A 45-Year-Old Woman Comes to the Office with 3 Months

question 323

Multiple Choice

A 45-year-old woman comes to the office with 3 months of right foot pain.  Her symptoms started with nighttime numbness at the bottom of the right foot that has progressed to burning and aching pain.  She also has vague discomfort while standing or sitting, especially when wearing shoes.  The patient has a history of rheumatoid arthritis, which has been stable with weekly etanercept and as-needed ibuprofen.  She does not use tobacco, alcohol, or illicit drugs.
Examination shows swollen hand joints without tenderness and mild radial deviation of the wrist.  She has mild hallux valgus deformity without focal tenderness on foot examination.  Light tapping behind the right medial malleolus elicits tingling.  There is intact sensation to light touch and vibration.
Which of the following is the most likely cause of this patient's foot pain?

• A)Drug-induced neuropathy
• B)Morton neuroma
• C)Plantar fasciitis
• D)Stress fracture
• E)Tarsal tunnel syndrome

---

Definitions:

Fixed Assets

Long-term tangible assets held for business use and not expected to be converted to cash in the short term.

Accounts Receivable

Accounts receivable represent the money owed to a company by its customers for goods or services that have been delivered but not yet paid for.

Credit Sales

Sales made by a company where the payment is delayed as agreed by both the seller and the buyer.

Cash Sales

Transactions where payment is received by the seller at the same time the buyer receives the goods or services.