A 64-Year-Old Man Comes to the Emergency Department with Left

question 69

Multiple Choice

A 64-year-old man comes to the emergency department with left ankle pain.  The patient was playing tennis 2 days ago, attempted to pivot, and felt a sharp pain in his ankle.  He has since had difficulty walking and stumbled on the stairs yesterday.  On examination, the patient can bear weight, but it is painful.  There is diffuse swelling of the ankle.  Pulses and sensation in the left foot are normal.  Passive range of motion is normal in all directions.  Active plantar flexion and dorsiflexion are present.  With the patient in the prone position, squeezing the left calf does not cause movement in the left foot.  Left ankle x-ray shows soft tissue swelling but no fracture.  Which of the following will be most impaired on physical examination?

• A)Eversion of the left foot against resistance
• B)Inversion of the left foot against resistance
• C)Walking heel to toe
• D)Walking on the heel of the left foot
• E)Walking on tip toes of the left foot

---

Definitions:

Good Enough

A term that refers to a satisfactory solution or product that meets basic requirements without needing to be perfect.

Sunk Costs

Expenses that have been incurred and cannot be recovered, which should not influence future economic decisions.

Production

The process of creating goods or services using inputs like labor, capital, and raw materials.

Bounded Rationality

The concept that decision-making is limited by the information, cognitive limitations, and time constraints.