DSSSB 6 September 2024
Child Health Nursing (Pediatrics)
Easy
Which of the following statements is true regarding talipes equinovarus?
Appeared in: DSSSB 6 September 2024
Explanation
- Talipes equinovarus, the most common type of clubfoot, involves a complex, rigid deformity of the foot.
- The term 'equinus' is derived from Latin and refers to plantar flexion, where the foot and toes point downward.
- The term 'varus' indicates that the heel and forefoot are turned or deviated medially (inward).
- Combining these terms, talipes equinovarus correctly describes a foot in plantar flexion that also deviates medially.
Why Other Options Were Wrong
- Option A: This option describes dorsiflexion (foot pointing up) and medial deviation. This combination defines talipes calcaneovarus, not equinovarus.
- Option C: This option correctly identifies plantar flexion ('equinus') but incorrectly states the deviation is lateral ('valgus'). Lateral deviation is the opposite of varus.
- Option D: This option describes dorsiflexion ('calcaneus') and lateral deviation ('valgus'). This combination defines talipes calcaneovalgus.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Definition and clinical presentation of Talipes Equinovarus (Clubfoot) as background academic context rather than a clinical decision trigger.
- Early identification and intervention are crucial for successful correction. The Ponseti method, involving serial manipulation and casting, is the gold standard treatment.
- Nurses play a key role in cast care, including performing neurovascular checks (color, temperature, capillary refill), monitoring for skin breakdown around cast edges, and educating parents on cast maintenance.
- Parental education and reinforcement of the post-casting bracing schedule are essential to prevent relapse, as clubfoot has a high tendency to recur.
How to Approach the Question
- First, identify the core concept being tested: the definition of 'talipes equinovarus'.
- Break down the compound medical term into its root components: 'talipes' (foot/ankle), 'equino' (equine or horse-like, meaning plantar flexion/pointing down), and 'varus' (turned inward/medially).
- Systematically evaluate each option against this breakdown.
- Option A combines dorsiflexion ('calcaneus') with medial deviation ('varus'). This is incorrect.
- Option B combines plantar flexion ('equinus') with medial deviation ('varus'). This perfectly matches the term.
- Option C combines plantar flexion ('equinus') with lateral deviation ('valgus'). This is incorrect.
Concept Tested & Keywords
- Concept Tested: Definition and clinical presentation of Talipes Equinovarus (Clubfoot).
- Stem keywords: talipes equinovarus, true statement
- Lead-in keywords: true
- Negative lead-in flag: false
Question ID
qeBjk5V1B-Dui5BCL3LuD
Reference Book
E6 Text Book Of Pediatric Nursing 3rd Panchali Pal — Part 3 (pp 477-702 of 713) p. 3-5
E6 Nelson Textbook of Pediatrics(2024) — Volume 2 p. 2012-2014
Practise the full DSSSB 6 September 2024
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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