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

Complete digital block requires anesthetizing both the plantar and dorsal digital nerves on each side of the toe.

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

Monofilament absorbable sutures like PDS or Monocryl are preferred for deep layers due to lower bacterial adherence compared to braided materials.

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

The dorsalis pedis artery and deep peroneal nerve run on the dorsum of the foot and are at risk during dorsal ganglion excision.

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

The Austin (chevron) osteotomy typically displaces the capital fragment 3–6 mm laterally to correct the intermetatarsal angle.

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

Bupivacaine has a duration of 4–12 hours, making it the preferred agent for prolonged postoperative analgesia.

(ABFAS) American Board of Foot and Ankle Surgery Practice Test

(ABFAS) American Board of Foot and Ankle Surgery Practice Test

ABFAS Clinical Procedures and Protocols 2