Exam (elaborations)
ABFAS EXAM QUESTIONS SET 3
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ABFAS EXAM QUESTIONS
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MC QUESTIONS:Antibiotics/ Infx Management
1. Lots of MRSA questions?
a. MRSA DRUGS:
2. What drugs cause C Diff?
a. Clinda
3. How to treat nail puncture wound with invasion of toe cortex?
a. 1st gen ceph x 72 hrs, or LT IV abx 4-6 wks?
4. Little kid got bit by his sister. What is the drug of choice?
a. IDSA recs: PO Augmentin (amoxicillin/clavulanate) or IV Unasyn
(ampicillin/sulbactam)
5. MRSA in the nares how do treat it? Vanc, cef, mupirocin?
a. Mupirocin topical is abx of choice
6. 2cm open wound what antibiotic would you give? → ancef, and gentamicin
7. Nail puncture wound to toe?
a. Which generation cef do you use
b. First generation vs. second generation
c. With or without gentamicin
8. Heel wound with Gas on XR. What is first step in management
a. Wound culture
b. Surgical I&D
c. Antibiotic
d. Consult vascular
9. Management of open fracture
a. Time to injury, tetanus, surgical lavage, culture, abx, possible ex fix, delayed
primary closure
Z plasty
10. Z Plasty orientation of arms relative to scar contracture, degree of arms and how much
length gain,
a. 60 deg = >75% gain of length
11. Z plasty with angles of 45 degrees will cause? Z plasty with 30 degrees will cause?
a. Necrosis of tips ( real answer from pocket pod is impair blood flow)
b. Difficulty reapproximating flaps
c. Hematoma/seroma
, 12. Zplasty more than 60 deg will results in severe tension
13. Picture of a Z plasty, after the correction which line will be the center (A,B,C,D)
Radiology
14. MRI intramedullary OM → Decreased T1 and increased T2
15. What is most appropriate to order for OM vs charcot? Must compare Tc99 with Indium to
rule out the difference
16. Crummy MRI pic asking what was wrong?- Peroneus brevis tear?
Skin Cancer
17. Melanoma Clark's 1 and Breslow 0.75 → what do u want to do? Just monitor
18. Most vertically invasive melanoma: nodular
19. Which skin cancer has rodent ulcerations: Basal cell Carcinoma, rodent ulcers occur in
the lowermost level of your skin
a. listed: Squamous cell, bcc, malignant melanoma, all of the above
20. What is the most common Melanoma?
a. Superficial spreading, classically displays “red, white and blue”
- Lentigo: most benign and slowest growing, least common type
- Nodular: Most malignant “black, blue, dark brown”, grow down, no radial growth
- Acral Lentiginous: commonly seen in DM, soles, palms, oral mucosa, nail beds
Hutchingson’s sign: dark line in the nail bed→ subungual melanoma
Tumor questions: http://www.pedorthpath.com/about.html
21. Lit up as fatty tissue not well defined
a. Liposarcoma
22. MRI giant bone lesion of distal tibia → pt complaining of pain and he relates to having a
deep laceration that took 2 months close → brodie's abscess
23. Ankle Xr with painful growing mass.
a. Osteochondroma?
24. Osseous abnormality after Gout attack→ diffus med changes in distal tib/calc
a. Benign osseous infarct?
b. Other options were malignant bone tumors
25. Metaphyseal arising bone tumors
a. Osteosarcoma, osteoid osteoma, chondrosarcoma, fibrosarcoma, NOF, CMF,
osteoblastoma, enchondroma, fibrous dysplasia, ABC
26. Diaphysis: Ewing’s sarcoma, osteoid osteomalacia
27. Epiphysis: Chondroblastoma and GCT
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