ABFAS REVIEW EXAM QUESTIONS AND
ANSWERS ACTUAL EXAM (100% CORRECT)/A+
GRADE ASSURED
18 y/o gymnast substance acute inversion ankle injury and ruptures her lateral
collateral ligaments
• NWB 6 weeks, ankle Brace
• Ankle bracing followed by aggressive PT 12 weeks
• Early functional rehab program
• NWB x8 weeks followed by PT - Answer (c) Early functional rehab program
Client is a 45 y/o male performing a triple arthrodesis he has 6 degrees of tibial varum
what is the appropriate position for the calcaneus to the tibia to be in this position?
• 4 Degrees Everted
• 6 Degrees Everted
• 8 Degrees Everted
• 10 Degrees Everted - Answer (c)8 Degrees Everted
Performing a triple arthrodesis if you translate the talus anteriorly on the calcaneus
what would be the effect?
(a)Anterior talus will plantarflex the forefoot increase the arch height
(b)Anterior talus will dorsiflex the forefoot and increase arch height
(c)Anterior talus will plantarflex the forefoot and decrease arch height
• Anterior talus will dorsiflex the forefoot and decrease the arch height - Answer
(a)Anterior talus will plantarflex the forefoot increase the arch height
You are performing a pantalar arthrodesis. The client is a smoker and you are
concerned about a nonunion. Which joint has the highest risk of nonunion?
,• CCJ
• TNJ
• Ankle
• STJ - Answer (C)Ankle
You are performing a triple arthrodesis which joint would you prep last and fixate first?
(A)TNJ
(B)CCJ
(C)STJ
(D)Ankle - Answer (C)STJ
You are performing a lateral subtalar arthrodesis, which structure do you incise in
order to access the joint?
(A) ATFL
(B) CFL
(C) PTFL
(D) Bifurcate ligament - Answer (B) CFL
You are performing a STJ arthrodesis what is the hardest deformity to fix
(A) Varus
(B) Valgus
(C) Sagittal Plane
(D) Transverse plane - Answer (A) Varus
You are performing an ankle arthrodesis on a client you make a mistake with
positioning of the arthrodesis, which position would be best to have the foot in?
(A)5 Degrees Plantarflexed
(B)5 Degrees Dorsiflexed
(C)5 mm Anteriorly Offset
(D)6 degrees of valgus - Answer (B)5 Degrees Dorsiflexed
,You are with a certain attending who fuses the ankle in a plantarflexed position, what
would be the complication with this positioning?
(A) Shoulder drop on the affected side
(B) Supination of the affected extremity
(C) Pronation of the contralateral extremity
(D) Vaulting gait - Answer (D) Vaulting gait
What would be a contraindication to Arthroscopic ankle arthrodesis?
(A)Severe Inflammatory Arthritis
(B)Endstage arthritis with extensive osteophytes
(C)BMI 35
(D)15 degrees of ankle varus - Answer (D)15 degrees of ankle varus
Also 5 degrees of varus. 10 degrees varus/valgus for TAR contraindication
You are performing a triple arthrodesis. You put the client in varus by accident. What
would be the most common complication ?
(A) Ankle Arthritis
(B) Lateral Column Pain
(C) Lateral ankle instability
(D) Plantar Fasciitis - Answer (B) Lateral Column Pain
client has a calcaneal fracture with a massive lateral wall blowout. What is the most
common complication for a poor reduction?
(A)Nonunion
(B)Lateral Column Instability
, (C)Peroneal Tendonitis
(D)Sural Neuritis - Answer (C)Peroneal Tendonitis
client has a 4 cm rupture of the achilles tendon you repair the rupture what is the most
common complication?
(A)Re-rupture
(B)Infection
(C)Weakness
(D)Dehiscence - Answer (D)Dehiscence
You are doing a medial subtalar joint dissection approach. Which structure do you not
incise?
(A)Superficial Deltoid
(B)Deep Deltoid
(C)Posterior Tibialis
(D)Interosseous Ligament - Answer (B)Deep Deltoid
You wish to block factor II which medication does this?
(A)Pradaxa
(B)Eliquis
(C)Brilinta
• Plavix - Answer (A)Pradaxa
In performing a posteromedial release for a congenital clubfoot deformity, what is the
most important joint to release to prevent recurrence of the deformity?
• A. ankle.
•B. subtalar.
•C. talonavicular.
