eQuizShow

PCP 1

Legislation and interview

Question:

Under scope of practiceguidelines provided from the Podiatry Board of New Zealand a Podiatrist is....



Answer: A registered primary health care practitioner (including those previously registered as a chiropodist) who utilises medical, physical, palliative and surgical means other than those prescribed in the Podiatric Surgeon Scope of Practice, to provide diagnostic, preventative and rehabilitative treatment of conditions affecting the feet and lower limbs


Question: What is the purpose of the Health Practitioners Competence Assurance Act (HPCAA) 
Answer: To protect the health and safety of members of the public by providing for mechanisms to ensure that health practitioners are competent and fit to practice their professions

Question: What is the main purpose of the Health and Disability Commissioners Act?
Answer:
Promotes education on patients rights
Provides for advocates to negotiate problems
Provides for investigators of complaints against providers



Question: There are 5 aims of the patient interview, list the 5 specific aims
Answer:
To identify the presenting problem or chief 
complaint (CC) 
 To form a wider “clinical picture” which may 
influence CC or treatment plan
To identify possible aetiology of the CC
 To determine appropriate clinical assessments
 Gain the patient’s trust and confidence in the 
practitioner



Question: List the exact questions asked for PQRST


Answer:
Position / Provocation
– Where does the pain 
or symptoms occur?
– Ask the patient to 
point to the area
– What triggers patient’s symptoms?

Quality / Quantity
– What does the 
symptom feel like?
– Are you experiencing the 
symptoms right now?
– Does the symptom 
affect your normal 
activities and if so to what degree?

Relieves/Exacerbates
– What do you do to make it better?
– What makes it feel worse?

How severe is the symptom?   
- How would you rate it from 1-10?
– Is it getting worse, better or staying the  same?

Timing/Treatment 
– When did the symptoms begin?
Sudden or gradual onset?
– Occurrence and duration?
– What treatment have you sought to date?





Skin and Nails

Question: List the layers of the skin starting at the most superficial layer
Answer: Stratum Corneum
Stratum Granulosum
Stratum Spinulosum
Stratum Basale


Question: 7 Facts about the nail bed 
Answer:
Extends from lunula to hyponychium
Does not contribute to formation of nail plate
Nail plate attached via corrugations on ventral surface of plate which correspond with nail bed
As new nail is produced plate glides over the nail bed
Rich source of  nutrients/blood vessels giving pink colour
Epidermis of nail bed does not possess granular layer - but can form in certain pathological states
So nail bed does not become keratinized other than in certain disease states



Question: What is the HYPONYCHIUM? 
Describe what it is, it's function and relevance to us


Answer: Epidermal tissue distal to nail bed Tissue connecting distal ventral plate to apex of nail bed. (distal nail fold) Functions as a distal seal to under surface of nail Punctured by too short.  Affected by biomechanical conditions Plantar Pressure causes nail plate to 

Question: What are the distinguishing features of verruca?
Answer:
Relatively rapid onset
May or may not be present under bony prominences
Skin lines pass around lesion
Maximum pain on squeezing side to side
End arteries visible on paring
Rapid recurrence after shaving and padding


Question: List the Indications, compositions and contraindications for salicylic acid and silver nitrate
Answer:

Indications

 Salicylic Acid

-Treatment of VP, HD

Causes maceration of stratum

corneum allowing permeation into 

the lower layers of epidermis

where it has a necrotic effect on

cells undergoing keratinisation


Silver Nitrate

Treatment of VP

Superficial effect through

reaction with constituents

of sweat. Causes shrinkage

of denuded skin forming a

black eschar which is then

debrided.

Composition

Salicylic Acid

A light feathery crystalline powder

mixed into a soft paraffin base

(usually at 60% for treatment of VP)

Silver Nitrate

In the form of a

toughened stick produced

by fusing 75% silver

nitrate with 25%

potassium nitrate

Contra Indications

Salicylic Acid

Can cause ulceration. Care must be 

taken to mask healthy skin

surrounding the lesion to be

treated. Should not be left on for

more than 48 hours.

Silver Nitrate

Should not be used on

sensitive skin or

interdigitally. Black eschar

may be unsightly to

patient.




Abbreviations

Question: What does HD, HMIL and HMolle stand for and describe its general name
Answer: HD - Heloma Durum - Hard Corn
HMIL- Heloma Millaire - Seed corn 
HMolle - Heloma Molle - Soft Corn 


Question: What does O/C, O/G and O/X stand for
Answer:
O/C = Onychocryptosis
 O/G = Onychogryphosis
 O/X = Onychauxis


Question: What does C.P.P and V.P.T stand for 

(clue - neuro)

Answer:
C.P.P = Cutaneous Pressure Perception
V.P.T = Vibration Perception Threshold


Question: What does MRSA stand for
Answer: Methicillin-resistant Staphylococcus aureus

Question: What does PNA and TNA stand for 
Answer: PNA - Partial Nail Avulsion 
TNA - Total Nail Avulsion 


Objective Assessments

Question: Name the neurological assessments you have completed
Answer: Monofilament
Biosthesiometer
Achilles reflex
Babinksi Reflex
Patella Reflex 


Question: Is the biosthesiometer used to detect if a patient is at risk of ulceration - how? 
Answer: Yes - by testing deep nerve fibers for sensory change

Question: Motor Neuropathy is described as 
Answer:
Weakness of intrinsic muscles causing imbalance
Results in claw toe deformity and prominent metatarsal heads
Often leads to callus and corns on apices of toes and metatarsal head area
Eventually ulceration due to unperceived micro trauma


Question: What does the following term mean
Allodynia
Hyperalgesia
Cold Hyperalgesia
Heat Hyperalgesia

Answer:
• Allodynia – painful sensation from non-painful stimuli OR loss of 
perception to light touch
• Hyperalgesia – enhanced response to sharp pricking stimuli
• Cold hyperalgesia – loss or enhanced cold sensation
• Heat hyperalgesia – loss or enhanced heat sensation


Question: When conducting the objective testing what are the protocols should be observed: (4)
Answer:

• Explain to patient what assessments you intend to perform and the reasons for 
performing each particular test.
• Obtain patient verbal consent to begin physical examination/assessment.
• Collect all required equipment before beginning.
• Explain the results of each assessment to the patient in laypersons terms.


Lucky Dip

Question:
What are the names of my 2 children

Answer: Michelle 
Ashleigh


Question: What was the final netball score between Aus and NZ played on Saturday night 
Answer:
47-34 Australia



Question: If someone suffers from podophobia what are they scared of
Answer: Feet

Question: What day of the Week will Christmas be on this year
Answer: Thursday

Question: What is the Maori word for Feet
Answer:
Wae Wae