ABFAS boards (Rearfoot and forefoot)
EXAM 2024-2025 QUESTIONS AND
ANSWERS
100 % PASS SOLUTION A+ GRADE
when doing a delayed flap, when is the graft ready to be mobilized? - answer>>14 days
Which bone tumor is most likely to be found in the epiphysis of the bone? -
answer>>chondroblastoma
common complication of calcaneucuboid arthroscopy - answer>>peroneus brevis tendinitis
when is a second dose of intraoperative antiobiotic indicated? - answer>>significant blood loss
surgery longer than 2 hours immunocompromise
which nerve fibers are mostly easily blocked with local anesthetic? - answer>>B fibers
What does charcot with infection look like on MRI? - answer>>joint erosions sinus
tract
replacement of soft tissues
rim enhancement diffuse
marrow abnormality
What is the purpose of a SACH heel in an orthotic? - answer>>shock absorber
How long should a patient be NWB after gastroc recession - answer>>4-6 weeks
,What is the ankle fusion technique that is indicated in a child to preserve the potential for
growth of the distal tibial and fibular physis? - Correct answer-Distraction-Compression Fusion
Which radiographic sign is not consistent with congenital convex pes planovalgus? (Note
Negative format) - Correct answer-Dorsiflexed calcaneus
It's PLANTARFLEXED
Which of the following techniques is not appropriate fixation for a Salter-Harris type III fracture
of the distal tibial physis? (note negative format) - Correct answer-tension band wiring using two
Kirschner wires through the fragment, across the physis, and into the metaphysis.
-Not an avulsion fracture
A 12-year-old presents with peroneal spasm and a rigid valgus hindfoot. A diagnosis of a fibrous
middle facet coalition is made. Non surgical treatment has failed to alleviate the symptoms.
What is the treatment of choice? - Correct answer-Resection of the coalition
In a six-month-old child, aggressive casting for the equinus component of a clubfoot deformity
may result in which of the following conditions? - Correct answer-subluxation of the midtarsal
joint.
A total ankle replacement is performed and intra-operative stressing of the ankle reveals a
valgus instability. What is the most appropriate treatment for this finding? - Correct answer-
Plication of the deltoid ligament.
,A 41-year-old female has a unilateral flatfoot of six-months duration. The patient relates a
history of multiple cortisone injections over the medial foot and ankle. What is the most likely
cause of this patient's condition? - Correct answer-rupture of the posterior tibial tendon
In the treatment of clubfoot as described by Ponsetti, What is the last deformity to be corrected
via casting? - Correct answer-equinus
What surgical procedure is indicated when the midtarsal joint won't lock when heel is held in
neutral? - answer>>evan's calcaneal osteotomy
thurston holland sign is a sign of what? - answer>>Salter Harris II or IV
most common cause of flap failure - answer>>anastomotic thrombosis
what is more sensitive to radiation? Bone Marrow or GI tract? - answer>>bone marrow is most
senstiive, GI is next most senstitive followed by CNS
skewfoot is late stage sequalae of...? - answer>>met adductus
what are class 1 topical steroids? - answer>>clobeteasol
bethamethasone halbetasol diflorasone
, Triamcinolone is a class 3
treatment for recurrent club foot after ponseti method in someone less than 2? -
answer>>repeat same treatment.
what are the 3 phases of wound healing? - answer>>inflammation
proliferation maturation/remodeling
What ligament limits eversion of the STJ? - answer>>interosseous talocalaneal ligament
What is typically the last muscle to weaken in CMT - answer>>triceps surae.