•D. calcaneocuboid. - Answer C. talonavicular
ANSWERS ACTUAL EXAM (100% CORRECT)/A+
GRADE ASSURED
18 y/o gymnast substance acute inversion ankle injury and ruptures her lateral
collateral ligaments
• NWB 6 weeks, ankle Brace
• Ankle bracing followed by aggressive PT 12 weeks
• Early functional rehab program
• NWB x8 weeks followed by PT - Answer (c) Early functional rehab program
Client is a 45 y/o male performing a triple arthrodesis he has 6 degrees of tibial varum
what is the appropriate position for the calcaneus to the tibia to be in this position?
• 4 Degrees Everted
• 6 Degrees Everted
• 8 Degrees Everted
• 10 Degrees Everted - Answer (c)8 Degrees Everted
Performing a triple arthrodesis if you translate the talus anteriorly on the calcaneus
what would be the effect?
(a)Anterior talus will plantarflex the forefoot increase the arch height
(b)Anterior talus will dorsiflex the forefoot and increase arch height
(c)Anterior talus will plantarflex the forefoot and decrease arch height
• Anterior talus will dorsiflex the forefoot and decrease the arch height - Answer
(a)Anterior talus will plantarflex the forefoot increase the arch height
You are performing a pantalar arthrodesis. The client is a smoker and you are
concerned about a nonunion. Which joint has the highest risk of nonunion?
,• CCJ
• TNJ
• Ankle
• STJ - Answer (C)Ankle
You are performing a triple arthrodesis which joint would you prep last and fixate first?
(A)TNJ
(B)CCJ
(C)STJ
(D)Ankle - Answer (C)STJ
You are performing a lateral subtalar arthrodesis, which structure do you incise in
order to access the joint?
(A) ATFL
(B) CFL
(C) PTFL
(D) Bifurcate ligament - Answer (B) CFL
You are performing a STJ arthrodesis what is the hardest deformity to fix
(A) Varus
(B) Valgus
(C) Sagittal Plane
(D) Transverse plane - Answer (A) Varus
You are performing an ankle arthrodesis on a client you make a mistake with
positioning of the arthrodesis, which position would be best to have the foot in?
(A)5 Degrees Plantarflexed
(B)5 Degrees Dorsiflexed
(C)5 mm Anteriorly Offset
(D)6 degrees of valgus - Answer (B)5 Degrees Dorsiflexed
,You are with a certain attending who fuses the ankle in a plantarflexed position, what
would be the complication with this positioning?
(A) Shoulder drop on the affected side
(B) Supination of the affected extremity
(C) Pronation of the contralateral extremity
(D) Vaulting gait - Answer (D) Vaulting gait
What would be a contraindication to Arthroscopic ankle arthrodesis?
(A)Severe Inflammatory Arthritis
(B)Endstage arthritis with extensive osteophytes
(C)BMI 35
(D)15 degrees of ankle varus - Answer (D)15 degrees of ankle varus
Also 5 degrees of varus. 10 degrees varus/valgus for TAR contraindication
You are performing a triple arthrodesis. You put the client in varus by accident. What
would be the most common complication ?
(A) Ankle Arthritis
(B) Lateral Column Pain
(C) Lateral ankle instability
(D) Plantar Fasciitis - Answer (B) Lateral Column Pain
client has a calcaneal fracture with a massive lateral wall blowout. What is the most
common complication for a poor reduction?
(A)Nonunion
(B)Lateral Column Instability
, (C)Peroneal Tendonitis
(D)Sural Neuritis - Answer (C)Peroneal Tendonitis
client has a 4 cm rupture of the achilles tendon you repair the rupture what is the most
common complication?
(A)Re-rupture
(B)Infection
(C)Weakness
(D)Dehiscence - Answer (D)Dehiscence
You are doing a medial subtalar joint dissection approach. Which structure do you not
incise?
(A)Superficial Deltoid
(B)Deep Deltoid
(C)Posterior Tibialis
(D)Interosseous Ligament - Answer (B)Deep Deltoid
You wish to block factor II which medication does this?
(A)Pradaxa
(B)Eliquis
(C)Brilinta
• Plavix - Answer (A)Pradaxa
In performing a posteromedial release for a congenital clubfoot deformity, what is the
most important joint to release to prevent recurrence of the deformity?
• A. ankle.
•B. subtalar.
•C. talonavicular.
•D. calcaneocuboid. - Answer C. talonavicular
