8. Foot and Ankle MCQs

The Lisfranc ligament is critical for midfoot stability. Which of the following accurately describes the anatomic attachments of the Lisfranc ligament?

A 40-year-old recreational athlete sustains an acute Achilles tendon rupture. During non-operative management with functional bracing, what is the optimal foot position during the initial weeks of immobilization?

During open reduction and internal fixation of a Weber C ankle fracture, the surgeon performs a hook test which demonstrates widening of the tibiofibular clear space. A syndesmotic screw is planned. What is the recommended position of the ankle during syndesmotic screw fixation?

Which of the following radiographic findings on a weight-bearing AP view of the foot is most indicative of a subtle Lisfranc injury?

A 45-year-old construction worker falls from a height and sustains an axial load injury to his foot. Radiographs reveal widening of the space between the base of the first and second metatarsals. What is the key stabilizing ligament injured in this condition?

A 35-year-old runner complains of sharp heel pain, worst with the first steps in the morning. Examination reveals tenderness at the medial tuberosity of the calcaneus. Initial conservative management fails. What is the most common histological finding in this condition?

A collegiate football player sustains a hyperplantarflexion injury to his midfoot. Weight-bearing radiographs show widening of the space between the first and second metatarsal bases. What is the primary ligamentous structure disrupted in this injury?

A 40-year-old male feels a sudden pop in his right heel while playing basketball. Examination reveals a positive Thompson test and a palpable gap in the tendon. If non-operative management is selected, what is the most appropriate initial immobilization position?

A 35-year-old male falls from a height and presents with severe midfoot pain and plantar ecchymosis. Radiographs reveal a diastasis between the first and second metatarsals. The Lisfranc ligament, critical for midfoot stability, primarily connects which two osseous structures?

A 42-year-old male feels a "pop" in his lower calf while playing squash. He presents to the clinic with an inability to perform a single-leg heel raise. The Thompson test is positive. Which of the following best describes a positive Thompson test?

A 71-year-old man who has a 40-pack-year smoking history presents to the GP with shortness of breath and bilateral ankle swelling. On examination he has a blood pressure of 145/90 mmHg, a plethoric face and bilateral coarse wheeze on auscultation of the chest. There is pitting oedema affecting both ankles. Which of the following has proved mortality benefit in this condition?

A 60-year-old diabetic patient presents with a warm, swollen, erythematous foot without ulceration. Radiographs show periarticular fragmentation, subluxation, and bony debris at the tarsometatarsal joints. According to the Eichenholtz classification, what is the appropriate initial management?

During open reduction and internal fixation of a supination-external rotation type IV ankle fracture, the surgeon assesses the syndesmosis. Which intraoperative fluoroscopic finding best indicates a reduced syndesmosis?

A 42-year-old man presents with a right-sided L5 radiculopathy due to a herniated nucleus pulposus. Which physical examination finding is most specific for an isolated L5 nerve root compression?

Which of the following is the most common finding in diastematomyelia:

Which of the following most definitively makes the diagnosis of Sever disease: