Foot and ankle: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Orthopaedics · Foot and ankle

Sample item

Which feature is concerning for a Lisfranc injury after midfoot trauma?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Plantar bruising with midfoot pain

Plantar midfoot bruising and pain after twisting or crush injury can indicate Lisfranc disruption, which requires careful imaging and specialist review.

Option by option

  • A. Isolated heel itch

    Heel itch is a dermatological symptom.

  • B. Lateral elbow tenderness

    Elbow tenderness is unrelated to midfoot injury.

  • C. Plantar bruising with midfoot pain (correct)

    Correct: plantar ecchymosis is a classic Lisfranc warning sign.

  • D. Painless toe nail thickening

    Nail thickening suggests onychomycosis.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is C, Plantar bruising with midfoot pain. Plantar midfoot bruising and pain after twisting or crush injury can indicate Lisfranc disruption, which requires careful imaging and specialist review.

Why is "Isolated heel itch" not the answer?

Heel itch is a dermatological symptom.

Why is "Lateral elbow tenderness" not the answer?

Elbow tenderness is unrelated to midfoot injury.

Why is "Painless toe nail thickening" not the answer?

Nail thickening suggests onychomycosis.

What concept does this question test?

It tests Foot and ankle in Orthopaedics. The correct option holds because: Correct: plantar ecchymosis is a classic Lisfranc warning sign.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Foot and ankle?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.