Podiatry and Medical - Set 2 - Question List

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186. What is the optimal management of a fracture-dislocation of the tarsal-metatarsal joint, also known as Lisfranc’s joint?
  1. Posterior splint, with orthopedic follow-up as needed
  2. Urgent orthopedic consultation for possible open reduction and internal fixation
  3. Splint the patient in equinus and follow up with orthopedics in 2 to 3 days
  4. Cast the foot and follow up with orthopedics in 2 to 3 days
187. A fracture at which of the following sites is most likely to be associated with a disruption of the midfoot?
  1. Base of the second metatarsal
  2. Calcaneus
  3. Base of the fifth metatarsal
  4. Navicular
188. Regarding Achilles tendon rupture, all of the following statements are true except:
  1. Thompson’s test is usually positive
  2. A palpable tendon defect is usually present
  3. Active plantar flexion excludes the diagnosis
  4. Patients frequently report hearing a snap at the time of injury
189. What compartment pressure indicates the need for fasciotomy in a patient with suspected compartment syndrome?
  1. 3 mm Hg
  2. 10 mm Hg
  3. 15 mm Hg
  4. 30 mm Hg
190. In a patient with a laceration that causes an 8-cm cut on the medial plantar aspect of the left foot, which peripheral nerve block is appropriate?
  1. Saphenous nerve
  2. Sural nerve
  3. Posterior tibial nerve
  4. Superficial peroneal nerve

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