Foot and ankle: Achilles rupture: 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: Achilles rupture

Sample item

A middle-aged person feels as if kicked in the calf while pushing off to run and cannot stand on tiptoe. Which test supports Achilles tendon rupture?

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

The answer and the reasoning

C. Positive Thompson test

Achilles rupture causes loss of plantarflexion power. With the patient prone, squeezing the calf normally plantarflexes the foot; absent movement is a positive Thompson test.

Option by option

  • A. Positive Tinel sign at the wrist

    Tinel sign assesses nerve irritation, often in carpal tunnel syndrome.

  • B. Positive FABER test

    FABER assesses hip or sacroiliac pathology.

  • C. Positive Thompson test (correct)

    Correct. Calf squeeze failing to plantarflex supports Achilles rupture.

  • D. Positive Ortolani maneuver

    Ortolani assesses neonatal hip instability.

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.

More Orthopaedics questions

Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is C, Positive Thompson test. Achilles rupture causes loss of plantarflexion power.

Why is "Positive Tinel sign at the wrist" not the answer?

Tinel sign assesses nerve irritation, often in carpal tunnel syndrome.

Why is "Positive FABER test" not the answer?

FABER assesses hip or sacroiliac pathology.

Why is "Positive Ortolani maneuver" not the answer?

Ortolani assesses neonatal hip instability.

What concept does this question test?

It tests Foot and ankle: Achilles rupture in Orthopaedics. With the patient prone, squeezing the calf normally plantarflexes the foot; absent movement is a positive Thompson test.

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: Achilles rupture?

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.