DPM Pediatric Podiatry

Question 1

What is the most common congenital foot deformity present at birth?

Accepted Answer

Talipes equinovarus (clubfoot)

Answer

Talipes equinovarus (clubfoot) is the most common congenital foot deformity, occurring in approximately 1-2 per 1,000 live births.

Question 2

Which treatment method is considered the gold standard first-line approach for congenital talipes equinovarus (clubfoot)?

Accepted Answer

Ponseti casting method

Answer

The Ponseti method—a series of weekly manipulations and casts followed by bracing—is the gold standard for clubfoot treatment, achieving correction in over 95% of cases.

Question 3

Metatarsus adductus is best described as:

Accepted Answer

Medial deviation of the forefoot relative to the hindfoot

Answer

Metatarsus adductus involves medial (inward) deviation of the forefoot relative to the hindfoot, giving the foot a C-shaped or kidney-bean appearance.

Question 4

Which classification system is most commonly used to grade the severity of metatarsus adductus?

Accepted Answer

Bleck classification

Answer

The Bleck classification grades metatarsus adductus by assessing the heel bisector line relative to the toes to determine mild, moderate, or severe deformity.

Question 5

Calcaneovalgus foot deformity in newborns is characterized by:

Accepted Answer

Dorsiflexion and eversion of the foot

Answer

Calcaneovalgus presents as dorsiflexion and eversion of the foot, often with the dorsum resting against the anterior tibia; it typically resolves spontaneously with gentle stretching.

(DPM) Doctor of Podiatric Medicine Practice Test

(DPM) Doctor of Podiatric Medicine Practice Test

DPM Pediatric Podiatry