ABFAS GTQs Forefoot Exam Questions and Answers All Correct

ABFAS GTQs Forefoot Exam Questions and Answers All Correct What factors improve Mini Fail Ex-Fix outcomes - Answer-1. More pins 2. Fixator close to the bone How can a hallux extensus occur after a Keller? - Answer-Resection of too much of the phalangyeal base How should you treat a second met head AVN? - Answer-Implant Treating CVT: 3 months to 3 years - Answer-Posterior release TNJ reduction Treating CVT: 3 years to 6 years - Answer-Green-Grice or Arthroresiss Treating CVT: 6+ - Answer-Waiting until age 10-14 (skeletal maturity) for a triple Treating a Lidocaine allergic reaction - Answer-Benadryl 50mg IV or 150mg PO or 50 IM How can you treat a lidocaine toxicity reaction? - Answer-Oxygen and maintaining a patent airway 2 medications for a seizing patients - Answer-1. Diazepam 2. Phenytoin How to treat a lacerated EHL during hallux extensus surgery - Answer-You do perform a tenotomy but should repair and consider a Z lengthening How should subchondral chysts and crystals in synovium and articular carilage be treated in a bunion? - Answer-More proximal cut, clean up and proceed Why is there significant bleeding in an EPF? - Answer-Cutting muscle belly Injury to what tendon causes dorsiflexion of the first metatatrasal? - Answer-Peroneus longus Where would a patient with met primus elevatus hurt? - Answer-Sub second metatarsal What part of the bone do children get osteo? - Answer-Metaphysis Where is the axis when performing CBWO? - Answer-Perpindicular to the weight bearing surface What ligament is tightened in convex pes valgus treatment? - AnswerSpring/calcaneonavicular What blood product is least likely to transmit hepatitis? - Answer-Plasma protein fraction, albumin Incision for overlapping 5th digit? - Answer-Z plasty with long arm parlallel to skin tension lines Treating a 2nd met fracture with 10mm displacement in a child; how do you fixate? -Answer-Percutaneous pinning What should be done where there are hot spots on a bone scan with a known ulcer? -Answer-Bone biopsy to rule out osteo Patient had a steindler stripping procedure and there are plantar calcifications with increased signal on MRI; what is the disorder? - Answer-Myositis ossificans Circular lesions; what incision do you NOT perform? - Answer-TO Difference of first metatarsal with varus or valgus - Answer-Varus: 1st met is dorsiflexed Valgus: 1st met is plantarflexed What is the complication of a wilson bunionectomy? - Answer-Shorten and laterally displacing the head Best Z-plasty angle? - Answer-60 degrees for 75% elongation Worst Z-plasty angle and why? - Answer-30 degrees - skin necrosis How should you biopsy a 5cm lesion? - Answer-Incisional Why would there be a maisanneuve fracture 8 weeks s/p midfoot fusion? - AnswerTumor How to treat a skinny first met with a bunion? - Answer-Lapidus Mild bunion with sesamoid in valgus? - Answer-DRATO What is the Downey classification for coalitions? - Answer-1: Extra-articular 2: Intra-articular A: No Arthritis B: Arthritis What Downey classification can be salvaged? - Answer-1A in children What is the position of a 1st MTPJ fusion? - Answer-- 5-10 degrees of Dorsiflexion - 0 degrees frontal plane - 10-15 degrees abduction (or parallel to 2nd toe) If melanoma is 0.76mm of depth how much of a margin to take and what layer? -Answer-2cm Epidermis If melanoma is 0.76 to 4mm, how much of a margin to take and what layer? - Answer-3mm Dermal and Subq If melanoma is 5cm, how much of a margin to take and what layer? - Answer-5cm and subq What is the largest complication from a keller? - Answer-Transfer Metatarsalga What are the antidotes for heparin? Warfarin? - Answer-Heparin - Protamine sulfate Warfarin - Vitamin k If a nerve is iatrogenetically cut, what do you repair? - Answer-The epineurium What can occur when both sesamoids are excised? - Answer-Cock up deformity (MPJ transfers, PIPJ extends) What is a direct thrombin 2 inhibitor? when do you discontinue? What occurs with heparin? - Answer-Pradaxa; - 24 hours before - High risk of HIT If there is a melanoma that is a Clarks of 0.75, what is the next step after excision? -Answer-Checking inguinal node 48 hours after surgery, what is the most likely cause of fever? - Answer-DVT Best lapidus fixation? - Answer-- 3 screws - Interfrag screw with a medial locking plate How does osteomyelitis appear on MRI? - Answer-T1 low signal T2 high signal Does a tendon lose strength during transfer? - Answer-Yes - one