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Foot Surgery Quiz

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1 / 50

What is the greatest advantage of surgical repair of an acute Achilles tendon rupture with early range of motion compared to non-operative treatment with immobilization in a short-leg cast for 6 weeks?

2 / 50

A 45 year old postal worker with diabetes prsents with a 3cm ulcer below his first metatarsal head. Flexor tendons are visible, but no erythema, swelling or fluctuance is noted beyond the edge of the ulcer. Xrays reveal no evidence of bony involvement. What is the most appropriate management?

3 / 50

For the treatment of new onset plantar fasciitis, which of the following modalities results in the highest patient satisfaction at 8 weeks of follow-up?

4 / 50

A football player develops a synostosis between the distal tibia and fibula 8 months following treatment for a high ankle sprain. What is the most appropriate indication and timing for surgical excision?

5 / 50

A 41-year-old female feels a pop in her ankle while playing tennis. She is diagnosed with an acute Achilles tendon rupture and elects to undergo nonoperative management. Which of the following is an advantage of nonoperative management with early weight bearing and protected range of motion compared with non-weight bearing cast immobilization?

6 / 50

A football player develops a synostosis between the distal tibia and fibula 8 months following treatment for a high ankle sprain. What is the most appropriate indication and timing for surgical excision?

7 / 50

A 38-year-old patient has an acute Achilles tendon rupture. He is active in sports and is deciding between operative and nonoperative treatments. Which of the following statements applies to patients undergoing nonoperative treatment?

8 / 50

Lisfranc’s amputation:

9 / 50

When harvesting flexor digitorum longus (FDL) for a tendon transfer for stage II posterior tibialis tendon dysfunction, what anatomic structure crosses immediately deep (dorsal) to it in the midfoot region?

10 / 50

The Stainsby procedure to the lesser toes for subluxed/dislocated MTP joints involves:

11 / 50

All of the following have been recognized as risk factors for nonunion or delayed union following subtalar arthrodesis EXCEPT:

12 / 50

Which of the following mechanisms of injury to the ankle is most likely to result in peroneal tendon instability?

13 / 50

A 60 year old lady develops flexible claw toes 2 years after a CVA. Which is the best treatment option?

14 / 50

In the majority of patients, which of the following definitive treatments leads to a good or excellent one-year prognosis in the care of grade-III sprains of the lateral ligaments of the ankle?

15 / 50

Which of the following descriptions of muscle activity during normal gait is correct?

16 / 50

Which tendon is best “in phase” with the tibialis posterior tendon?

17 / 50

A 65-year-old patient with poorly controlled diabetes develops 2nd metatarsal head osteomyelitis deep to a superficial ulcer. Which nonoperative treatment modality would have the highest chance of success?

18 / 50

The only Intrinsic tendon associated with the first MTP joint is:

19 / 50

A 30-year-old professional ballet dancer presents with persistant ankle pain after an ankle sprain 6 months ago. Physical therapy and NSAID’s have not alleviated the symptoms. Physical exam reveals some joint swelling but no ligamentous instability. Radiographs are unremarkable. What is the next appropriate step in the management of this patient?

20 / 50

A 41-year-old female feels a pop in her ankle while playing tennis. She is diagnosed with an acute Achilles tendon rupture and elects to undergo nonoperative management. Which of the following is an advantage of nonoperative management with early weight bearing and protected range of motion compared with non-weight bearing cast immobilization?

21 / 50

45 year old lady with Hallux Valgus deformity has a painful medial eminence. Radiographs reveal a 12 degree IMA, and a 25 degree HVA, treatment?

22 / 50

A 44-year-old recreational runner began training for a half marathon 6 weeks ago. Over the last week he has developed heel pain that is worse in the morning upon awakening and when he arises from his desk at the end of the workday. Physical exam is notable for tenderness with direct palpation of the anteromedial heel. Which of the following is the best initial management?

23 / 50

In hallux valgus which one of the following statements is false?

24 / 50

The most profoundly influenced etiology in Diabetic foot?

25 / 50

The United States Therapeutic Shoe Bill ensures that Medicare will cover all of the following EXCEPT:

26 / 50

A 55-year-old woman presents with a planovalgus deformity of her foot. She is unable to perform a single-limb heel rise and has tenderness and swelling behind the medial malleolus. Her hindfoot valgus is passively correctable and she has failed a trial of orthotics. What is the most appropriate treatment?

27 / 50

Which nerve innervates the abductor digiti quinti and can be compressed as it travels under the fascia of the abductor hallucis muscle leading to symptoms of plantar heel pain?

28 / 50

A 17-year-old tennis player sustained an ankle sprain 4 weeks ago and now complains of painful popping behind the lateral malleolus. What physical exam will reproduce his symptoms?

29 / 50

Which of the following variables is not predictive of poor healing of diabetic foot ulcers?

30 / 50

Distal chevron osteotomies are most indicated for which of following scenarios involving a bunionette deformity?

31 / 50

A Morton’s extension orthotic is used for which of the following conditions?

32 / 50

All of the following are predictors of future amputation in diabetic patients EXCEPT?

33 / 50

Which factor increases the chance of wound complications after Achilles tendon repair?

34 / 50

A 24-year-old female sprains her ankle playing tennis. After 3 months of bracing, physical therapy, and NSAID treatment she continues to complain of pain and a popping sensation over the lateral ankle. Physical exam is notable for tenderness over the lateral malleolus. Figure A shows the ankle at rest. Figure B shows the ankle during active eversion. Which of the following structures has been injured?

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35 / 50

A 38 year old male accountant with painful bunion, intermetatarsal angle of 18 degrees, and slightly increased distal metatarsal articular angle with minimal arthrosis, treatment?

36 / 50

Which of the following does NOT occur during the normal push-off stance of the gait cycle?

37 / 50

A Morton’s extension orthotic is used for which of the following conditions?

38 / 50

The current body of available evidence supports the use of ankle arthroscopy for all of the following indications EXCEPT:

39 / 50

A 40 year old patient was involved in a motorcycle accident and had a non salvageable foot. He enjoys high-demand activities. Which prosthetic foot design would best suit him?

40 / 50

The primary antagonist of the anterior tibial tendon is innervated by which of the following nerves?

41 / 50

Which of the following clinical scenarios regarding hallux valgus could be appropriatley treated with a modified McBride procedure?

42 / 50

A 41 year old farmer complains of pain in his first metatarsophalangeal joint. Pain has recurred following a dorsal cheilectomy 3 years previously. Radiographs shows severe osteoarthritis in his first MTPJ. The next most appropriate procedure is

43 / 50

The Akin osteotomy used in hallux valgus correction

44 / 50

A 62 year old female with rheumatoid arthritis has severe radiographical subtalar and ankle disease and disabling pain despite analgesia, treatment?

45 / 50

What is the preferred surgical treatment for painful acquired flatfoot deformity with stage III posterior tibial tendon insufficiency?

46 / 50

PIPJ fusion may be performed as part of the correction of which one of the following lesser ray foot deformities:

47 / 50

Which of the following statements is TRUE about the anatomy of the talus

48 / 50

Which ligament connects the medial cuneiform to the base of the second metatarsal?

49 / 50

Which of the following statements about mallet toe deformity is true?

50 / 50

During a Lisfranc (tarsometatarsal) amputation of the foot, which of the following is crucial to prevent the patient from having a supinated foot during gait.

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