CLINICAL MEDICINE EXAM 1
QUESTIONS AND CORRECT
DETAILED ANSWERS
FOOT ON THIS SLIDE:
Right foot- rigid equinus
Left foot- equinovarus
Atrophic muscle mass. Might have some lower motor neuron injury. Toes are fairly straight, no
digital deformity - ANS -Identify the right foot and the left foot conditions
Hallux Valus and hammertoe on digits 2-4 - ANS -Identify condition
Fasciculations occur when motors are deinnervated on their own and it looks like muscle
twitching, they have no brain involvement and cannot be controlled. - ANS -Fasciculations
Weight is on the side of the ankle.
Left foot:
Rigid equinus
Hypoplasia of musculature of foot
Right foot: club foot (rigid position) - ANS -Conditions: R vs. L?
Ankle Joint ROM - ANS -What is this test?
STJ ROM Test - ANS -
,Hold above the ankle and the heel and move it side to side - ANS -STJ ROM Test
Hold the MT part and move the hallux dorsiflex and plantarflex - ANS -1st MPJ ROM
1st MPJ ROM Test - ANS -
Muscle Tonus Testing - ANS -
Hyperpigmentation due to venous insufficiency:
veins and valves are not working well due to weight of the column of blood and it crushes some
of the RBC and it bursts. Iron containing Hb get caught into the dermis and get stuck there
accumulating over the years causing the dark brown coloration.
Atrophie blanc present - ANS -Identify
Atrophie blanche is the name given to a particular type of scar arising on the lower leg. It occurs
after a skin injury when the blood supply is poor. It may arise in association with: Livedoid
vasculopathy. Venous insufficiency. - ANS -Atrophie blanche
Erythema:
Redness: due to infection. Line separates erythmous skin and non. Goal is to see it receding with
medications - ANS -
Pitting Edema: You press your finger into the leg and the pit will stay
deep vein thrombosis, venous insufficiency, and early lymphedema usually pit.
, Unilateral for DVT
cardiogenic - ANS -
Hyperkeratoses-Body's response to pressure in the stratum cornea - ANS -
Hyperkeratoses: Corn
Hyperkeratotic papule
Hyperkeratotic (thickening of the stratum cornea) and papule (something you can feel). - ANS -
What is this
Callus
Synonyms
Keratoma
Intractable Plantar Keratosis (IPK)
Tyloma
Calluses develop from forces over a larger area - ANS -
Treatment for corns and calluses - ANS -
HYDRATION: Xerosis: dry skin - ANS -
Tinea Pedis/ Athelete's Foot/ Fungal Infection of the Foot
QUESTIONS AND CORRECT
DETAILED ANSWERS
FOOT ON THIS SLIDE:
Right foot- rigid equinus
Left foot- equinovarus
Atrophic muscle mass. Might have some lower motor neuron injury. Toes are fairly straight, no
digital deformity - ANS -Identify the right foot and the left foot conditions
Hallux Valus and hammertoe on digits 2-4 - ANS -Identify condition
Fasciculations occur when motors are deinnervated on their own and it looks like muscle
twitching, they have no brain involvement and cannot be controlled. - ANS -Fasciculations
Weight is on the side of the ankle.
Left foot:
Rigid equinus
Hypoplasia of musculature of foot
Right foot: club foot (rigid position) - ANS -Conditions: R vs. L?
Ankle Joint ROM - ANS -What is this test?
STJ ROM Test - ANS -
,Hold above the ankle and the heel and move it side to side - ANS -STJ ROM Test
Hold the MT part and move the hallux dorsiflex and plantarflex - ANS -1st MPJ ROM
1st MPJ ROM Test - ANS -
Muscle Tonus Testing - ANS -
Hyperpigmentation due to venous insufficiency:
veins and valves are not working well due to weight of the column of blood and it crushes some
of the RBC and it bursts. Iron containing Hb get caught into the dermis and get stuck there
accumulating over the years causing the dark brown coloration.
Atrophie blanc present - ANS -Identify
Atrophie blanche is the name given to a particular type of scar arising on the lower leg. It occurs
after a skin injury when the blood supply is poor. It may arise in association with: Livedoid
vasculopathy. Venous insufficiency. - ANS -Atrophie blanche
Erythema:
Redness: due to infection. Line separates erythmous skin and non. Goal is to see it receding with
medications - ANS -
Pitting Edema: You press your finger into the leg and the pit will stay
deep vein thrombosis, venous insufficiency, and early lymphedema usually pit.
, Unilateral for DVT
cardiogenic - ANS -
Hyperkeratoses-Body's response to pressure in the stratum cornea - ANS -
Hyperkeratoses: Corn
Hyperkeratotic papule
Hyperkeratotic (thickening of the stratum cornea) and papule (something you can feel). - ANS -
What is this
Callus
Synonyms
Keratoma
Intractable Plantar Keratosis (IPK)
Tyloma
Calluses develop from forces over a larger area - ANS -
Treatment for corns and calluses - ANS -
HYDRATION: Xerosis: dry skin - ANS -
Tinea Pedis/ Athelete's Foot/ Fungal Infection of the Foot
