ABFAS Rearfoot Exam UPDATED
ACTUAL Questions and CORRECT
Answers
A 25 year old ballet dancer presents with an 8 month history of ankle pain following an ankle
sprain. On physical exam there is joint swelling and radio graphs are unremarkable physical
therapy and NSAIDs have not reduced her symptoms. What is the next appropriate step in
management of this patient? - CORRECT ANSWER✔✔- MRI
For a one-year-old patient with calcaneal valgus, what is an acceptable treatment plan? -
CORRECT 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? - CORRECT ANSWER✔✔- Compression
dressing 24 - 48 hours
Which lateral ankle ligaments are intracapsular/extracapsular? - CORRECT 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? - CORRECT 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? -
CORRECT 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? - CORRECT
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? -
CORRECT 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: - CORRECT
ANSWER✔✔- ATFL
CFL
For PT tendon transfer where should the tendon go? - CORRECT ANSWER✔✔- Under the
retinaculum. Decreases power but prevents bowstringing
Interosseous membrane incision doesn't need to be small to prevent syndesmotic injury
What makes up the syndesmosis? - CORRECT ANSWER✔✔- AiTFL
PiTFL
Interosseous Ligament
What is the most common complication resulting from a Salter-Harris type III fracture of the
distal tibia in a 9-year-old? - CORRECT ANSWER✔✔- Angulation
A patient sustains a comminuted calcaneal fracture. Two months after injury the patient
complains of clawing of the lesser toes and shoe gear irritation. What is most likely cause of
this deformity? - CORRECT ANSWER✔✔- Undiagnosed compartment syndrome
Volkmann Contractures
Which of the following techniques would negatively impact function following ankle
syndesmosis repair? - CORRECT ANSWER✔✔- Stabilization of fibula to tibial incisura
parallel to frontal plane.
Posterior to anterior angle, 20-30 degrees to frontal plane
ACTUAL Questions and CORRECT
Answers
A 25 year old ballet dancer presents with an 8 month history of ankle pain following an ankle
sprain. On physical exam there is joint swelling and radio graphs are unremarkable physical
therapy and NSAIDs have not reduced her symptoms. What is the next appropriate step in
management of this patient? - CORRECT ANSWER✔✔- MRI
For a one-year-old patient with calcaneal valgus, what is an acceptable treatment plan? -
CORRECT 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? - CORRECT ANSWER✔✔- Compression
dressing 24 - 48 hours
Which lateral ankle ligaments are intracapsular/extracapsular? - CORRECT 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? - CORRECT 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? -
CORRECT 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? - CORRECT
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? -
CORRECT 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: - CORRECT
ANSWER✔✔- ATFL
CFL
For PT tendon transfer where should the tendon go? - CORRECT ANSWER✔✔- Under the
retinaculum. Decreases power but prevents bowstringing
Interosseous membrane incision doesn't need to be small to prevent syndesmotic injury
What makes up the syndesmosis? - CORRECT ANSWER✔✔- AiTFL
PiTFL
Interosseous Ligament
What is the most common complication resulting from a Salter-Harris type III fracture of the
distal tibia in a 9-year-old? - CORRECT ANSWER✔✔- Angulation
A patient sustains a comminuted calcaneal fracture. Two months after injury the patient
complains of clawing of the lesser toes and shoe gear irritation. What is most likely cause of
this deformity? - CORRECT ANSWER✔✔- Undiagnosed compartment syndrome
Volkmann Contractures
Which of the following techniques would negatively impact function following ankle
syndesmosis repair? - CORRECT ANSWER✔✔- Stabilization of fibula to tibial incisura
parallel to frontal plane.
Posterior to anterior angle, 20-30 degrees to frontal plane
