ABFAS Practice Test Questions with Correct Answers

ABFAS Practice Test Questions with Correct Answers Which of the following treatment options would be the most appropriate to treat a calcaneonavicular coalition in a 20-year-old soft ball player with chronic foot pain? A. orthotics. B. resection with muscle interposition. C. subtalar arthrodesis. D. arthroeresis placement. - Answer-B resection with muscle interposition Which of the following treatment options would be the most appropriateto treat a calcaneonavicular coalition in a 20-year-old soft ball player withchronic foot pain? A. orthotics.B. resection with muscle interposition.C. subtalar arthrodesis.D. arthroeresis placement. - Answer-B. resection with muscle interposition. A 31-year-old female presents with a complaint of pain on the dorsal distal aspect of the hallux. She denies any injury. Radiographs reveal a radiolucent area at the distal phalanx with surrounding sclerosis. There is no sign of infection, no sinus tract, and no edema. Which of the following osseous tumors is the most likely clinical diagnosis? A. subungual exostosis. B. enchondroma. C. osteoid osteoma. D. osteochondroma. - Answer-Enchondroma. Which of the following suture material is the LEAST reactive? A. chromic gut. B. polyglycolic acid. C. nylon. D. monofilament wire. - Answer-D. monofilament wire. A patient with a history of true penicillin allergy is scheduled for a total joint implant. Antibiotic prophylaxis would best be served with which of the following medications? A. piperacillin (Pipracil). B. cephalothin (Keflin). C. ciprofloxacin (Cipro). D. vancomycin (Vancocin). - Answer-D. vancomycin (Vancocin) A 30 year old patient presents complaining of continued pain in the area of the plantar first metatarsal head for 2 weeks after hiking. Radiographs are inconclusive. Which of the following studies would be the mosthelpful to differentiate between sesamoiditis and a sesamoid fracture? A. bone scan.B. contra lateral foot radiograph.C. magneticresonance imaging.D. ultrasound. - Answer-C. magneticresonance imaging The most probable etiology of heloma molle of the fourth interdigital space is pressure between which of the following structures? A. head of the fifth proximal phalanx and the base of the fourth proximal phalanx. B. head of the fourth proximal phalanx and the base of the fifth proximal phalanx. C. head of the fourth metatarsal and the base of the fifth proximal phalanx. D. head of the fifth metatarsal and the base of the fourth proximal phalanx - Answer-A. head of the fifth proximal phalanx and the base of the fourth proximal phalanx. Chronic treatment of which of the following medications has been found to result in osteonecrosis of the jaw? A. alendronate (Fosamax) B. warfarin (Coumadin) C. sulfasalazine (Azulfidine) D. colchicine (Colcrys) - Answer-C. Sulfasalazine (Azulfidine) Which of the following statements is true with regards to performing a Z-plasty skin procedure? A. Keep the Z as small as possible. B. Make the central incision of the Z parallel to the contracted skin. C. Place the Z perpendicular to Langer's lines of tension. D. Make the wings of the Z angled 25 degrees from the central incision. - Answer-B. Make the central incision of the Z parallel to the contracted skin Two months status post plantar fibroma excision, the incision is healed but the three medial digits begin to hyperextend at the metatarsophalangeal joints. A possible cause would be the severance of which structure? A. medial plantar nerve. B. quadratus plantae. C. saphenous nerve. D. flexor digiti minimi. - Answer-A. Medial plantar nerve. Which of the following surgical procedures would be most appropriate to correct a hallux abductus valgus deformity in a 25-year-oldpatient with a first inter metatarsal angle of 20 degrees, a negative metatarsal protrusion distance and a rigid first ray? A. first metatarsal first cuneiform arthrodesis. B. cresentic osteotomy. C. opening wedge osteotomy with graft. D. closing base wedge osteotomy. - Answer-C. opening wedge osteotomy with graft Two months status post plantar fibroma excision, the incision is healed but the three medial digits begin to hyperextend at the metatarsophalangeal joints. A possible cause would be the severance of which structure? A. medial plantar nerve. B. quadratus plantae. C. saphenous nerve. D. flexor digiti minimi. - Answer-A. medial plantar nerve. In which scenario should the patient's surgical intervention be canceled? A. a diabetic patient undergoing an ulcer repair with a fasting blood glucose of 200. B. a female patient undergoing a bunionectomy with a positive human chorionic gonadotropin (hCG). C. a male patient undergoing an incisision and drainage of an abscess 8weeks status post myocardial infarction. D. a female patient undergoing removal of a nodule from her foot who is onprednisone. - Answer-B. a female patient undergoing a bunionectomy with a positive human chorionic gonadotropin (hCG). Which of the following conditions is the rationale for holding a preoperative patient's metformin for 24 hours prior to surgical intervention? A. hypoglycemia. B. lactic acidosis. C. hypercoagulation. D. bacteremia - Answer-B. lactic acidosis. On a peripheral blood smear stained with hematoxylin and eosin, the presence of clusters of polynuclear leukocytes surrounding an extracellular hematoxylin body "rosettes" most likely indicates which of the following systemic disorders? A. rheumatoid arthritis. B. lupus erythematosus. C. hematogenous infection. D. thrombocytopenic purpura. - Answer-B. lupus erythematosus.