A 50 year old female patient presents to the office with complaints of low back pain and pain in her mid-right foot for 2 days, described as sharp and achy. The pain is most noted in the morning but shows up frequently throughout the day while walking. She recently started a new walking regimen for her New Year’s resolution but has stopped for the last two days because of the pain. She says she purchased new shoes and the low back pain improved. She took one Tylenol but did not help very much and states she is more concerned about her foot. She is currently taking a Metformin 500 mg po q day only. Vitals are 130/98; HR 93; BMI 35.

1. What labs or procedures are you running to confirm your diagnosis?

2. What is your diagnosis?

3. What are your recommendations for the patient?

4. What is most concerning on a foot x-ray?

 
 
 
 

5. Planters fasciitis and Morton’s neuroma should be referred to which specialist?

 
 
 
 

6. What medication could potentially interfere with patient’s blood pressure?

 
 
 
 

7. What non-Pharmalogical intervention may help the patient?

 
 
 
 

Question 1 of 7

Reference: Leik, M. T. (2014). FNP certification – intensive review. New York, NY: Springer.Strayer, S. M., Reese, S. G, and Petrizzi, M. J. (1999). Fractures of the proximal fifth metatarsal. Retrieved from https://www.aafp.org/afp/1999/0501/p2516.html