When carrying out a mental status exam on a non-English speaking patient, it is important to have a(n):
A. Patient's family member, who is bilingual, interpret for the patient
B. Objective interpreter ask the questions for the patient
C. Friend of the patient interpret the questions for the patient
D. Any of the above is acceptable
Question 2A 43-year-old female was in a bicycling accident and complains of severe pain of the right foot. The patient limps into the emergency room. On physical examination, there is no point tenderness over the medial or lateral ankle malleolus.
There is no foot tenderness except at the base of the fifth metatarsal bone. According to the Ottawa foot rules, should an x-ray of the feet be ordered?
A. Yes, there is tenderness over the fifth metatarsal
B. No, there is not tenderness over the navicular bone
C. Yes, the patient cannot bear weight on the foot
D. A and C
Question 3A 23-year-old female presents with ankle pain due to a fall while walking on ice 1 hour ago. You watch her limp as she walks into the emergency room. On physical examination, the ankle is erythematous, swollen, and tender to touch.
The patient cannot stand on the affected ankle. Range of motion is severely limited on inversion of the ankle. On palpation, there is no pain with pressure on the medial or lateral malleolus. Should this patient be sent for ankle x-rays according to the Ottawa ankle rules?
A. No, the ankle shows no tenderness over the medial or lateral malleolus
B. Yes, the patient is unable to bear weight on the ankle
C. Yes, ankle range of motion is limited
D. No, range of motion of the ankle is not limited in all planes
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