In general, smaller muscles degenerate faster
-intrinsics
-brevis/longus
-triceps surrae
clubfoot brace that connects at leg region and can be used for rotational deformities? -
answer>>wheaton clubfoot brace
What is the main ligament of the STJ? - answer>>interosseous talocalcaneal ligament
what position should the medial and longitudinal axis hs be when casting for orthotics? -
answer>>maximally pronated
-locks the midtarsal joint
characteristis of sevoflurane - answer>>excellent induction
non-pungent (good for asthma) little cardiac depression
expensive
EXAM 2024-2025 QUESTIONS AND
ANSWERS
100 % PASS SOLUTION A+ GRADE
when doing a delayed flap, when is the graft ready to be mobilized? - answer>>14 days
Which bone tumor is most likely to be found in the epiphysis of the bone? -
answer>>chondroblastoma
common complication of calcaneucuboid arthroscopy - answer>>peroneus brevis tendinitis
when is a second dose of intraoperative antiobiotic indicated? - answer>>significant blood loss
surgery longer than 2 hours immunocompromise
which nerve fibers are mostly easily blocked with local anesthetic? - answer>>B fibers
What does charcot with infection look like on MRI? - answer>>joint erosions sinus
tract
replacement of soft tissues
rim enhancement diffuse
marrow abnormality
What is the purpose of a SACH heel in an orthotic? - answer>>shock absorber
How long should a patient be NWB after gastroc recession - answer>>4-6 weeks
,What is the ankle fusion technique that is indicated in a child to preserve the potential for
growth of the distal tibial and fibular physis? - Correct answer-Distraction-Compression Fusion
Which radiographic sign is not consistent with congenital convex pes planovalgus? (Note
Negative format) - Correct answer-Dorsiflexed calcaneus
It's PLANTARFLEXED
Which of the following techniques is not appropriate fixation for a Salter-Harris type III fracture
of the distal tibial physis? (note negative format) - Correct answer-tension band wiring using two
Kirschner wires through the fragment, across the physis, and into the metaphysis.
-Not an avulsion fracture
A 12-year-old presents with peroneal spasm and a rigid valgus hindfoot. A diagnosis of a fibrous
middle facet coalition is made. Non surgical treatment has failed to alleviate the symptoms.
What is the treatment of choice? - Correct answer-Resection of the coalition
In a six-month-old child, aggressive casting for the equinus component of a clubfoot deformity
may result in which of the following conditions? - Correct answer-subluxation of the midtarsal
joint.
A total ankle replacement is performed and intra-operative stressing of the ankle reveals a
valgus instability. What is the most appropriate treatment for this finding? - Correct answer-
Plication of the deltoid ligament.
,A 41-year-old female has a unilateral flatfoot of six-months duration. The patient relates a
history of multiple cortisone injections over the medial foot and ankle. What is the most likely
cause of this patient's condition? - Correct answer-rupture of the posterior tibial tendon
In the treatment of clubfoot as described by Ponsetti, What is the last deformity to be corrected
via casting? - Correct answer-equinus
What surgical procedure is indicated when the midtarsal joint won't lock when heel is held in
neutral? - answer>>evan's calcaneal osteotomy
thurston holland sign is a sign of what? - answer>>Salter Harris II or IV
most common cause of flap failure - answer>>anastomotic thrombosis
what is more sensitive to radiation? Bone Marrow or GI tract? - answer>>bone marrow is most
senstiive, GI is next most senstitive followed by CNS
skewfoot is late stage sequalae of...? - answer>>met adductus
what are class 1 topical steroids? - answer>>clobeteasol
bethamethasone halbetasol diflorasone
, Triamcinolone is a class 3
treatment for recurrent club foot after ponseti method in someone less than 2? -
answer>>repeat same treatment.
what are the 3 phases of wound healing? - answer>>inflammation
proliferation maturation/remodeling
What ligament limits eversion of the STJ? - answer>>interosseous talocalaneal ligament
What is typically the last muscle to weaken in CMT - answer>>triceps surae.
In general, smaller muscles degenerate faster
-intrinsics
-brevis/longus
-triceps surrae
clubfoot brace that connects at leg region and can be used for rotational deformities? -
answer>>wheaton clubfoot brace
What is the main ligament of the STJ? - answer>>interosseous talocalcaneal ligament
what position should the medial and longitudinal axis hs be when casting for orthotics? -
answer>>maximally pronated
-locks the midtarsal joint
characteristis of sevoflurane - answer>>excellent induction
non-pungent (good for asthma) little cardiac depression
expensive
