Practice Test Geeks(ABFAS) American Board of Foot and Ankle Surgery Practice Test
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Emergency Response Procedures Flashcards

7 cards from real ABFAS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Emergency Response Procedures flashcards as text

  1. A patient presents to the emergency department after sustaining a Lisfranc fracture-dislocation with a pulseless, pale, and cold foot. The FIRST step in management is:

    Answer: Immediate closed reduction and splinting to restore perfusion

    Immediate closed reduction of the dislocation is the first step to attempt restoration of vascular flow to a pulseless limb before imaging or further consultation.

  2. In the management of an open fracture of the foot, the Gustilo-Anderson classification system guides treatment. A Gustilo Type IIIB fracture is characterized by:

    Answer: Extensive soft tissue loss with periosteal stripping requiring flap coverage

    Gustilo Type IIIB is characterized by extensive soft tissue loss, periosteal stripping, and bone exposure requiring local or free flap coverage for wound closure.

  3. A patient with peripheral arterial disease develops acute limb ischemia after ankle surgery. The classic '6 P's' of acute arterial occlusion include all of the following EXCEPT:

    Answer: Petechiae and Purpura

    Petechiae and purpura are signs of vasculitis or thrombocytopenia, not acute arterial occlusion; the 6 P's are Pain, Pallor, Pulselessness, Paresthesias, Paralysis, and Poikilothermia.

  4. A patient with poorly controlled diabetes and a heel ulcer presents with fever, elevated WBC, ESR >70 mm/hr, and a positive probe-to-bone test. The MOST likely diagnosis is:

    Answer: Osteomyelitis of the calcaneus

    A positive probe-to-bone test combined with elevated inflammatory markers (ESR >70) in a diabetic foot ulcer has a high positive predictive value for osteomyelitis.

  5. During foot surgery, an inadvertent arterial puncture of the dorsalis pedis artery occurs. Initial management includes:

    Answer: Direct digital pressure for a minimum of 10-15 minutes

    Direct continuous digital pressure for 10-15 minutes is the first-line response to inadvertent arterial puncture before escalating to surgical ligation if bleeding persists.

  6. A patient develops compartment syndrome of the foot postoperatively. Which clinical finding is MOST reliable for diagnosis?

    Answer: Pain out of proportion to the injury with passive stretch of toes

    Pain out of proportion to the injury with passive stretch of the intrinsic muscles is the earliest and most reliable clinical sign of compartment syndrome.

  7. The threshold compartment pressure at which fasciotomy is indicated in a normotensive patient is when the measured pressure is within how many mmHg of diastolic blood pressure?

    Answer: 30 mmHg

    Fasciotomy is indicated when compartment pressure is within 30 mmHg of diastolic blood pressure (Delta P ≤30 mmHg), the widely accepted threshold.