ABFAS FFA practice. Test
A patient presents 10 days status post a one stage fourth brachymetatarsia lengthening. The radiographic findings show boneresorption at the graft site. Based on the radiographic findings, what should the next step be?
A. take the patient back to the OR and replace graft.
B. place a bone stimulator at the site of the graft.
C. place the patient on anti-osteoporotic medications.
D. continue with the current course of post-operative care. - - -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? - -medial
plantar nerve -In which scenario should the patient's surgical intervention be canceled?
a. MI in the past 6 months
b. Glucose of 100
c. Female with HCG positive
d. - -Female with positive HCG -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. Ciprofloxacin
b. Levofloxacin
c. Cephalexin
d. Vancomycin - -Vancomycin -When performing a Lapidus procedure for hallux abductovalgus, what structure should be avoided when exposing the first metatarsocuneiform articulation? - -Deep perforating artery -The radiograph shown below was taken 29 days postoperatively. Which treatment is appropriate? - -remove pin; signs of healing -Which of the following suture material is the LEAST reactive? - -
Monofilament wire -Most reactive suture material? - - -When utilizing screw fixation for an osteotomy which of the following is the main reason for countersinking the screw based on AO principles? - -
Disperse compression force of screw head evenly. -A 65-year-old diabetic male presents to the emergency department with a longstanding heel ulcer. Assessment reveals he meets systemic inflammatory response syndrome (SIRS) criteria. What would be the most useful initial intervention?
a. Culture wound
b. Start fluid resuscitation and IV crystalloid
c. Bedside I&D
d. Gauze and tape - -Start fluid resuscitation and IV crystalloid -A 32-year-old female presents with a history of a slowly enlarging, subcutaneous, multinodular, painless mass beneath the flexor surface of the great toe. She denies any injury to the area. There is radiographic evidence of marginal bone erosion. Which of the following soft tissue masses is the most likely diagnosis? - -Giant cell of tendon sheath -Which complication is not associated with the Keller bunionectomy?
A. Sesamoiditis
b. Transfer stress fracture to 2nd digit
c. Loss of hallux purchase
d. Hallux malleus - -Sesamoiditis -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? - -Systemic lupus -What is the most appropriate suture needle tip for tendon repair? - -Taper cutting -Which of the following conditions is the rationale for holding a preoperative patient's metformin for 24 hours prior to surgical intervention? - -Lactic acid -A 60-year-old male develops an anaphylactic reaction secondary to a drug injection. Epinephrine (Adrenalin) 0.5 cc. is injected intramuscularly (IM) immediately. What is the purpose of administering this drug in this situation?
- -Dilate the bronchioles -When performing a traditional chevron osteotomy to correct hallux abducto
valgus with a hallux limitus component, how must the osteotomy be
A patient presents 10 days status post a one stage fourth brachymetatarsia lengthening. The radiographic findings show boneresorption at the graft site. Based on the radiographic findings, what should the next step be?
A. take the patient back to the OR and replace graft.
B. place a bone stimulator at the site of the graft.
C. place the patient on anti-osteoporotic medications.
D. continue with the current course of post-operative care. - - -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? - -medial
plantar nerve -In which scenario should the patient's surgical intervention be canceled?
a. MI in the past 6 months
b. Glucose of 100
c. Female with HCG positive
d. - -Female with positive HCG -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. Ciprofloxacin
b. Levofloxacin
c. Cephalexin
d. Vancomycin - -Vancomycin -When performing a Lapidus procedure for hallux abductovalgus, what structure should be avoided when exposing the first metatarsocuneiform articulation? - -Deep perforating artery -The radiograph shown below was taken 29 days postoperatively. Which treatment is appropriate? - -remove pin; signs of healing -Which of the following suture material is the LEAST reactive? - -
Monofilament wire -Most reactive suture material? - - -When utilizing screw fixation for an osteotomy which of the following is the main reason for countersinking the screw based on AO principles? - -
Disperse compression force of screw head evenly. -A 65-year-old diabetic male presents to the emergency department with a longstanding heel ulcer. Assessment reveals he meets systemic inflammatory response syndrome (SIRS) criteria. What would be the most useful initial intervention?
a. Culture wound
b. Start fluid resuscitation and IV crystalloid
c. Bedside I&D
d. Gauze and tape - -Start fluid resuscitation and IV crystalloid -A 32-year-old female presents with a history of a slowly enlarging, subcutaneous, multinodular, painless mass beneath the flexor surface of the great toe. She denies any injury to the area. There is radiographic evidence of marginal bone erosion. Which of the following soft tissue masses is the most likely diagnosis? - -Giant cell of tendon sheath -Which complication is not associated with the Keller bunionectomy?
A. Sesamoiditis
b. Transfer stress fracture to 2nd digit
c. Loss of hallux purchase
d. Hallux malleus - -Sesamoiditis -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? - -Systemic lupus -What is the most appropriate suture needle tip for tendon repair? - -Taper cutting -Which of the following conditions is the rationale for holding a preoperative patient's metformin for 24 hours prior to surgical intervention? - -Lactic acid -A 60-year-old male develops an anaphylactic reaction secondary to a drug injection. Epinephrine (Adrenalin) 0.5 cc. is injected intramuscularly (IM) immediately. What is the purpose of administering this drug in this situation?
- -Dilate the bronchioles -When performing a traditional chevron osteotomy to correct hallux abducto
valgus with a hallux limitus component, how must the osteotomy be
