To finish the Tendon module you must now successfully complete the following case quiz. The content of the quiz directly relates to the module you have just done. You must answer each of the ten questions correctly to complete the module. There is no time limit – and you can attempt the quiz as many times as you need.
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Question 1 of 10
Pedro is a 27-year-old professional football player. He comes to see you with pain in the region of his right Achilles tendon.
Which of the following symptoms is most characteristic of Achilles tendinopathy?CorrectIncorrect
Question 2 of 10
Based on his initial description of his symptoms, you think that it is likely that he has Achilles tendinopathy. You wonder why this might have developed and ask him some more questions.
Which of the following findings is a risk factor for developing tendinopathy?CorrectIncorrect
Question 3 of 10
Pedro gives a classic history of short-lived morning stiffness. He has pain when he starts warming up. This usually resolves over a few minutes – but returns when he stops exercising. He finds it particularly difficult getting going again after the half‑time break. He has previously had patellar tendinopathy. You now examine his Achilles tendon.
Which of the following examination findings or tests is most in keeping with Achilles tendinopathy?CorrectIncorrect
Question 4 of 10
You examine his Achilles tendon. You find that there is localised tenderness and marked thickening in the mid-portion. His tendon is clinically intact. He otherwise has a relatively normal examination – including a negative posterior thrust test. You explain that it is important to consider the condition of his tendon as not all tendinopathy is the same.
Which of the following features would be most likely to make you think that he might have a “reactive” tendinopathy?CorrectIncorrect
Question 5 of 10
Before you decide how best to treat Pedro’s injury, you decide that you would like some further information about the condition of the tendon. You decide to arrange some imaging.
Which of the following statements is TRUE regarding the imaging of a painful tendon?CorrectIncorrect
Question 6 of 10
An USS shows fusiform thickening of the tendon with some modest neovascularity and a tiny hypoechoic area. You suspect that he has “tendon disrepair”. You talk about the different treatment options. His team-mates have told him about eccentric strengthening.
Which of the following statements is TRUE regarding a “heavy load” eccentric strengthening programme for tendinopathy?CorrectIncorrect
Question 7 of 10
Pedro has not had any treatment so far. Which of the following options do you consider to represent the BEST INITIAL TREATMENT?CorrectIncorrect
Question 8 of 10
Pedro works on a strength programme for six weeks (combined with physiotherapy treatments and minor adjustments in training loads). He returns to see you and tells you he is still sore. You note that he has not missed any games, has no real pain during training sessions and has short-lived pain and stiffness when he warms up and first thing in the morning. It is the middle of the club season.
What do you think that you should do at this point?CorrectIncorrect
Question 9 of 10
Pedro has now had symptoms for almost six months. They have been steadily deteriorating. While he has been able to continue playing competitive matches, he has been unable to train. The season is about to finish. After a long discussion about treatment options, you discuss the possible role of surgery.
Which of the following statements is TRUE regarding surgery for tendinopathy?CorrectIncorrect
Question 10 of 10
Pedro decided not to pursue surgery. His symptoms have improved dramatically in the off-season. He has continued to run and do strengthening exercises. He starts the pre-season without any pain. He asks what he (and his teammates) can do to prevent tendinopathy.
Which of the following statements is TRUE regarding the prevention of tendinopathy?CorrectIncorrect