ABFAS BOARD EXAM REVIEWED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH (VERIFIED
ANSWERS) |ALREADY GRADED A
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 patient 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 patient 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
Patient 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
Patient 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
(D)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
For a severe rigid and painful talipes equinovarus in an adult, what primary surgical
approach is contraindicated? (note negative format) •A. soft-tissue release and
tendon transfer.
, •B. talectomy and foot-to-leg arthrodesis.
•C. tarsal osteotomies.
•D. triple arthrodesis. - ANSWER A. soft-tissue release and tendon transfer
In a six-month-old child, aggressive casting for the equinus component of a clubfoot
deformity may result in which of the following conditions?
•A. dislocation of the ankle.
•B. subluxation of the midtarsal joint.
•C. compression of the subtalar joint.
•D. rupture of posterior talotibialligament. - ANSWER B. subluxation of the midtarsal
joint
For a one-year-old patient with calcaneal valgus, what is an acceptable treatment plan?
•A. manipulation only.
•B. manipulation with serial casting.
•C. soft-tissue release.
•D. arthroereisis.
•E. triple arthrodesis at skeletal maturity. - ANSWER B. manipulation with serial casting
For Talipes equinovarus select a statement that is true:
(a)TC angle < 15 , Talo1stmet angle <15
(b)TC angle > 15, Talo1stmet angle <15
(c)TC angle <15, Talo1stmet angle >15
(d)TC angle >15, Talo1stmet angle >15 - ANSWER (c)TC angle <15, Talo 1st met
angle >15
For ponsetti method what surgical procedure is done last?
(a)Medial release
(b)TN Release
(c)Achilles Tenotomy
(d)PT release - ANSWER (c)Achilles Tenotomy
What structure is NOT released on a soft tissue release procedure for clubfoot? (a)Knot
of Henry
(b)Spring Ligament
(c)CFL
(d)PTFL
(e)Deep Deltoid Ligament
(f)Posterior tibial tendon - ANSWER (e)Deep Deltoid Ligament
When is the best time to do clubfoot soft tissue release surgery?
(a) 0-1 year
(b) 1-2 year
CORRECT DETAILED ANSWERS WITH (VERIFIED
ANSWERS) |ALREADY GRADED A
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 patient 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 patient 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
Patient 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
Patient 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
(D)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
For a severe rigid and painful talipes equinovarus in an adult, what primary surgical
approach is contraindicated? (note negative format) •A. soft-tissue release and
tendon transfer.
, •B. talectomy and foot-to-leg arthrodesis.
•C. tarsal osteotomies.
•D. triple arthrodesis. - ANSWER A. soft-tissue release and tendon transfer
In a six-month-old child, aggressive casting for the equinus component of a clubfoot
deformity may result in which of the following conditions?
•A. dislocation of the ankle.
•B. subluxation of the midtarsal joint.
•C. compression of the subtalar joint.
•D. rupture of posterior talotibialligament. - ANSWER B. subluxation of the midtarsal
joint
For a one-year-old patient with calcaneal valgus, what is an acceptable treatment plan?
•A. manipulation only.
•B. manipulation with serial casting.
•C. soft-tissue release.
•D. arthroereisis.
•E. triple arthrodesis at skeletal maturity. - ANSWER B. manipulation with serial casting
For Talipes equinovarus select a statement that is true:
(a)TC angle < 15 , Talo1stmet angle <15
(b)TC angle > 15, Talo1stmet angle <15
(c)TC angle <15, Talo1stmet angle >15
(d)TC angle >15, Talo1stmet angle >15 - ANSWER (c)TC angle <15, Talo 1st met
angle >15
For ponsetti method what surgical procedure is done last?
(a)Medial release
(b)TN Release
(c)Achilles Tenotomy
(d)PT release - ANSWER (c)Achilles Tenotomy
What structure is NOT released on a soft tissue release procedure for clubfoot? (a)Knot
of Henry
(b)Spring Ligament
(c)CFL
(d)PTFL
(e)Deep Deltoid Ligament
(f)Posterior tibial tendon - ANSWER (e)Deep Deltoid Ligament
When is the best time to do clubfoot soft tissue release surgery?
(a) 0-1 year
(b) 1-2 year
