BPK 241 CORE MAIN EXAMS QUESTIONS AND
ANSWERS SURE A+
✔✔Achilles Tendinopathy - ✔✔SSx: pain, stiffness, tendon feels warm, weakness with
resisted plantar flexion, morning stiffness or after sitting
chronic (thickening)
Tx: address biomechanical issues, footwear, orthotics, RICE, ultrasound, cross friction
massage, eccentric loading
✔✔Achilles Rupture - ✔✔Hx: associated in stop and go sports, usually over 30,
associated history of chronic inflammatory, Achilles tendinopathy
SSx: snap, pop, feeling like kicked, point tenderness, discolouration, swelling, toe
raising IMPOSSIBLE, indent, positive Thompson test
Tx: hospital ASAP, surgery requirements: active, within 1 cm, rehab: full year usually
✔✔Shin Splints - ✔✔Hx: hard surfaces, poor footwear, overweight, heredity, over/under
pronation
SSx: aching pain, worse with activity, tenderness
DDx: Stress fracture, Anterior compartment syndrome
Tx: Rest, NSAIDs, physio, orthotics if needed, correct other factors, gradual return to
activity
✔✔1st degree Shin Splints - ✔✔dull pain 2-3 hours after activity
✔✔2nd degree Shin Splints - ✔✔pain before and after exercise, doesn't affect
performance
✔✔3rd degree Shin Splints - ✔✔pain before, during and after exercise, affects
performance
✔✔4th degree Shin Splints - ✔✔severe pain, can't participate
✔✔Compartment Syndrome - ✔✔Hx: fracture, tight casts, burn, contusion, tumour,
overuse
SSx: pain (deep) worse with exercise, slow to resolve, tenderness, weakness,
numbness of foot, diminished circulation
✔✔5 P's of Compartment Syndrome - ✔✔Pain, Paresthesias (pressure), Paralysis,
Pallor (pale colour), Pulselessness
✔✔Acute Compartment Syndrome - ✔✔Pressure remains over 30 mm of Hg at all times
Tx: potential surgery emergency, NPO and transport to MD ASAP, may need
fasciotomy
then treat as for subacute
ANSWERS SURE A+
✔✔Achilles Tendinopathy - ✔✔SSx: pain, stiffness, tendon feels warm, weakness with
resisted plantar flexion, morning stiffness or after sitting
chronic (thickening)
Tx: address biomechanical issues, footwear, orthotics, RICE, ultrasound, cross friction
massage, eccentric loading
✔✔Achilles Rupture - ✔✔Hx: associated in stop and go sports, usually over 30,
associated history of chronic inflammatory, Achilles tendinopathy
SSx: snap, pop, feeling like kicked, point tenderness, discolouration, swelling, toe
raising IMPOSSIBLE, indent, positive Thompson test
Tx: hospital ASAP, surgery requirements: active, within 1 cm, rehab: full year usually
✔✔Shin Splints - ✔✔Hx: hard surfaces, poor footwear, overweight, heredity, over/under
pronation
SSx: aching pain, worse with activity, tenderness
DDx: Stress fracture, Anterior compartment syndrome
Tx: Rest, NSAIDs, physio, orthotics if needed, correct other factors, gradual return to
activity
✔✔1st degree Shin Splints - ✔✔dull pain 2-3 hours after activity
✔✔2nd degree Shin Splints - ✔✔pain before and after exercise, doesn't affect
performance
✔✔3rd degree Shin Splints - ✔✔pain before, during and after exercise, affects
performance
✔✔4th degree Shin Splints - ✔✔severe pain, can't participate
✔✔Compartment Syndrome - ✔✔Hx: fracture, tight casts, burn, contusion, tumour,
overuse
SSx: pain (deep) worse with exercise, slow to resolve, tenderness, weakness,
numbness of foot, diminished circulation
✔✔5 P's of Compartment Syndrome - ✔✔Pain, Paresthesias (pressure), Paralysis,
Pallor (pale colour), Pulselessness
✔✔Acute Compartment Syndrome - ✔✔Pressure remains over 30 mm of Hg at all times
Tx: potential surgery emergency, NPO and transport to MD ASAP, may need
fasciotomy
then treat as for subacute
