PC Treatment Planning & Management 4

Question 1

A patient with a subungual hematoma involving more than 50% of the nail plate after acute trauma should receive:

Accepted Answer

Trephination of the nail for decompression

Answer

Trephination (creating a hole through the nail to drain the hematoma) relieves pain and pressure; nail avulsion is only needed if the nail plate is unstable or an underlying laceration requires repair.

Question 2

Which conservative measure is first-line for a Morton's neuroma causing burning pain between the third and fourth metatarsal heads?

Accepted Answer

Metatarsal pad placed proximal to the metatarsal heads to splay them

Answer

A metatarsal pad placed just proximal to the 3rd–4th metatarsal heads splays the metatarsals apart, reducing interdigital nerve compression and is the first conservative intervention.

Question 3

A 10-year-old presents with a painful limp and flattened, sclerotic navicular on X-ray. The diagnosis is Köhler disease. Appropriate management is:

Accepted Answer

Short-leg walking cast or supportive footwear until symptoms resolve

Answer

Köhler disease (avascular necrosis of the navicular in children) is self-limiting; symptomatic management with a short-leg walking cast accelerates pain relief, and the navicular reossifies spontaneously.

Question 4

When performing chemical matricectomy with phenol for onychocryptosis, the phenol concentration and contact time most commonly used is:

Accepted Answer

88% phenol for 30 seconds applied three times

Answer

88% liquefied phenol applied for 30 seconds in three separate applications is the standard protocol, providing effective chemical destruction of the nail matrix.

Question 5

A patient requires a CAM walker after a Jones fracture. When is return to full weight bearing typically permitted without surgical intervention in a non-displaced Jones fracture?

Accepted Answer

6–8 weeks once radiographic healing is confirmed

Answer

Non-displaced Jones fractures (Zone 2 of the fifth metatarsal) are typically immobilized non-weight bearing for 6–8 weeks until radiographic union is confirmed before progressive weight bearing.

(PC) Podiatrist Certification Practice Test

(PC) Podiatrist Certification Practice Test

PC Treatment Planning & Management 4