1. 1. A patient has pain on the plantar aspect of the heel with weight bearing after rest.
The pain is worsened with dorsiflexion of the foot.What is the initialtreatment for this
patient?
a. A series of steroid injections
b. Avoiding all high-impact activities
c. Night splints
d. Wearing flat shoes only:
Answer B
This patient has signs of plantar fasciitis. The initial treatment includes avoiding all highimpact activities. A single steroid injection may be given with subsequentinjections if no
improvement. Night splints are part of second-tier treatment. Flat shoes should be
avoided.REF: Plantar Fasciitis/Management
2. 2. A patient injures an ankle while playing soccer and reportsrolling the footinward while
falling with immediate pain and swelling of the lateral part of thejoint. The patient is able to
bear weight and denies hearing an audible soundat the time of injury.What does this
history indicate?
a. Likely ankle sprain with a possible fracture
b. Mild ankle injury without fracture
c. Mild soft tissue injury only
d. Serious ankle injury with certain fracture:
Answer A
Immediate swelling of the joint raises the index of suspicion for a fracture or a substantial
amount of joint involvement.Without radiographs, none of these possibilitiescan be
confirmed.
3. 3. A patient who is a distance runner reports pain in one heel that is worse inthe morning
and seemsto improve with exercise.The provider noteslocalizedswelling
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