NPTE Practice Questions - National Physical Therapy Examination Exam

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A patient reports acute ankle pain after an inversion injury. Per the Ottawa Ankle Rules, an ankle X-ray series is indicated if there is pain in the malleolar zone plus which finding?

Bone tenderness along the distal 6 cm of the posterior edge/tip of either malleolus, or inability to bear weight for four steps both immediately and in the clinic/ED Any soft-tissue swelling over the lateral malleolus regardless of tenderness A positive anterior drawer test only Pain that improves with rest within 30 minutes

Correct Answer:

Bone tenderness along the distal 6 cm of the posterior edge/tip of either malleolus, or inability to bear weight for four steps both immediately and in the clinic/ED

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