DPM Surgical Interventions & Procedures 2

Question 1

Which osteotomy is most commonly used to correct a hallux valgus deformity at the first metatarsal shaft level?

Accepted Answer

Scarf osteotomy

Answer

The scarf osteotomy is a long Z-shaped cut through the first metatarsal shaft that allows multiplanar correction of hallux valgus deformity.

Question 2

What is the primary indication for a Lapidus procedure in hallux valgus correction?

Accepted Answer

Elevated intermetatarsal angle with hypermobility of the first ray

Answer

The Lapidus arthrodesis addresses hypermobility at the first tarsometatarsal joint, which is often the underlying cause of an elevated intermetatarsal angle.

Question 3

During an Achilles tendon repair, which suture technique is considered the gold standard for end-to-end tendon repair?

Accepted Answer

Kessler or modified Kessler technique

Answer

The Kessler and modified Kessler suture techniques provide superior tensile strength for end-to-end Achilles tendon repairs compared to other methods.

Question 4

Which nerve is most at risk during a medial approach to the ankle for deltoid ligament repair?

Accepted Answer

Saphenous nerve and great saphenous vein

Answer

The saphenous nerve and great saphenous vein travel along the medial ankle and are at risk during medial approach incisions for deltoid ligament repair.

Question 5

A Dwyer calcaneal osteotomy corrects which deformity?

Accepted Answer

Calcaneal varus (cavovarus foot)

Answer

The Dwyer lateral closing wedge osteotomy removes a lateral wedge from the calcaneus to correct calcaneal varus in cavovarus foot deformities.

(DPM) Doctor of Podiatric Medicine Practice Test

(DPM) Doctor of Podiatric Medicine Practice Test

DPM Surgical Interventions & Procedures 2