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36

Foot Surgery Quiz

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1 / 50

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

2 / 50

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

3 / 50

The most sensitive and specific investigation (s) to differentiate Charcot’s joint form acute osteomyelitis?

4 / 50

A 43 year old road traffic accident casualty whose x-rays demonstrate malalignment of the 2nd to 5th metatarsals at tarso metatarsal joint, treatment?

5 / 50

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

6 / 50

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

7 / 50

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

8 / 50

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

9 / 50

Chopart’s amputation:

10 / 50

Which of the following patients with type 2 diabetes mellitus is most likely to develop a foot ulcer?

11 / 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?

12 / 50

A 68 year old lady with prominent painful bunion, intermetarsal angle of 12 degrees and hallux valgus angle of 40 degrees, with arthritis of the big toe MTP joint, Treatment?

13 / 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?

14 / 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?

15 / 50

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

16 / 50

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

17 / 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?

18 / 50

A 40 year old man presented to the clinic with 6 month history of plantar foot pain. If he also had history of back pain and stiffness along with tendonitis and restriction of hip and chest movements most likely diagnosis is?

19 / 50

During a plantar fascia and nerve release as described by Schon and Baxter which nerve or its branch is released?

20 / 50

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

21 / 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?

22 / 50

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

23 / 50

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

24 / 50

When performing an ankle fusion, the foot should be in:

25 / 50

A newly adopted 7-year-old girl from Liberia has a history of poliomyelitis 2 years ago. She had flaccid paralysis of her legs that made her bedridden for 6 months. She has recovered all strength and has no complaints at this time. The parents would like to know if they should be concerned about any residual effects of the infection. How should they be counseled?

26 / 50

Which of the following structures is the primary site of force transfer between the hindfoot and forefoot during the stance phase of gait?

27 / 50

Which test for syndesmotic injury of the ankle has the fewest false-positive results and smallest inter-observer variance?

28 / 50

A 42 year old farmer complains of increasing pain in his great toe metatarso-phalangeal (MTP) joint. He has had a dorsal cheilectomy 8 years ago. He now has hallux valgus with a painful range of motion in his 1st MTP joint. The most appropriate treatment is:

29 / 50

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

30 / 50

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

31 / 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?

32 / 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?

33 / 50

A 17 year old lady who attends with a family history of “Bunions Hallux Valgus deformity” has 45 degrees of dorsiflexion and 25 degrees of plantar flexion of the 1st MTPJ.  She has no hypermobility of the 1stmetatarso-cuneiform joint

34 / 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?

35 / 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?

36 / 50

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

37 / 50

The single rocker sole shoe modification is best indicated for relief of pain in patients with what foot or ankle pathology?

38 / 50

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

39 / 50

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

40 / 50

Which of the following does not form part of the plantar plate complex of the first MTPJ?

41 / 50

The sural artery provides the vascular supply to which musculocutaneous flap?

42 / 50

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

43 / 50

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

44 / 50

A 20-year-old female collegiate basketball player has had recurrent ankle sprains of her right ankle. Trials of immobilization and physical therapy have not prevented further injuries. Physical exam reveals significant laxity of the right ankle compared to the left ankle, but otherwise is normal. Radiographs are unremarkable. What is the best surgical treatment for this patient?

45 / 50

Where is the hypovascular area of the peroneus brevis tendon located?

46 / 50

Floating-toe deformity is the most common complication of which of the following surgical procedures used to treat central metatarsalgia?

47 / 50

A 23 year old athletic man has a symptomatic tuberosity fracture of the navicular after being managed for 3 months in plaster cast with no suggestion of union on CT scan, treatment?

48 / 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?

49 / 50

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

50 / 50

The central portion of the plantar aponeurosis originates from the following :

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