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ABFAS Practice Questions and Answers
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ABFAS Practice Questions and Answers
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ABFAS Practice Questions and AnswersA 30 year old patient presents complaining of continued pain in the area of the plantar
first metatarsal head for 2 weeks after hiking. Radiographs are inconclusive. Which of
the following studies would be the mosthelpful to differentiate between sesamoiditis and
a sesamoid fracture?
A. bone scan.B. contra lateral foot radiograph.C. magneticresonance imaging.D.
ultrasound. - ANSWER-C. magneticresonance imaging
A 31-year-old female presents with a complaint of pain on the dorsal distal aspect of the
hallux. She denies any injury. Radiographs reveal a radiolucent area at the distal
phalanx with surrounding sclerosis. There is no sign of infection, no sinus tract, and no
edema. Which of the following osseous tumors is the most likely clinical diagnosis?
A. subungual exostosis.
B. enchondroma.
C. osteoid osteoma.
D. osteochondroma. - ANSWER-Enchondroma.
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? -
ANSWER-fluorescein dye study.
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? - ANSWER-dilate the
bronchioles
A 64-year-old Female presents with planovaglus deformity of her foot. She cannot
perform the single heel rise and complains of pain and swelling behind the medial
malleolus. On exam she has a non-reducible rear foot valgus deformity. She has failed
orthotics and bracing.
What is the most appropriate treatment? - ANSWER-double arthrodesis.
A 65-year-old insulin dependent diabetic female 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. intravenously (IV).
B. administer epinephrine 0.5 cc. intramuscularly (IM).
, C. administer enoxaparin (Lovenox) 30 mg intramuscularly (IM).
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 presents with painful hallux abducto valgus deformity. There is pain-free range
of motion of the first metatarso phalangeal joint.
Radiographs reveal:
hallux abductus angle: 35 degrees.
intermetatarsal angle: 16 degrees.
proximal articular set angle: 22 degrees.
distal articular set angle: 4 degrees.
metatarsus adductus angle: 8 degrees.
What is the most appropriate procedure?
A. closing wedge with McBride.
B. proximal Akin with McBride.
C. closing base wedge with Reverdin-Green.
D. Austin with proximal Akin. - ANSWER-D I think
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. piperacillin (Pipracil).
B. cephalothin (Keflin).
C. ciprofloxacin (Cipro).
D. vancomycin (Vancocin). - ANSWER-D. vancomycin (Vancocin)
A split thickness skin graft is applied over the lateral heel following flap necrosis after a
calcaneal fracture openreduction internal fixation. What would be the most appropriate
dressing protocol to promote epithelialization and prevent shear? - ANSWER-negative
pressure wound therapy at 75-100mmHg for 5 days.
Chronic treatment of which of the following medications has been found to result in
osteonecrosis of the jaw?
A. alendronate (Fosamax)
B. warfarin (Coumadin)
C. sulfasalazine (Azulfidine)
D. colchicine (Colcrys) - ANSWER-C. Sulfasalazine (Azulfidine)
In which scenario should the patient's surgical intervention be canceled?
A. a diabetic patient undergoing an ulcer repair with a fasting blood glucose of 200.
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