Deck 20: Ankle Joint and Foot

Question 1

Excessive wear and damage to the medial side of a person's shoe would be attributed to which positional fault of the ankle?

A) Calcaneal varus
B) Calcaneal valgus
C) Pes planus
D) Pes cavus

Answer 1

Calcaneal valgus

Question 2

If a patient has damage to the nerve supplying the anterior compartment of the lower leg,you would expect to focus efforts on strengthening which group of muscles?

A) Ankle evertors
B) Ankle plantar flexors
C) Toe flexors
D) Ankle dorsiflexors

Answer 2

Ankle dorsiflexors

Question 3

As you descend stairs leading with your right foot,describe what is happening at the left ankle.

A) Concentric contraction of the left ankle dorsiflexors
B) Eccentric contraction of the left ankle plantar flexors
C) An open chain activity of the left ankle muscles
D) The left ankle dorsiflexors are becoming actively insufficient.

Answer 3

Eccentric contraction of the left ankle plantar flexors

Question 4

Which of the following would be an effective closed chain exercise for strengthening all muscles of the ankle and foot?

A) Mini squats
B) Step-ups
C) Lunges
D) All of the above

Question 5

The soleus has which of the following actions?

A) Knee flexion
B) Ankle inversion
C) Ankle plantarflexion
D) B and C

Question 6

With an ankle sprain,the most common direction of the twist and the tissue damaged is which of the following?

A) Rolling to an everted position and spraining the deltoid ligament
B) Rolling to an everted position and spraining the lateral ligament
C) Rolling to an inverted position and spraining the deltoid ligament
D) Rolling to an inverted position and spraining the lateral ligament

Question 7

Walking on the lateral borders of your feet involves an isometric contraction of which group of muscles at the ankle?

A) Ankle evertors
B) Ankle plantar flexors
C) Ankle dorsiflexors
D) Ankle invertors

Question 8

You are asked to strengthen the muscles that support the arch of the foot (stirrup muscles).You would choose exercises for which of the following pairs of muscles?

A) Peroneus longus and anterior tibialis
B) Anterior tibialis and posterior tibialis
C) Peroneus longus and extensor hallucis longus
D) Peroneus longus and peroneus brevis

Question 9

Which muscle originates from the posterior tibia and inserts on the distal phalanges of the four lesser toes?

A) Tibialis posterior
B) Flexor digitorum longus
C) Flexor hallucis longus
D) Dorsal interossei

Question 10

Which muscle originates on the fibula and runs behind the lateral malleolus to the base of the fifth metatarsal?

A) Peroneus brevis
B) Peroneus tertius
C) Tibialis anterior
D) Tibialis posterior

Question 11

Your patient has suffered a sprain to the deltoid ligament,and you are asked to strengthen muscles on the same side of the ankle.Which of the following exercises would best achieve this?

A) Seated with cuff weight around dorsum of foot,evert foot
B) Seated with cuff weight around dorsum of foot,invert foot
C) Seated with cuff weight around dorsum of foot,dorsiflex foot
D) Seated with cuff weight around dorsum of foot,plantarflex foot

Question 12

Leaning into the wall with the left foot behind and the left knee bent is isolating a stretch to which muscle of the lower leg?

A) Soleus
B) Gastrocnemius
C) Plantaris
D) Popliteus

Question 13

Which muscle originates on the posterior tibia and fibula and inserts on the posterior calcaneus?

A) Gastrocnemius
B) Soleus
C) Plantaris
D) Flexor digitorum longus

Question 14

Which muscle has its origin on the lateral tibia and interosseus membrane and inserts on the first cuneiform and first metatarsal?

A) Anterior tibialis
B) Posterior tibialis
C) Extensor hallucis longus
D) Extensor digitorum longus

Question 15

Your patient had a short leg cast that was too tight and bruised the superficial peroneal nerve.You would expect weakness in which of the following muscles?

A) Extensor digitorum longus
B) Anterior tibialis
C) Peroneus longus
D) Gastrocnemius

Question 16

The supporting ligament on the medial side of the ankle joint is called the

A) spring ligament.
B) deltoid ligament.
C) lateral ligament.
D) plantar aponeurosis.

Question 17

Which intrinsic muscle is the only intrinsic located on the dorsal surface of the foot?

A) Abductor hallucis
B) Lumbricales
C) Extensor digitorum brevis
D) Flexor digiti minimi

Question 18

Which muscle originates on the posterior interosseus membrane and inserts on the navicular and most tarsals and metatarsals?

A) Anterior tibialis
B) Flexor digitorum longus
C) Posterior tibialis
D) Peroneus longus

Question 19

Ankle inversion is accomplished by the action of the

A) peroneus brevis.
B) anterior tibialis.
C) posterior tibialis.
D) B and C

Question 20

The majority of the intrinsic muscles of the foot are innervated by which of the following nerves?

A) Medial and lateral plantar nerves
B) Superficial peroneal nerve
C) Femoral nerve
D) Deep peroneal nerve

Question 21

Shin splints is an overuse syndrome that can be caused by which of the following?

A) Sports that involve repetitive jumping
B) Running on tiptoes
C) Running on hard surfaces
D) Any of the above

Question 22

The toe pathology characterized by pain and numbness typically between the third and fourth metatarsals,is which of the following?

A) Turf toe
B) Metatarsalgia
C) Morton's neuroma
D) Hammer toe