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ABFAS Exam Review 100% Correct
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ABFAS Exam Review 100% Correct
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ABFAS Exam Review 100% Correct18 y/o gymnast substance acute inversion ankle injury and ruptures her lateral collateral
ligaments
(a)NWB 6 weeks, ankle Brace
(b)Ankle bracing followed by aggressive PT 12 weeks
(c)Early functional rehab program
(d)NWB x8 weeks followed by PT - ANSWER-(c) Early functional rehab program
35 y/o female presents with lateral sided ankle pain and bruising after rolling her ankle.
T2 weighted image of the ankle are shown what is the diagnosis?
•A. Dislocation of the peroneus longus at the SPR
•B. Dislocation of the peroneus brevis at the SPR
•C. Dislocation of the Peroneus Longus and Peroneus brevis at SPR
•D. Dislocation of the peroneus longus tendon at the level of the IPR
•E. Dislocation of the peroneus brevis at the IPR - ANSWER-A. Dislocation of the
peroneus longus at the SPR
35 y/o male patient playing basketball foot was inverted and suddenly dorsiflexes, what
is the most likely type of fracture?
•A. Anterior process fracture
•B. Posterior talarprocess fracture
•C. Lateral Process Fracture
•D. Medial TalarDome Fracture - ANSWER-C. Lateral Process Fracture
6-month patient pain for the proximal fibula
(a)Osteochondroma
(b)Fibrous Dysplasia
(c)Non ossifying fibroma
(d)Osteosarcoma
(e)Ewing Sarcoma
(f)Giant Cell tumor - ANSWER-(e)Ewing Sarcoma
A 1 year old presents to you with congenital vertical talus that cannot be reduced what
should you do?
•A.Serial casting then ORIF of the TNJ with a TLA
•B. Talectomy with serial casting and pinning NC joint
•C. Await until skeletal maturity then do a triple
•D. ORIF of the TNJ and TAL - ANSWER-A.Serial casting then ORIF of the TNJ with a
TLA
A 21-year old female presents with pain and swelling to the right ankle the patient states
that last week she jumped from a fence on to uneven ground twisted her foot and fell
,forward. Assuming the foot was inverted then forced into dorsiflexion this type of trauma
would suggest what type of mixed fracture?
(A)Lateral Process of the talus
(B) Avulsion of the medial malleolus
(C) Oblique Proximal fibula
(D) Sustentaculum taliof the calcaneus - ANSWER-(A)Lateral Process of the talus
A 27-year old male presents with a deep wound infection three weeks following an
ORIF pilon fracture. The patient is admitted the wound is derided and placed on IV ab.
Following the debridement there is exposed hardware what should be done regarding
the hardware?
(A)Remove regardless of fracture healing
(B) Remove and apply monoliteral ex-fix
(C) Remove and replace with clean hardware
(D) Left in place unless loosening occurred - ANSWER-(D) Left in place unless
loosening occurred
A 30 y/o male has a lawn mower injury to the right foot he exhibits a wound that is 11
cm wide with extensive periosteal stripping that will likely require some soft of rotational
flap coverage how should the injury be classified and treated?
•A. GustilloAnderson II -Ancef + Clindamcin
•B. GustilloAnderson IIIA -Ancef/PCN/Aminoglycoside
•C. GustilloAnderson IIIB -Ancef/PCN/Aminoglycoside
•D. GustilloAnderson IIIC -Ancef/PCN/Aminoglycoside - ANSWER-C. GustilloAnderson
IIIB -Ancef/PCN/Aminoglycoside
A 30-year old male presents with medial ankle and arch pain after resection of a CN bar
at age 11. On a physical exam he Exhibits a rigid valgus deformity and TTP medially
and plantarly. Radiographs demonstrate reduced joint space at STJ and talarbeaking.
Recurrence of the CN bar is noted as well, which of the following is most appropriate?
(A)Resection of the coalition and muscle interposition
(B)STJ arthrodesis
(C)STJ Arthroereisis
(D)Double Arthrodesis - ANSWER-(D)Double Arthrodesis
A 31-year-old female presents with a complaint of pain of the dorsal distal aspect of the
hallux. Radiographs reveal a radiolucent area at the distal phalanx with surrounding
sclerosis. There is no sign of infection, no sinus tract, and no edema. What is the clinical
diagnosis?
•A. subungual exostosis.
•B. enchondroma.
•C. osteoid osteoma.
, •D. osteochondroma.
•E. aneurysmal bone cyst. - ANSWER-B. enchondroma
A 40 y/o patient underwent ankle arthroscopy 6 months ago for a talar OCD. He
continues to have pain on the lateral portal states pain is more superficial that the
original pain. He has a shooting pain to his distal foot radiates to the medial foot and
ankle when the lateral portal is tapped. A diagnostic injection around that area
previously afforded relief. What treatment would best eliminate the pain?
•A. Sural nerve neuroplasty
•B. Neuroplasty of the deep peroneal nerve
•C. Neuroplasty of medial branch of superficial peroneal nerve
•D. Repeat arthroscope
•E. Physical therapy - ANSWER-C. Neuroplasty of medial branch of superficial peroneal
nerve
A 46 y/o male in 2.5 years out from a closed STJ dislocation treated with reduction and
casting. His radiograph shown (collapsing talus). His MRI demonstrates significant talar
AVN, bracing and injections has failed. What is the most appropriate management for
this patient?
•A. TTC using anterior approach
•B. Ankle arthrodesis using anterior approach
•C. TTC using lateral transfibular approach
•D. Total ankle arthroplasty with STJ arthrodesis
•E. Total Talectomy using lateral approach - ANSWER-C. TTC using lateral transfibular
approach
A 60-year-old male suddenly begins complaining of a "crushing" sensation in his chest.
The episode lasts very briefly then subsides. It begins again and is more intense. What
should you administer to this patient?
•A. nitroglycerin (Nitrogard) 0.5 mg.
•B. diazepam (Valium) 5 mg.
•C. ephedrine (Racephedrine) 25 mg.
•D. morphine sulfate 15 mg. - ANSWER-A. nitroglycerin (Nitrogard) 0.5 mg
A 65-year-old female diabetic on insulin therapy arrives at the surgeon's office. While
waiting she begins to feel faint and loses consciousness. What would be the treatment
of choice?
•A. administer phenytoin (Dilantin) 200 mg. intramuscularly (IM).
•B. administer epinephrine 0.5 cc. intramuscularly (IM).
•C. protect patient from injury and observe.
•D. administer 25 cc. of 50 percent dextrose in water intravenously (IV) - ANSWER-D.
administer 25 cc. of 50 percent dextrose in water intravenously (IV)
A patient 31 y/o with dorsiflexed and inverted foot has overpowering of the anterior tibial
tendon what tendon transfer would you do?
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