free range-of-motion (ROM) exercises c. Taping and bracing d. Immobilization

b. Pain-free range-of-motion (ROM) exercises

Which of the following is not contained in the anterior compartment? a. Tibialis anterior b. Peroneus longus c. Extensor hallucis longus d. Peroneus tertius

b. Peroneus longus

The ankle complex (talocrural and subtalar joints) is least stable when it is in the open-packed position, which is a combination of what two motions? a. Dorsiflexion and inversion b. Plantar flexion and inversion c. Plantar flexion and eversion d. Dorsiflexion and eversion

b. Plantar flexion and inversion

Which trauma or pathology is indicative of bony pain located anteriorly? a. Calcaneal fracture b. Tibial stress fracture c. Fibular stress fracture d. Anterior compartment syndrome

b. Tibial stress fracture

What is the normal active range of motion (ROM) for ankle plantar flexion? a. 0° to 75° b. 0° to 60° c. 0° to 50° d. 0° to 20°

c. 0° to 50°

Rearfoot inversion and eversion ROM allows ____ degrees of inversion from the neutral position and ____ degrees of eversion from neutral. a. 5; 20 b. 10; 15 c. 20; 5 d. 15; 10

c. 20; 5

Which of the following ligaments is assessed using the anterior drawer test of the ankle? a. Anterior tibiofibular b. Deltoid c. Anterior talofibular d. Calcaneofibular

c. Anterior talofibular

All of the ligaments in the ankle are actually thickenings of the joint capsule with the exception of one. Which of the following is an extracapsular ankle ligament? a. Deltoid b. Posterior talofibular c. Calcaneofibular d. Anterior talofibular

c. Calcaneofibular

Which of the following structures can be palpated just posterior to the fibular head? a. Peroneal artery b. Lateral meniscus c. Common peroneal nerve d. Peroneus longus

c. Common peroneal nerve

Which mechanism of injury is more likely to result in an injury to the lateral malleolus? a. Tensile force from plantar flexion b. Compressive force from plantar flexion c. Compressive force from eversion d. Tensile force from eversion

c. Compressive force from eversion

What test is used to evaluate the lateral translation of the talus in the ankle mortise? a. Kleiger's test b. Anterior drawer test c. Cotton test d. Talar tilt test

c. Cotton test

The talocrural joint is a modified synovial hinge joint with one degree of freedom that results in which two movements? a. Pronation and supination b. Flexion and extension c. Dorsiflexion and plantar flexion d. Inversion and eversion

c. Dorsiflexion and plantar flexion

Which of the following is the most common mechanism of injury for the distal tibiofibular syndesmosis? a. Plantar flexion and/or internal rotation of the talus b. Dorsiflexion and/or internal rotation of the talus c. Dorsiflexion and/or external rotation of the talus d. Plantar flexion and/or external rotation of the talus

c. Dorsiflexion and/or external rotation of the talus

Which of the following is not a sign/symptom of anterior compartment syndrome? a. Absence of the dorsalis pedis pulse b. Decreased ability to extend the toes c. Increased dorsiflexion strength d. Paresthesia in the web space between the first and second toes

c. Increased dorsiflexion strength

Which of the following is not a function of the fibula? a. It serves as a site of muscular origin and attachment. b. It serves as a site of ligamentous attachment. c. It provides medial stability to the ankle mortise. d. It serves as a pulley to increase the efficiency of the muscles that run posteriorly to it.

c. It provides medial stability to the ankle mortise.

Which of the following structures is not located in the deep posterior compartment? a. Tibialis posterior b. Flexor hallucis longus c. Peroneus longus d. Flexor digitorum longus

c. Peroneus longus

An athlete presents in the athletic training room with pain in the shin area. Which of the following would give you the impression that the injury may be a stress fracture? a. Diffuse pain in the area of the shin b. Night pain c. Point tenderness in the area of the shin d. Pain with rest

c. Point tenderness in the area of the shin

Which of the following disappears with an ankle sprain? a. Base of the fifth metatarsal b. Dorsalis pedis pulse c. Sinus tarsi d. Lateral malleolus

c. Sinus tarsi

Correct hand positioning for the anterior drawer test includes one hand stabilizing the leg while the other hand cups the calcaneus with the forearm supporting the foot in what position? a. Neutral b. Slight dorsiflexion (10° to 20°) c. Slight plantar flexion (10° to 20°) d. Slight inversion (5° to 10°)

c. Slight plantar flexion (10° to 20°)

In order for stress tests to achieve a high reliability, they require attention to detail when performing the test. Which of the following is the appropriate way to determine a Kleiger test? a. The knee is bent and the foot and tibia are externally rotated while the examiner maintains a stable femur. b. The foot is plantar flexed and dorsiflexed while the examiner maintains a stable leg. c. The foot and talus are externally rotated while the examiner maintains a stable leg. d. The foot and talus are internally rotated while the examiner maintains a stable leg.

c. The foot and talus are externally rotated while the examiner maintains a stable leg.

What portion of the tibialis posterior is most palpable? a. The tendon of the muscle posterior to the medial malleolus b. The muscle belly c. The muscle at its insertion d. The muscle at its origin

c. The muscle at its insertion

Functional instability of the ankle involves all of the following findings except a. proprioceptive and neuromuscular deficits. b. decreased postural control. c. abnormal stress test findings. d. decreased strength.

c. abnormal stress test findings.

The ankle must be in what position in order to palpate the dome of the talus? a. Inversion b. Eversion c. Dorsiflexion d. Plantar flexion

d. Plantar flexion

The anterior talofibular ligament limits anterior translation of the talus on the tibia and tightens to provide support during what motion? a. Inversion b. Eversion c. Dorsiflexion d. Plantar flexion

d. Plantar flexion

It takes how long after symptom onset before stress fractures are visible on standard radiographs? a. 2 weeks b. 1 week c. 6 weeks d. 3 weeks

d. 3 weeks

Which ligament is more commonly injured during supination of the ankle? a. Posterior talofibular ligament b. Calcaneofibular ligament c. Anterior tibiofibular ligament d. Anterior talofibular ligament

d. Anterior talofibular ligament

What portion of the tibia is primarily covered only by skin? a. Posterolateral b. Anterolateral c. Posteromedial d. Anteromedial

d. Anteromedial

Which ankle ligament is assessed with the talar tilt test for inversion? a. Posterior talofibular b. Anterior talofibular c. Deltoid d. Calcaneofibular

d. Calcaneofibular

When inspecting the posterior lower leg and ankle, unexplained redness and swelling of the posterior calf could indicate what pathology? a. Triceps surae strain b. Tibial stress fracture c. Achilles tendinopathy d. Deep vein thrombosis

d. Deep vein thrombosis

What is the normal end-feel for plantar flexion? a. Hard b. Bony c. Soft d. Firm

d. Firm

Which motion is not a result of closed-chain supination of the ankle? a. External rotation at the hip b. External tibial rotation c. Knee extension d. Internal rotation at the hip

d. Internal rotation at the hip

What position does the ankle need to be placed in if you want to assess the distal syndesmosis while performing the external rotation test? a. Dorsiflexion b. Plantar flexion c. Neutral d. Inversion

d. Inversion

Which position is the closed-packed position of the ankle? a. Plantar flexion b. Slight plantar flexion c. Anatomical joint neutral d. Maximal dorsiflexion

d. Maximal dorsiflexion