PC Podiatrist Surgical & Non-Surgical Procedures 3

Question 1

Which tendon is most commonly transferred in a flexible hammertoe correction when there is a flexion contracture at the proximal interphalangeal joint?

Accepted Answer

Flexor digitorum longus to extensor (Girdlestone-Taylor transfer)

Answer

The Girdlestone-Taylor flexor-to-extensor tendon transfer redirects the flexor digitorum longus to act as an extensor, correcting the flexible flexion deformity at the PIP joint.

Question 2

During a subtalar joint arthroscopy, which portal is positioned adjacent to the sinus tarsi and provides access to the posterior facet?

Accepted Answer

Anterolateral portal

Answer

The anterolateral portal of the subtalar joint is placed at the sinus tarsi and allows visualization of the posterior facet, the most commonly accessed area in subtalar arthroscopy.

Question 3

A patient with a symptomatic tarsal coalition between the calcaneus and navicular is best treated non-surgically with:

Accepted Answer

Short leg cast immobilization for 4–6 weeks combined with orthotics

Answer

Initial conservative management of calcaneonavicular coalition includes immobilization in a short leg cast to reduce pain and inflammation, followed by custom orthotic support.

Question 4

Which structure is at highest risk of injury during endoscopic plantar fasciotomy?

Accepted Answer

Lateral plantar nerve and its branches

Answer

The lateral plantar nerve and its first branch (nerve to the abductor digiti minimi) run close to the medial calcaneal tuberosity and are vulnerable during endoscopic plantar fasciotomy.

Question 5

A Cotton osteotomy is performed on which bone, and for what primary deformity correction?

Accepted Answer

Medial cuneiform; forefoot varus or plantarflexion of the medial column

Answer

The Cotton osteotomy is an opening wedge osteotomy of the medial cuneiform used to plantarflex the medial column and correct forefoot varus in flatfoot reconstruction.

(PC) Podiatrist Certification Practice Test

(PC) Podiatrist Certification Practice Test

PC Podiatrist Surgical & Non-Surgical Procedures 3