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ABFAS REARFOOT EXAM 2025-2026 LATEST VERSION WITH QUESTIONS AND VERIFIED ANSWERS ALREADY GRADED A 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
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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?
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 Interosseous membrane incision doesn't need to be small to prevent syndesmotic injury
Resembles SH 3 fracture on AP views Resembles SH 2 fracture on lateral views Need to ORIF! Quiz :Tillaux Fracture correlated to What SH fracture? - - ANSWER - > :SH 3 Quiz :A split thickness skin graft is applied over the lateral heel following flap necrosis after a calcaneal fracture ORIF. What would be the most appropriate dressing protocol to promote epithelialization and prevent shear? - - ANSWER - > :negative pressure wound therapy at 75-100mmHg for 5 days. Quiz :When performing a STJ arthroeresis for a flexible pediatric flatfoot deformity, the release of which of the following anatomic structures that is encountered should be avoided so as not to destabilize the STJ? - - ANSWER - > :interosseous talocalcaneal ligament Quiz :A patient presents eight weeks after sustaining a fracture through the neck of the talus. What finding is a prognostic indicator that the vascular supply is intact? - - ANSWER - > :A. resorption of subchondral bone of talar dome = Hawkin's Sign Quiz :Which of the following muscles are released with the plantar fascia and long plantar ligament when performing a Steindler stripping for a patient with significant pes cavus plantar soft tissue contracture? - - ANSWER - > :FDB Abductor Hallucis Abductor digiti minimi Plantar Fascia
LONG Plantar Ligament Quiz :A 51-year-old sustains a tongue type calcaneal fracture. What negative sequelae would occur with displacement of this fracture in the characteristic fashion? - - ANSWER - > :posterior skin necrosis Peroneal Artery supplies area via lateral calcaneal branch Quiz :What is the most appropriate shoe modification for a patient who has undergone a well-aligned ankle arthrodesis? - - ANSWER - > :Rocker bottom shoe Quiz :In a patient with Charcot-Marie-Tooth disease and weak anterior group muscles, which of the following tendons should be transferred to improve foot function? - - ANSWER - > :Posterior tibial tendon transfer Quiz :Axial load forces in a diaphyseal fibular fracture may be dissipated by use of which of the following fixation techniques? - - ANSWER - > :Neutralizing plate Quiz :A non-displaced medial lesion of the talus is best managed by which treatment? - - ANSWER - > :Resection through a medial malleolar osteotomy. Quiz :The dynamic compression plate is most suitable as a solitary fixation device for which of the following types of fibular fractures? -
Quiz :A patient complains of frequent ankle sprains. Clinical exam and advanced imaging shows no pathology. What is the most appropriate treatment? - - ANSWER - > :Proprioception PT Quiz :What is the procedure of choice for spastic equinus? - - ANSWER - > :Anterior advancement of the tendo Achilles. Quiz :A 67-year-old male presents 10 months post TCC arthrodesis. He is having chronic swelling about the attempted fusion site. There is notable lucency about the nail on x-ray but clinically the fusion site appears to have trabeculation. He denies any recent or past conconstitutional symptoms. What would be the next most logical step to assess the fusion site? - - ANSWER - > :CT Quiz :Following a medial displacement calcaneal osteotomy the patient complains of numbness in the plantar foot and the hallux is in an extensus position? What is the cause of these symptoms? - - ANSWER - > :Laceration of medial structures Quiz :Patient presents 2 weeks post removal of ring fixation and complains of sharp pain with walking over the anterior medial tibia over where a previous Schanz pin was removed. Radiographs show a stress riser and early periosteal changes. What is the best course of action now? - - ANSWER - > :immobilization and Non-weightbearing. Signs of fracture Quiz :A 30-year-old male presents with medial ankle and arch pain after a resection of a calcaneonavicular bar at age 11. On physical exam he exhibits a rigid valgus deformity and tenderness to palpation medially and plantarly. Radiographs demonstrate reduced joint space of the subtalar joint and Talar beaking. Recurrence of the
calcaneonavicular bar is noted as well. Which of the following procedures would be most appropriate? - - ANSWER - > :Double arthrodesis Quiz :A 27-year-old male presents with a deep wound infection three weeks following an open reduction and internal fixation of the pilon fracture. The patient is admitted, the wound is debrided and is placed on IV antibiotics. Following the debridment the hardware is now exposed. What should be done regarding the hardware? - - ANSWER - > :Keep in place unless loosening occurs. Quiz :Which bone is the least suitable donor site for an autogenous cancellous bone graft? - - ANSWER - > :Talar body Quiz :What is the ankle fusion technique that is indicated in a child to preserve the potential for growth of the distal tibial and fibular physis? - - ANSWER - > :Distraction-Compression Fusion Quiz :Which radiographic sign is not consistent with congenital convex pes planovalgus? (Note Negative format) - - ANSWER - > :Dorsiflexed calcaneus It's PLANTARFLEXED Quiz :Which of the following techniques is not appropriate fixation for a Salter-Harris type III fracture of the distal tibial physis? (note negative format) - - ANSWER - > :tension band wiring using two Kirschner wires through the fragment, across the physis, and into the metaphysis.