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Lower Extremity Technique (4hrs) ~ Jason Kelberman DC Back To Chiropractic CE Seminars Please list your answers, letter choices only, in a NUMBERED vertical column and email to: [email protected] Please DO NOT scan tests or test answers, simply just type in answers in an email. 1. A 2. B 3. C 4. Etc. 40 Questions ~ Choose the best answer according to the notes. Questions 5, 10, 15, 20, 25, 30, 35 and 40 are fill-ins, just write your answer. 1. How many bones are there in the foot? A. 26 B. 32 C. 52 D. 9 2. Which is not a tarsal bones? A. Phalange B. Calcaneus C. Talus D. Cuboid 3. Which bones makes up the metatarsal or transverse arch? A. Navicular B. Metatarsals C. Cuneiforms 4. How many arches are there in the human foot? A. 4 B. 2 C. 3 D. Phalanges D. 1 5. Fill-in Question. Name the 3 arches of the foot. 6. Which group of bones are the ones you will most likely be adjusting? A. Phalanges B. Metatarsal C. Tarsals D. Fibula 7. Which bones make up the medial longitudinal arch? A. 1st phalange B. 5th phalange C. tibia D. a Navicular and cuneiform 8. What is pes planus? A. Pez dispenser D. Greek feet 9. B. plain feet C. Flat foot What percentage of the bones in the whole body are the feet? A. 5% B. 10% C. 15% D. 25% 10. Fill-in Question. What is a positive Helbing’s sign and how does it relate to flat feet? 11. Which of the following can have a Cavus foot? A. Spondylolisthesis B. Kissing Spinous C. Bell’s Palsy D. Charcot-Marie-Tooth or peripheral neuropathy 12. What race is more likely to have pes planus? A. Asian B. Caucasian C. African American D. Mexican 13. Why is a Cavus foot just as problematic as a flat foot? A. Joint Instability B. Weight bearing is uniform throughout the foot C. Less common D. There is excessive amount of weight on the ball and heel of the foot when walking or standing 14. The arch of a Cavus foot will appear high even when standing. In addition, one or more of the following symptoms may be present: A. Hairy feet B. Ingrown toe nail C. Calluses on the ball, side, or heel of the foot and pain when standing or walking due to hammertoes or claw toes D. dropped navicular 15. Fill-in Question. Which bones make up the ankle joint? 16. Which are the muscles of the dorsal foot and calf? A. Tibialis anterior, Extensor hallucis and digitorum longus C. biceps femoris B. Abductor hallucis longus D. Gastrocnemius 17. Which is the most important muscles that stabilize the impact of the heel strike? A. Flexor hallucis longus B. Tibialis posterior C. Peroneus tertius D. Tibialis anterior 18. As a treating physician why would it be important for you to know whether a patient is hypermobile or hypomobile? A. The patient is parasympathetic B. It tells you the patient is sympathetic dominant. C. Factor in predicting their cash fee. D. There is more tissue slack to take out before adjusting a hypermobile patient and you may elect to use alternative adjusting techniques. 19. In the ROM of the foot and ankle, which ROM has the most ROM? A. Eversion B. Dorsiflexion C. Inversion D. Plantar flexion 20. Fill-in Question. How do you perform Buerger’s test to rule out vascular insufficiency? 21. The transverse arch of the foot is maintained by the strength and integrity of these muscles? A. Flexor Hallucis Longus B. Flexor Digitorum Longus C. Tibialis Posterior & Peroneus Longus D. Tibialis Anterior 22. The two most important things to look for in a shoe are: A. Strong Counter & torsional stability C. Tough tread design B. Color and lacing pattern D. Soft foot bed 23. Most common causes for weakness of the peroneal group are? A. L5 subluxation B. Deltoid ligament tear, stretch, instability, disuse atrophy or fibula subluxation. C. Sacroiliac joint subluxation D/ Navicular Subluxation 24. Muscle Activity from heel strike to flat foot is: A. eccentric, decelerates plantar flexion and controls pronation B. concentric C. parasympathetic D. innately controlled 25. Fill-in Question. Some of the best ways to strengthen the plantar muscles are? 26. If you adjust a subluxated cuboid, which muscle should be enhanced in function? A. Peroneus longus B. Tibialis anterior C. Gluteus Maximus D. Gluteus Medius 27. If you adjust an inferiorly subluxated navicular which muscle should be enhanced? A. Psoas B. Tibialis posterior C. Peroneus brevis D. Gastrocnemius 28. What is the best direction to adjust an inferiorly subluxated navicular? A. Anterior B. Superior. C. Inferior D. Posterior 29. If you adjust a posterior subluxed fibula which muscles should be enhanced? A. Biceps Femoris B. Peroneus Longus C. Adductor Magnus D. Abductor Hallucis 30. Fill-in Question. If your patient has non traumatic pes planus what is the most likely direction the fibula will sublux? 31. If there is a problem with the transverse arch which way are the cuneiforms likely to sublux? A. lateral B. inferior C. superior D. medially 32. If you are treating a patient with plantar fasciitis which muscles are very likely involved? A. flexors hallucis and digitorum longus, tibialis posterior & anterior B. Achilles tendon C. Gastrocnemius D. Sartorius 33. Why is a heel spur so common at the insertion of the plantar fascia into the calcaneus? A. Lowest point of the body B. Calcification of the tendon in response to impact stress C. Arthritic change D. Poor circulation 34. When you teach your patients how to properly get up from a chair, what muscles do you teach them to contract first? A. Quadriceps B. Gluteus Medius C. Plantar flexors especially Flexor Hallucis Longus D. opponens policis 35. Fill-in Question. Name the 4 bones that make up the knee joint and tell me which is not weight bearing? 36. Knee Valgus is more common than Varus and frequently goes along with? A. Flat feet B. Cavus Feet C. Short feet D. Supinating Feet 37. The knee is not a pure hinge joint. It has a screw home mechanism that is controlled primarily by which muscle? A. Gastrocnemius B. Popliteus C. Peroneal group D. Extensor Hallucis Longus 38. Which knee ligament is hardest to palpate? A. Medial Collateral C. Lateral Collateral B. Anterior Cruciate D. Inferior Patellar 39. Why would you use kinesiotape on the knee? A. Looks cool B. It helps stabilize and reduce inflammation C. It’s a placebo D. You can charge extra for the service. 40. Fill-in Question. Patellofemoral tracking issues are very common. Tell me which specific muscle you think is typically involved and how treating the feet and teaching your patients proper squatting techniques could help them? Please list your answers, letter choices only, in a NUMBERED vertical column and email to: [email protected] Please DO NOT scan tests or test answers, simply just type in answers in an email. 1. A 2. B 3. C 4. Etc. Thanks so much for taking this course with Back To Chiropractic CE Seminars Once you email your answers your certificate will be emailed back to you within 24 hours. Be Well Marcus Strutz DC Back to Chiropractic CE Seminars