ABFAS CBPS TREATMENT ACTUAL EXAM 2026
QUESTIONS AND CORRECT ANSWERS
GRADED A+
◉ Case 1 BACK. Answer: PE: soft-tissue crepitus, fifth-toe
examination, IPJ ROM
Labs: blood culture
Imaging: MRI foot with/without contrast
Dx: abscess or cellulitis toe, abscess soft-tissue infection fifth toe,
infection soft tissue, fracture fifth digit proximal phalanx, fracture toe(s)
closed
Tx: IV antibiotics, PO antibiotics
Dx II: avascular necrosis (AVN)
◉ Case 2. Answer: 47M, POD5 s/p L 1st metatarsocuneiform dorsal
exostosis resection. Progressively worsening foot pain x48h with
fever/chills. No other significant PMH or meds; severe penicillin allergy.
PE (9) Labs (6) Imaging (3) Dx (3) Tx (5)
◉ Case 2 BACK. Answer: PE: blood pressure, heart rate, respiratory
rate, body temperature, vital signs, soft-tissue crepitus, palpate wound,
lymph node examination, palpate lymph nodes
, Labs: blood culture, CRP, ESR, CBC with differential, WBC count,
WBC with differential
Imaging: foot XR 3 views, Ceretec/indium-111/indium WBC scan, MRI
foot with/without contrast
Dx: direct-extension osteomyelitis, abscess or cellulitis foot,
postoperative infection
Tx: deep wound culture/sensitivity with Gram stain, intraoperative Gram
stain, delayed primary closure, pack wound open, admit hospital
◉ Case 3. Answer: 32M East-Indian with progressively enlarging L
foot/ankle mass x16 yrs, difficulty fitting shoes and pain with every step.
No allergies or medications.
PE (2) Imaging (2) Dx procedures (4) Tx (2)
◉ Case 3 BACK. Answer: PE: Tinel sign, Valleix sign
Imaging: MRI ankle with/without contrast, MRI foot with/without
contrast
Dx procedures: incisional biopsy, needle biopsy, EMG, nerve conduction
velocity
Tx: mass excision with nerve preservation, nerve sheath tumor excision
◉ Case 4. Answer: 12-day-old F with R foot problem. Born full-term via
uncomplicated spontaneous vaginal delivery (SVD); parents report no
preterm complications.
PE (2) Dx (2) Tx (1) Follow-up (2)
QUESTIONS AND CORRECT ANSWERS
GRADED A+
◉ Case 1 BACK. Answer: PE: soft-tissue crepitus, fifth-toe
examination, IPJ ROM
Labs: blood culture
Imaging: MRI foot with/without contrast
Dx: abscess or cellulitis toe, abscess soft-tissue infection fifth toe,
infection soft tissue, fracture fifth digit proximal phalanx, fracture toe(s)
closed
Tx: IV antibiotics, PO antibiotics
Dx II: avascular necrosis (AVN)
◉ Case 2. Answer: 47M, POD5 s/p L 1st metatarsocuneiform dorsal
exostosis resection. Progressively worsening foot pain x48h with
fever/chills. No other significant PMH or meds; severe penicillin allergy.
PE (9) Labs (6) Imaging (3) Dx (3) Tx (5)
◉ Case 2 BACK. Answer: PE: blood pressure, heart rate, respiratory
rate, body temperature, vital signs, soft-tissue crepitus, palpate wound,
lymph node examination, palpate lymph nodes
, Labs: blood culture, CRP, ESR, CBC with differential, WBC count,
WBC with differential
Imaging: foot XR 3 views, Ceretec/indium-111/indium WBC scan, MRI
foot with/without contrast
Dx: direct-extension osteomyelitis, abscess or cellulitis foot,
postoperative infection
Tx: deep wound culture/sensitivity with Gram stain, intraoperative Gram
stain, delayed primary closure, pack wound open, admit hospital
◉ Case 3. Answer: 32M East-Indian with progressively enlarging L
foot/ankle mass x16 yrs, difficulty fitting shoes and pain with every step.
No allergies or medications.
PE (2) Imaging (2) Dx procedures (4) Tx (2)
◉ Case 3 BACK. Answer: PE: Tinel sign, Valleix sign
Imaging: MRI ankle with/without contrast, MRI foot with/without
contrast
Dx procedures: incisional biopsy, needle biopsy, EMG, nerve conduction
velocity
Tx: mass excision with nerve preservation, nerve sheath tumor excision
◉ Case 4. Answer: 12-day-old F with R foot problem. Born full-term via
uncomplicated spontaneous vaginal delivery (SVD); parents report no
preterm complications.
PE (2) Dx (2) Tx (1) Follow-up (2)
