ABFAS BOARDS (REARFOOT AND FOREFOOT)
ACTUAL EXAM QUESTIONS WITH DETAILED
SOLUTIONS NEWLY MODIFIED
Why is thermal necrosis of bone problematic? -- ANSWER--increased zone of
resorption at osteotomy site
met base osteotomy with high rate of dorsal malunion -- ANSWER--crescentic
osteotomy
Correction of digiti quinti varus with V-y skin plasty often doesn't work due to...
-- ANSWER--inability of V-Y plasty to correct the deformity adequately
When is midstance phase of gait? -- ANSWER--opposite side toe off.
apex of deformity in anterior cavus foot with occur at which joint? --
ANSWER--1st met cuneiform joint
effect on mu receptors with surgery?
What affect does this have on pain killers? -- ANSWER--Mu receptor are up
regulated, this causes opioids to be more effective for pain control
Page | 1
,most common complication with polycactyly treatment. -- ANSWER--Removal
of the wrong extra digit.
-Need adequate pre-op planning and vascular assessment.
What are the stages of anesthesia? -- ANSWER--1. amnesia/analgesia
2. delirium
3. surgical anesthesia
4. overdose
What are the characteristics of stage 3 anesthesia? 4 planes -- ANSWER-
Surgical anesthesia:
1) regular respiration, no eyelid reflex
2)slowed breathing
3)stops breathing, no laryngeal reflexes
4)intercostal paralysis, fully dilated pupils
Characteristics of moderate/conscious sedation -- ANSWER--responds
purposefully. Does not require airway intervention
what is the least common polydactyly?
Which the is the most common? -- ANSWER--Central polydactyly.
Page | 2
,postaxial polydactyly is the most common
What type of fracture will tension band wiring not work? -- ANSWER-
comminuted fractures
What is the minimum muscle strength grade for tendon transfer? -- ANSWER-4
maximum age of test results for surgery? -- ANSWER--4-6 months, if labs are
older than that, they should be redrawn prior to surgery
most common cause of hammer toe? -- ANSWER--flexor stabilization
screws in mini frag set? -- ANSWER--1.5
2.0
2.7
Screw in small frag set? -- ANSWER--3.5
4.0
screws in large frag set -- ANSWER--4.5
6.5
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, What is the jones tenosuspension -- ANSWER--Transfer of EHL to proximal
phalanx
you will also need to fuse the IPJ.
palpable posterior tibial pulse gives a digit amputations __% chance to heal --
ANSWER--90%
if PT pulse palpable, digital amputation have 90% chance to heal.
treatment for anaphylaxis during surgery -- ANSWER--IV epinephrine
How does cocaine cause vasoconstriction -- ANSWER--potentiates the effect of
norepinephrine, causing vasoconstriction.
Which ligament primarily limits inversion of STJ -- ANSWER--Cervical
ligament
Which ASA class has 2-3x risk for post-op complications. -- ANSWER--ASA
class III: specifically a pulmonary complication
Page | 4
ACTUAL EXAM QUESTIONS WITH DETAILED
SOLUTIONS NEWLY MODIFIED
Why is thermal necrosis of bone problematic? -- ANSWER--increased zone of
resorption at osteotomy site
met base osteotomy with high rate of dorsal malunion -- ANSWER--crescentic
osteotomy
Correction of digiti quinti varus with V-y skin plasty often doesn't work due to...
-- ANSWER--inability of V-Y plasty to correct the deformity adequately
When is midstance phase of gait? -- ANSWER--opposite side toe off.
apex of deformity in anterior cavus foot with occur at which joint? --
ANSWER--1st met cuneiform joint
effect on mu receptors with surgery?
What affect does this have on pain killers? -- ANSWER--Mu receptor are up
regulated, this causes opioids to be more effective for pain control
Page | 1
,most common complication with polycactyly treatment. -- ANSWER--Removal
of the wrong extra digit.
-Need adequate pre-op planning and vascular assessment.
What are the stages of anesthesia? -- ANSWER--1. amnesia/analgesia
2. delirium
3. surgical anesthesia
4. overdose
What are the characteristics of stage 3 anesthesia? 4 planes -- ANSWER-
Surgical anesthesia:
1) regular respiration, no eyelid reflex
2)slowed breathing
3)stops breathing, no laryngeal reflexes
4)intercostal paralysis, fully dilated pupils
Characteristics of moderate/conscious sedation -- ANSWER--responds
purposefully. Does not require airway intervention
what is the least common polydactyly?
Which the is the most common? -- ANSWER--Central polydactyly.
Page | 2
,postaxial polydactyly is the most common
What type of fracture will tension band wiring not work? -- ANSWER-
comminuted fractures
What is the minimum muscle strength grade for tendon transfer? -- ANSWER-4
maximum age of test results for surgery? -- ANSWER--4-6 months, if labs are
older than that, they should be redrawn prior to surgery
most common cause of hammer toe? -- ANSWER--flexor stabilization
screws in mini frag set? -- ANSWER--1.5
2.0
2.7
Screw in small frag set? -- ANSWER--3.5
4.0
screws in large frag set -- ANSWER--4.5
6.5
Page | 3
, What is the jones tenosuspension -- ANSWER--Transfer of EHL to proximal
phalanx
you will also need to fuse the IPJ.
palpable posterior tibial pulse gives a digit amputations __% chance to heal --
ANSWER--90%
if PT pulse palpable, digital amputation have 90% chance to heal.
treatment for anaphylaxis during surgery -- ANSWER--IV epinephrine
How does cocaine cause vasoconstriction -- ANSWER--potentiates the effect of
norepinephrine, causing vasoconstriction.
Which ligament primarily limits inversion of STJ -- ANSWER--Cervical
ligament
Which ASA class has 2-3x risk for post-op complications. -- ANSWER--ASA
class III: specifically a pulmonary complication
Page | 4
