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Achilles tendon rupture — RCPSC EM MCQ

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ModerateMusculoskeletalAchilles tendon ruptureRCPSC EM

A 24-year-old football player feels a pop in the posterior ankle while sprinting and falls. He cannot push off, there is a palpable gap 5 cm above the calcaneus, and calf squeeze does not plantarflex the foot. What is the most likely diagnosis?

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Correct answer: D — Achilles tendon rupture

A sudden pop, inability to push off, palpable tendon gap and positive Thompson test are classic for Achilles tendon rupture.

Reference: Royal College Emergency Medicine exam format and training experiences