ABFAS CBPS TREATMENT CERTIFICATION
EVALUATION QUESTIONS AND SOLUTIONS
STUDY GUIDE
●● For a one-year-old patient with calcaneal valgus, what is an
acceptable treatment plan?
Answer: Manipulation and serial casting
●● A 25-year-old female sustained an inversion ankle sprain 24 hours
ago. The area is severely edematous and ecchymosis. Diagnostic tests
reveal rupture of the lateral collateral ligaments. What should the
treatment consist of at this time?
Answer: Compression dressing 24 - 48 hours
●● Which lateral ankle ligaments are intracapsular/extracapsular?
Answer: ATFL - Intracapsular
CFL - Extracapsular
PTFL - Strongest, deepest, usually doesn't rupture
●● A 30-year-old male complains of a painful right ankle after
sustaining a forced plantarflexion injury. Plantarflexion of the foot and
dorsiflexion of the hallux greatly exacerbate the symptoms. What is the
most probable diagnosis?
, Answer: Fracture of the posterior tubercle of the talus.
●● Which procedure would be the most appropriate management
strategy for treatment of a rigid flatfoot in an infant diagnosed with a
pediatric congenital vertical talus deformity?
Answer: 1. Manipulation and weekly serial casting for 5 weeks 2.
Achilles tendon lengthening and TN joint pinning.
●● Following a tendon reconstruction of the ankle for lateral
ligamentous instability a 30-year-old female developed a deformity of
the big toe. On exam she has full range of motion of the MP joint and
good ankle stability. What is the most likely diagnosis?
Answer: Use of peroneus longus tendon for reconstruction.
●● What is the first step in the open reduction and internal fixation of an
ankle pilon fracture?
Answer: Restoration of length and fixation of the fibular fracture.
●● A patient presents with an inversion ankle sprain. Stress inversion
radio graphs reveal a 15 degree difference between the symptomatic and
asymptomatic ankle. A peroneal tenogram reveals contrast media within
the ankle joint and extravasation anterior, lateral, and distal to the lateral
malleolus. These findings are consistent with rupture of the:
Answer: ATFL
CFL
EVALUATION QUESTIONS AND SOLUTIONS
STUDY GUIDE
●● For a one-year-old patient with calcaneal valgus, what is an
acceptable treatment plan?
Answer: Manipulation and serial casting
●● A 25-year-old female sustained an inversion ankle sprain 24 hours
ago. The area is severely edematous and ecchymosis. Diagnostic tests
reveal rupture of the lateral collateral ligaments. What should the
treatment consist of at this time?
Answer: Compression dressing 24 - 48 hours
●● Which lateral ankle ligaments are intracapsular/extracapsular?
Answer: ATFL - Intracapsular
CFL - Extracapsular
PTFL - Strongest, deepest, usually doesn't rupture
●● A 30-year-old male complains of a painful right ankle after
sustaining a forced plantarflexion injury. Plantarflexion of the foot and
dorsiflexion of the hallux greatly exacerbate the symptoms. What is the
most probable diagnosis?
, Answer: Fracture of the posterior tubercle of the talus.
●● Which procedure would be the most appropriate management
strategy for treatment of a rigid flatfoot in an infant diagnosed with a
pediatric congenital vertical talus deformity?
Answer: 1. Manipulation and weekly serial casting for 5 weeks 2.
Achilles tendon lengthening and TN joint pinning.
●● Following a tendon reconstruction of the ankle for lateral
ligamentous instability a 30-year-old female developed a deformity of
the big toe. On exam she has full range of motion of the MP joint and
good ankle stability. What is the most likely diagnosis?
Answer: Use of peroneus longus tendon for reconstruction.
●● What is the first step in the open reduction and internal fixation of an
ankle pilon fracture?
Answer: Restoration of length and fixation of the fibular fracture.
●● A patient presents with an inversion ankle sprain. Stress inversion
radio graphs reveal a 15 degree difference between the symptomatic and
asymptomatic ankle. A peroneal tenogram reveals contrast media within
the ankle joint and extravasation anterior, lateral, and distal to the lateral
malleolus. These findings are consistent with rupture of the:
Answer: ATFL
CFL
