ABFAS RRA UPDATED Questions and
CORRECT Answers
When performing a subtalar arthroeresis for a flexible pediatric flatfoot deformity, the release
of which of the following anatomic structures that is encountered should be avoided so as not
to destabilize the subtalar joint? - CORRECT ANSWER✔✔- interosseous talocalcaneal
ligament.
Shown below is the closed injury of a patient whose neurovascular status is intact. What is
the best initial treatment option?
(Dislocated ankle with possible necrosis of anterior ankle) - CORRECT ANSWER✔✔-
Closed reduction
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✔✔- Angular deformity
A 45-year-old male sustains a crushing-type injury to the left foot. Radio graphs are negative
for fracture and dislocation. Which of the following tests is the most helpful in determining
skin flap viability? - CORRECT ANSWER✔✔- Fluorescein dye study
Which of the following surgical principles is not correct when performing a posterior tibial
tendon transfer for a dropfoot deformity?
A. tendon should be attached under physiologic tension with ankle at 90 degrees.
B. typically attached into lateral cuneiform in line with the tendon vector pull.
C. passing tendon under the retinaculum decreases power but prevents bowstringing.
D. Interosseous membrane window should be small to prevent syndesmotic instability. -
CORRECT ANSWER✔✔- Interosseous membrane window should be small to prevent
syndesmotic instability.
Under what condition is a bone stimulator most efficacious? - CORRECT ANSWER✔✔-
Hypertrophic nonunion
, Under what condition is a bone stimulator most efficacious? - CORRECT ANSWER✔✔-
Rocker sole shoe
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
metatarsophalangeal joint and good ankle stability. What is the most likely diagnosis? -
CORRECT ANSWER✔✔- Use of Peroneus longus for reconstruction
Which of the following procedure(s) 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✔✔- manipulation and weekly serial casting for 5 weeks
followed by Achilles tendon lengthening and talonavicular joint pinning.
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✔✔- Unrecognized compartment syndrome
A 51-year-old sustains a tongue type calcaneal fracture. What negative sequelaewould occur
with displacement of this fracture in the characteristic fashion? - CORRECT ANSWER✔✔-
Posterior skin necrosis
Which of the following muscles are released with the plantar fascia and long plantar ligament
when performing a Steindler stripping for a patient with significant pes cavus plantar soft
tissue contracture? - CORRECT ANSWER✔✔- flexor digitorum brevis, abductor digiti
quinti, abductor hallucis.
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
When performing ORIF of a calcaneal anterior process fracture, the avulsion fracture would
be found to have been caused by which of the following anatomic structures? - CORRECT
ANSWER✔✔- Bifurcate
Which of the following surgical principles does not promote increased frame stability when
applying an external fixator?
CORRECT Answers
When performing a subtalar arthroeresis for a flexible pediatric flatfoot deformity, the release
of which of the following anatomic structures that is encountered should be avoided so as not
to destabilize the subtalar joint? - CORRECT ANSWER✔✔- interosseous talocalcaneal
ligament.
Shown below is the closed injury of a patient whose neurovascular status is intact. What is
the best initial treatment option?
(Dislocated ankle with possible necrosis of anterior ankle) - CORRECT ANSWER✔✔-
Closed reduction
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✔✔- Angular deformity
A 45-year-old male sustains a crushing-type injury to the left foot. Radio graphs are negative
for fracture and dislocation. Which of the following tests is the most helpful in determining
skin flap viability? - CORRECT ANSWER✔✔- Fluorescein dye study
Which of the following surgical principles is not correct when performing a posterior tibial
tendon transfer for a dropfoot deformity?
A. tendon should be attached under physiologic tension with ankle at 90 degrees.
B. typically attached into lateral cuneiform in line with the tendon vector pull.
C. passing tendon under the retinaculum decreases power but prevents bowstringing.
D. Interosseous membrane window should be small to prevent syndesmotic instability. -
CORRECT ANSWER✔✔- Interosseous membrane window should be small to prevent
syndesmotic instability.
Under what condition is a bone stimulator most efficacious? - CORRECT ANSWER✔✔-
Hypertrophic nonunion
, Under what condition is a bone stimulator most efficacious? - CORRECT ANSWER✔✔-
Rocker sole shoe
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
metatarsophalangeal joint and good ankle stability. What is the most likely diagnosis? -
CORRECT ANSWER✔✔- Use of Peroneus longus for reconstruction
Which of the following procedure(s) 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✔✔- manipulation and weekly serial casting for 5 weeks
followed by Achilles tendon lengthening and talonavicular joint pinning.
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✔✔- Unrecognized compartment syndrome
A 51-year-old sustains a tongue type calcaneal fracture. What negative sequelaewould occur
with displacement of this fracture in the characteristic fashion? - CORRECT ANSWER✔✔-
Posterior skin necrosis
Which of the following muscles are released with the plantar fascia and long plantar ligament
when performing a Steindler stripping for a patient with significant pes cavus plantar soft
tissue contracture? - CORRECT ANSWER✔✔- flexor digitorum brevis, abductor digiti
quinti, abductor hallucis.
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
When performing ORIF of a calcaneal anterior process fracture, the avulsion fracture would
be found to have been caused by which of the following anatomic structures? - CORRECT
ANSWER✔✔- Bifurcate
Which of the following surgical principles does not promote increased frame stability when
applying an external fixator?
