Causes of foot pain

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QUESTION 1 OF 8

An 18-year-old young woman presents with forefoot pain and stiffness of the 2nd metatarsal phalangeal joint. Pain worsened on axial loading of the joint. Radiographs demonstrate arthrosis and flattening of the metatarsal head.
What is the most likely diagnosis?

QUESTION ID: 1326

1. Freiberg’s disease
2. Kohler’s disease
3. Mueller–Weiss syndrome
4. Sever’s disease
5. Turf toe
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QUESTION 2 OF 8

96.A 14-year-old female hockey player presents to you with pain for 2 weeks over the 2nd MT head. On Xray, you find that the 1st MT is shorter than the second and the 2nd MTPJ space is increased. She complains of sustaining an injury to the hindfoot of the same side 2 moths prior which settled in a week, and she resumed her sporting activities.
What is the best treatment for her condition?

QUESTION ID: 3294

1. Ankle brace
2. Dorsal closing wedge osteotomy
3. Extensor digitorum arthroesis
4. Injection into the 2nd MTPJ
5. Orthosis with a metatarsal bar
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QUESTION 3 OF 8

97.A 25-year-old female presents with diffuse pain and stiffness in her right foot. She struggles with walking in the forest when she goes for hikes. The radiograph reveals the following.
What is the initial treatment that should be offered to the patient?

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QUESTION ID: 3295

1. Accommodative orthotics
2. Corrective orthotics
3. Subtalar fusion
4. Talanavicular fusion
5. Tarsal Bar resection
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QUESTION 4 OF 8

98.A 62-year-old male presents with pain in in his left ankle. He is a builder and owns his own business. He says he had an ankle injury many years ago. The xray is as shown. He wants to improve his pain but still wants to work. He has exhausted conservative management and whats surgery.
What surgery would be most appropriate?

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Figure 1 Anteroposterior(AP) radiograph ankle


QUESTION ID: 3296

1. Distal tibial osteotomy
2. Distraction arthrodesis
3. Tibiotalar calcaneal fusion
4. Total ankle arthroplasty
5. Total ankle fusion
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QUESTION 5 OF 8

99.A 49-year-old woman with chronic plantar medial pain in the region of the head of the 1st metatarsal. She undergoes corrective surgery for the same in the form of a medial sesamoidectomy. This relieves her symptoms temporarily, but the patient presents back to your clinic in 2 years with redness and pain over the medial aspect of the head of the 1st metatarsal and difficulty in wearing heels.
What is the patient’s most likely aetiology?

QUESTION ID: 3297

1. Bunionnette
2. Hallux valgus
3. Hallux varus
4. Metatarsus Adductus
5. Metatarsus Varus
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QUESTION 6 OF 8

100.The 19-year-old patient presents with a painful pes planus. Jacks test was abnormal.
The radiograph shows what radiographic sign?

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QUESTION ID: 3298

1. Anteaters sign
2. C Sign
3. Fleck sign
4. Rocker bottom
5. Too many toes sign
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QUESTION 7 OF 8

101.A 1.5-month-old baby is brought by a very concerned mother to your clinic with complains of toes turned in. Father is unavailable. Examination - Bilateral metatarsus adductus and heel bisector through the 3rd toe. No medial crease noted, and deformity is correctable at this point.
What should the advice to the mother be?

QUESTION ID: 3299

1. Passive stretching
2. Reverse lateral shoes.
3. Serial casting as per Ponsetti technique and then TA tenotomy.
4. Serial casting.
5. Tarsometatarsal osteotomy at 1 year of age.
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QUESTION 8 OF 8

104.A patient presents with an acute onset of pain under the 2nd metatarsal head 4 weeks ago. The patient the developed the diffuse callosity under the metatarsal head as seen in the picture.
What is the most likely diagnosis? 

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QUESTION ID: 3302

1. Bursitis
2. Intractable plantar keratosis
3. Mallet toe
4. Morton’s Neuroma
5. Plantar plate rupture
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