ABFAS REARFOOT EXAM LATEST VERSION
UPDATED AND REVISED IN 2025
Quiz :A 25 year old ballet dancer presents with an 8 month history of
ankle pain following an ankle sprain. On physical exam there is joint
swelling and radio graphs are unremarkable physical therapy and
NSAIDs have not reduced her symptoms. What is the next
appropriate step in management of this patient? - - ANSWER -> :MRI
Quiz :For a one-year-old patient with calcaneal valgus, what is an
acceptable treatment plan? - - ANSWER -> :Manipulation and serial
casting
Quiz :A 25-year-old female sustained an inversion ankle sprain 24
hours ago. The area is severely edematous and ecchymosis.
Diagnostic tests reveal rupture of the lateral collateral ligaments.
What should the treatment consist of at this time? - - ANSWER ->
:Compression dressing 24 - 48 hours
Quiz :Which lateral ankle ligaments are intracapsular/extracapsular?
- - ANSWER -> :ATFL - Intracapsular
CFL - Extracapsular
PTFL - Strongest, deepest, usually doesn't rupture
Quiz :A 30-year-old male complains of a painful right ankle after
sustaining a forced plantarflexion injury. Plantarflexion of the foot
and dorsiflexion of the hallux greatly exacerbate the symptoms.
, What is the most probable diagnosis? - - ANSWER -> :Fracture of the
posterior tubercle of the talus.
Quiz :Which procedure would be the most appropriate management
strategy for treatment of a rigid flatfoot in an infant diagnosed with a
pediatric congenital vertical talus deformity? - - ANSWER -> :1.
Manipulation and weekly serial casting for 5 weeks 2. Achilles tendon
lengthening and TN joint pinning.
Quiz :Following a tendon reconstruction of the ankle for lateral
ligamentous instability a 30-year-old female developed a deformity
of the big toe. On exam she has full range of motion of the MP joint
and good ankle stability. What is the most likely diagnosis? - -
ANSWER -> :Use of peroneus longus tendon for reconstruction.
Quiz :What is the first step in the open reduction and internal
fixation of an ankle pilon fracture? - - ANSWER -> :Restoration of
length and fixation of the fibular fracture.
Quiz :A patient presents with an inversion ankle sprain. Stress
inversion radio graphs reveal a 15 degree difference between the
symptomatic and asymptomatic ankle. A peroneal tenogram reveals
contrast media within the ankle joint and extravasation anterior,
lateral, and distal to the lateral malleolus. These findings are
consistent with rupture of the: - - ANSWER -> :ATFL
CFL
Quiz :For PT tendon transfer where should the tendon go? - -
ANSWER -> :Under the retinaculum. Decreases power but prevents
bowstringing
UPDATED AND REVISED IN 2025
Quiz :A 25 year old ballet dancer presents with an 8 month history of
ankle pain following an ankle sprain. On physical exam there is joint
swelling and radio graphs are unremarkable physical therapy and
NSAIDs have not reduced her symptoms. What is the next
appropriate step in management of this patient? - - ANSWER -> :MRI
Quiz :For a one-year-old patient with calcaneal valgus, what is an
acceptable treatment plan? - - ANSWER -> :Manipulation and serial
casting
Quiz :A 25-year-old female sustained an inversion ankle sprain 24
hours ago. The area is severely edematous and ecchymosis.
Diagnostic tests reveal rupture of the lateral collateral ligaments.
What should the treatment consist of at this time? - - ANSWER ->
:Compression dressing 24 - 48 hours
Quiz :Which lateral ankle ligaments are intracapsular/extracapsular?
- - ANSWER -> :ATFL - Intracapsular
CFL - Extracapsular
PTFL - Strongest, deepest, usually doesn't rupture
Quiz :A 30-year-old male complains of a painful right ankle after
sustaining a forced plantarflexion injury. Plantarflexion of the foot
and dorsiflexion of the hallux greatly exacerbate the symptoms.
, What is the most probable diagnosis? - - ANSWER -> :Fracture of the
posterior tubercle of the talus.
Quiz :Which procedure would be the most appropriate management
strategy for treatment of a rigid flatfoot in an infant diagnosed with a
pediatric congenital vertical talus deformity? - - ANSWER -> :1.
Manipulation and weekly serial casting for 5 weeks 2. Achilles tendon
lengthening and TN joint pinning.
Quiz :Following a tendon reconstruction of the ankle for lateral
ligamentous instability a 30-year-old female developed a deformity
of the big toe. On exam she has full range of motion of the MP joint
and good ankle stability. What is the most likely diagnosis? - -
ANSWER -> :Use of peroneus longus tendon for reconstruction.
Quiz :What is the first step in the open reduction and internal
fixation of an ankle pilon fracture? - - ANSWER -> :Restoration of
length and fixation of the fibular fracture.
Quiz :A patient presents with an inversion ankle sprain. Stress
inversion radio graphs reveal a 15 degree difference between the
symptomatic and asymptomatic ankle. A peroneal tenogram reveals
contrast media within the ankle joint and extravasation anterior,
lateral, and distal to the lateral malleolus. These findings are
consistent with rupture of the: - - ANSWER -> :ATFL
CFL
Quiz :For PT tendon transfer where should the tendon go? - -
ANSWER -> :Under the retinaculum. Decreases power but prevents
bowstringing
