PC Podiatrist Surgical & Non-Surgical Procedures 2

Question 1

Which anesthetic technique is most appropriate for a digital nerve block of the hallux?

Accepted Answer

Web space injection with 1% lidocaine at the base of the toe

Answer

Bier block

Answer

Ankle block of the deep peroneal nerve only

Answer

Spinal anesthesia

Question 2

When performing a Lapidus procedure (first tarsometatarsal arthrodesis), the primary goal is to:

Accepted Answer

Correct hypermobility of the first ray contributing to hallux valgus

Answer

Shorten the first metatarsal

Answer

Fuse the first metatarsophalangeal joint

Answer

Decompress the medial dorsal cutaneous nerve

Question 3

A patient presents with a Haglund's deformity. Which surgical approach best addresses both the retrocalcaneal bursitis and the bony prominence?

Accepted Answer

Posterior calcaneal exostectomy with bursectomy

Answer

Plantar fasciotomy

Answer

Achilles tendon lengthening

Answer

Subtalar arthrodesis

Question 4

Which non-surgical treatment is the first-line recommendation for a mild plantar fasciitis case?

Accepted Answer

Stretching exercises, orthotic support, and NSAIDs

Answer

Extracorporeal shock wave therapy

Answer

Platelet-rich plasma injection

Answer

Corticosteroid injection series

Question 5

In a Weil osteotomy, the metatarsal head is repositioned by cutting the bone at approximately what angle relative to the weight-bearing surface?

Accepted Answer

20–25° angle from horizontal, parallel to the plantar surface

Answer

Perpendicular (90°)

Answer

Parallel (0°)

Answer

45° angle

Question 6

Which complication is most specifically associated with the Austin/Chevron bunionectomy procedure?

Accepted Answer

Avascular necrosis of the first metatarsal head

Answer

Tibial nerve entrapment

Answer

Peroneus longus rupture

Answer

Tarsal tunnel syndrome

Question 7

A patient with rheumatoid arthritis requires forefoot reconstruction. Which procedure most appropriately addresses panmetatarsalgia with multiple dislocated MTP joints?

Accepted Answer

First MTP arthrodesis combined with lesser metatarsal head resection arthroplasty

Answer

Selective cortisone injections at each MTP joint

Answer

Bilateral plantar fasciotomy

Answer

Total ankle replacement