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Surgery Rotation OSCE exam with correct answers
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Surgery Rotation OSCE exam with correct answers
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Surgery Rotation OSCE exam withcorrect answers
What is the term for "pain on first step" that often is associated with heel pain?
- .......🔷ANSWERS🔶......✔✔ Post static dyskinesia
What should you check for in the clinical presentation of heel pain? - .......🔷ANSWERS🔶......✔✔
Post static dyskinesia
Hyperesthesias
Radiating pain
History of inflammatory arthritide (joint inflammation)
Posterior heel bony prominence/bursa
Term which means "excessive physical sensitivity to pain" - .......🔷ANSWERS🔶......✔✔
Hyperesthesia
Where would you expect a patient suffering from plantar fasciitis to have tender palpation in the
physical exam? - .......🔷ANSWERS🔶......✔✔ 1) Localized, centralized or along the plantar fascia
2) Along the plantar medial tuberosity
3) Directly plantar to the calcaneal tuberosity
Are pronated or supinated foot types more likely to have plantar heel pain?
- .......🔷ANSWERS🔶......✔✔ Pronated
What may happen to the fat pad in a patient with heel pain? - .......🔷ANSWERS🔶......✔✔ It may
have atrophy
Differential Diagnosis of Heel Pain: - .......🔷ANSWERS🔶......✔✔ Plantar fascia tear
Tarsal tunnel syndrome
,Baxter's nerve entrapment
Calcaneal stress fracture
Calcaneal cysts
Soft tissue mass
Short flexor tendon tear
Gout
Systemic arthritis (lupus, rheumatoid arthritis, posiatic arthritis)
What is Baxter's nerve? - .......🔷ANSWERS🔶......✔✔ The first branch of the lateral plantar nerve
What is a normal AP talocalcaneal angle in a <5 YO? - .......🔷ANSWERS🔶......✔✔ 30-50
What is a normal talocalcaneal angle is a > 5 YO? - .......🔷ANSWERS🔶......✔✔ 15-40
What is the normal calcaneal inclination angle? - .......🔷ANSWERS🔶......✔✔ 30 degrees
What is the normal talar declination angle? - .......🔷ANSWERS🔶......✔✔ 22 degrees
What is Meary's angle? - .......🔷ANSWERS🔶......✔✔ It is the angle between line drawn from the
centers of longitudinal axes of the talus and the first metatarsal.
What is Meary's angle used for? - .......🔷ANSWERS🔶......✔✔ Determining flat or cavus feet
A Meary's angle of 1-15 degrees means what? - .......🔷ANSWERS🔶......✔✔ Pes planus
A negative meary's angle means what? - .......🔷ANSWERS🔶......✔✔ Pes cavus
What is the cyma line? - .......🔷ANSWERS🔶......✔✔ A line that separates the midfoot from the
hindfoot
, What cyma line does a pronated foot have? - .......🔷ANSWERS🔶......✔✔ Anterior break
What cyma line does a supinated foot have? - .......🔷ANSWERS🔶......✔✔ Smooth S shape
What is Bohler's angle? - .......🔷ANSWERS🔶......✔✔ Böhler angle, also written as Bohler angle or
Boehler angle, is also called as calcaneal angle or tuber joint angle, is the angle between two lines
tangent to the calcaneus on the lateral radiograph. These lines are drawn tangent to the anterior and
posterior aspects of the superior calcaneus.
What is a normal Bohler's angle? - .......🔷ANSWERS🔶......✔✔ Between 20 to 40 degrees
What does a Bohler's Angle of less than 20 degrees signify? - .......🔷ANSWERS🔶......✔✔ A
calcaneal fracture
What is seen in a (both clinically and in a radiograph) of rheumatoid arthritis?
- .......🔷ANSWERS🔶......✔✔ Symmetrical joint space narrowing
Marginal erosions without martel sign nor sclerotic rim
Osteopenia
Subluxations
Soft tissue swelling from the pennas
Bilaterally symmetrical pattern of distrubiton
What is DISH? - .......🔷ANSWERS🔶......✔✔ Diffuse idiopathic skeletal hyperostosis (DISH)
It's a non-inflammatory spondyloarthropathy; a bony hardening (calcification) of ligaments in areas
where they attach to your spine
What is seen radiographically with psoriatic arthritis? - .......🔷ANSWERS🔶......✔✔ Fusiform soft
tissue swelling
JS narrowing w/ or w/o anklyosis
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