ABFAS Clinical Procedures and Protocols 5

Question 1

Which surgical approach is used to access the posterior ankle for os trigonum excision or flexor hallucis longus decompression?

Accepted Answer

Posterolateral approach

Answer

Anteromedial approach

Answer

Anterior central approach

Answer

Medial utility incision

Question 2

A patient undergoing foot surgery under spinal anesthesia develops hypotension intraoperatively. What is the first-line intervention?

Accepted Answer

IV fluid bolus and IV ephedrine or phenylephrine

Answer

Administer IV epinephrine 1 mg

Answer

Discontinue the spinal anesthetic

Answer

Apply direct pressure to the surgical site

Question 3

When performing a primary repair of a lacerated flexor tendon in zone 2 of the foot, which core suture technique is most commonly used?

Accepted Answer

Modified Kessler suture

Answer

Bunnel suture

Answer

Simple interrupted suture

Answer

Figure-of-eight suture

Question 4

Which bone graft substitute contains both an osteoconductive scaffold and demineralized bone matrix (DBM) to provide osteoinductive properties?

Accepted Answer

Combination DBM with calcium sulfate carrier

Answer

Autogenous cancellous bone

Answer

Beta-tricalcium phosphate alone

Answer

Hydroxyapatite ceramic alone

Question 5

In which clinical scenario is a transmetatarsal amputation (TMA) the preferred level of amputation for a diabetic foot patient?

Accepted Answer

Full-thickness forefoot infection with viable midfoot and adequate perfusion

Answer

Dry gangrene isolated to one digit with adequate perfusion

Answer

Wet gangrene extending to the midfoot

Answer

Osteomyelitis limited to the distal phalanx of the hallux

Question 6

Which antibiotic is added to bone cement during diabetic foot osteomyelitis surgery to achieve local high-concentration delivery while minimizing systemic toxicity?

Accepted Answer

Vancomycin or tobramycin

Answer

Oral amoxicillin powder

Answer

Intravenous cefazolin mixed directly

Answer

Rifampin-only impregnated cement

Question 7

During a flatfoot reconstruction involving posterior tibial tendon augmentation, which tendon is most commonly used as a transfer to supplement the weakened posterior tibial tendon?

Accepted Answer

Flexor digitorum longus tendon

Answer

Peroneus longus tendon

Answer

Extensor hallucis longus tendon

Answer

Anterior tibial tendon