ABFAS Clinical Procedures and Protocols 2

Question 1

When performing a digital block for lesser toe surgery, which nerve must be anesthetized to achieve complete anesthesia of the toe?

Accepted Answer

Both plantar and dorsal digital nerves

Answer

Sural nerve only

Answer

Medial plantar nerve only

Answer

Deep peroneal nerve only

Question 2

Which type of suture material is most appropriate for closing the deep fascial layers in foot surgery to minimize risk of infection?

Accepted Answer

Monofilament absorbable suture

Answer

Chromic gut

Answer

Silk

Answer

Polyester braided suture

Question 3

A patient requires excision of a ganglionic cyst on the dorsum of the foot. Which anatomical structure must be carefully identified and preserved during this procedure?

Accepted Answer

Dorsalis pedis artery and deep peroneal nerve

Answer

Flexor hallucis longus tendon

Answer

Extensor digitorum brevis muscle

Answer

Posterior tibial artery

Question 4

During an Austin bunionectomy, what is the standard range of degrees for the capital fragment displacement?

Accepted Answer

3–6 mm laterally

Answer

1–2 mm laterally

Answer

8–10 mm laterally

Answer

Greater than 12 mm laterally

Question 5

Which local anesthetic agent provides the longest duration of action and is commonly used for postoperative pain control in foot and ankle surgery?

Accepted Answer

Bupivacaine

Answer

Lidocaine

Answer

Mepivacaine

Answer

Chloroprocaine

Question 6

In a patient with suspected compartment syndrome of the foot following calcaneal fracture, which measurement confirms the need for fasciotomy?

Accepted Answer

Compartment pressure within 30 mmHg of diastolic pressure

Answer

Compartment pressure above 10 mmHg

Answer

Compartment pressure above 20 mmHg

Answer

Compartment pressure above 50 mmHg

Question 7

What is the primary purpose of a pneumatic tourniquet applied at the ankle level during foot surgery?

Accepted Answer

To provide a bloodless surgical field

Answer

To reduce systemic anesthetic absorption

Answer

To prevent deep vein thrombosis

Answer

To stabilize the ankle joint