PC Clinical Procedures & Protocols 2

Question 1

When performing a digital block for a toe, which nerve must be anesthetized on BOTH the medial and lateral aspects?

Accepted Answer

Digital nerve

Answer

Digital blocks anesthetize the proper digital nerves on both medial and lateral sides of the toe to achieve complete anesthesia.

Question 2

Which debridement technique is most appropriate for a heavily infected wound with necrotic tissue in a podiatric patient?

Accepted Answer

Sharp surgical debridement

Answer

Sharp surgical debridement is the fastest and most effective method for removing large amounts of necrotic and infected tissue.

Question 3

A patient presents with an ingrown toenail. The Winograd procedure involves removal of which structure in addition to the nail border?

Accepted Answer

A wedge of nail matrix and adjacent nail fold

Answer

The Winograd procedure removes a longitudinal wedge of the offending nail border along with the underlying matrix and adjacent soft tissue.

Question 4

What is the primary purpose of using a fenestrated drape during podiatric surgery?

Accepted Answer

To maintain a sterile field around the operative site

Answer

Fenestrated drapes create a sterile barrier around the operative site while exposing only the area being treated.

Question 5

During a nail avulsion procedure, phenol is applied after nail removal primarily to:

Accepted Answer

Destroy the nail matrix to prevent regrowth

Answer

Phenolization chemically ablates the nail matrix cells to permanently prevent regrowth of the treated nail border.

(PC) Podiatrist Certification Practice Test