APMLE APMLE Podiatric Surgery and Wound Care

Question 1

Which surgical procedure for hallux valgus involves a distal metatarsal osteotomy to correct an elevated intermetatarsal angle?

Accepted Answer

Austin (chevron) osteotomy

Answer

The Austin (chevron) osteotomy is a distal first metatarsal V-shaped osteotomy used to correct mild-to-moderate hallux valgus with an elevated IMA.

Question 2

Which surgical approach is indicated for severe hallux valgus with hypermobility of the first ray?

Accepted Answer

Lapidus arthrodesis (first tarsometatarsal joint fusion)

Answer

The Lapidus procedure fuses the first tarsometatarsal joint to address first ray hypermobility in severe hallux valgus.

Question 3

What is the most common complication of calcaneal osteotomy performed for flatfoot reconstruction?

Accepted Answer

Lateral plantar nerve injury

Answer

The lateral plantar nerve and its branches are at risk during calcaneal osteotomy due to their proximity to the surgical site.

Question 4

Which classification system is used to stage diabetic foot ulcers based on depth and infection?

Accepted Answer

Wagner classification

Answer

The Wagner classification grades diabetic foot ulcers from Grade 0 (pre-ulcer) to Grade 5 (gangrene of the entire foot) based on depth and infection.

Question 5

What is the primary indication for a digital arthroplasty (proximal interphalangeal joint resection) for hammer toe correction?

Accepted Answer

Flexible or rigid hammer toe with painful dorsal corn at the PIPJ

Answer

Digital arthroplasty resects the head of the proximal phalanx to relieve the painful dorsal prominence at the PIPJ in hammer toe correction.

APMLE - American Podiatric Medical Licensing Examination Practice Test