DPM Pediatric Podiatry 3

Question 1

A Salter-Harris Type I fracture in a pediatric patient involves:

Accepted Answer

Transverse fracture through the physis (growth plate) only

Answer

Fracture through the metaphysis only

Answer

Fracture through the physis and epiphysis

Answer

Fracture through the physis, epiphysis, and metaphysis

Question 2

Freiberg's infraction (osteochondrosis) most commonly affects which metatarsal head?

Accepted Answer

Second metatarsal

Answer

First metatarsal

Answer

Fourth metatarsal

Answer

Fifth metatarsal

Question 3

The 'C-sign' on a lateral foot radiograph suggests which diagnosis?

Accepted Answer

Talocalcaneal coalition

Answer

Calcaneonavicular coalition

Answer

Congenital vertical talus

Answer

Kohler's disease

Question 4

Congenital vertical talus (rocker-bottom foot) is pathologically characterized by:

Accepted Answer

Irreducible dorsal dislocation of the navicular on the talar head

Answer

Flexible pes planus with hindfoot valgus

Answer

Calcaneus in equinus with forefoot adduction

Answer

Metatarsus primus varus

Question 5

What is the most appropriate management for an asymptomatic, flexible pediatric flatfoot in a child aged 5 years?

Accepted Answer

Observation and parental reassurance

Answer

Surgical correction to prevent future arthritis

Answer

Custom foot orthotics and aggressive physical therapy

Answer

Serial casting for 6 months

Question 6

Polydactyly of the foot most commonly involves extra digits on which side?

Accepted Answer

Lateral (postaxial/fibular) side

Answer

Medial (preaxial/tibial) side

Answer

Central (middle toes)

Answer

Equally distributed across all digits

Question 7

Syndactyly of the toes most commonly involves which toe combination?

Accepted Answer

Second and third toes

Answer

First and second toes

Answer

Third and fourth toes

Answer

Fourth and fifth toes