ABOS Part I Comprehensive Review - Batch 84

Question 1

A 38-year-old right-hand dominant carpenter sustained a Zone II flexor digitorum profundus (FDP) laceration to his left index finger 4 months ago, which was primarily repaired. He has diligently attended hand therapy, but his active range of motion (

Accepted Answer

Schedule flexor tendon tenolysis, emphasizing immediate post-operative mobilization.

Question 2

During a flexor tendon tenolysis procedure for a patient with a history of Zone II FDP laceration, the surgeon encounters dense adhesions involving the flexor sheath and the underlying tendon. Meticulous dissection is performed to free the tendon cir

Accepted Answer

A2 and A4 pulleys

Question 3

A 55-year-old patient undergoes flexor tendon tenolysis for severe adhesions following a Zone II FDS and FDP repair. During the procedure, the surgeon meticulously dissects the tendons free from the surrounding synovial sheath and bone. The patient's

Accepted Answer

Extrinsic healing, involving fibroblasts from surrounding tissues laying down collagen fibers.

Question 4

A 28-year-old musician presents 5 months after a Zone I FDP repair to his dominant ring finger. He complains of difficulty fully flexing his fingertip, significantly impacting his ability to play his instrument. On examination, his active DIP joint f

Accepted Answer

The significant difference between active and passive DIP joint flexion.

Question 5

A surgeon is performing flexor tendon tenolysis on a patient with dense adhesions in Zone II. After incising the skin and subcutaneous tissue, the surgeon encounters significant scar tissue. Which of the following steps is MOST critical to perform ea

Accepted Answer

Systematically identify and meticulously dissect out the digital neurovascular bundles.

Question 6

A 42-year-old patient undergoes flexor tendon tenolysis for a severely adherent FDP tendon in Zone II. During the procedure, after extensive adhesiolysis, the surgeon performs a dynamic assessment of gliding. Despite meticulous release, the tendon ap

Accepted Answer

Insert a silicone rod for a staged tendon reconstruction.

Question 7

A 32-year-old patient undergoes flexor tendon tenolysis for severe adhesions in Zone II of the middle finger. The surgeon successfully releases all adhesions, ensuring full passive tendon gliding. Post-operatively, the patient is immediately started

Accepted Answer

Immediate, aggressive, and controlled active and passive motion to prevent re-adhesion.

Question 8

A 68-year-old patient with a history of poorly controlled diabetes and active Complex Regional Pain Syndrome (CRPS) in her right hand presents with severe stiffness following a flexor tendon repair in Zone II. She is requesting flexor tendon tenolysi

Accepted Answer

Active Complex Regional Pain Syndrome (CRPS).

Question 9

A 48-year-old patient undergoes flexor tendon tenolysis for persistent stiffness in Zone II of the ring finger. During the procedure, the surgeon encounters significant scarring, making identification of the FDS and FDP tendons challenging. After car

Accepted Answer

The A2 and A4 pulleys are crucial and must be preserved; any adhesions involving them should be carefully released from their surface.

Question 10

A 60-year-old patient undergoes flexor tendon tenolysis for a long-standing flexion contracture of the PIP joint following a Zone II flexor tendon repair. Pre-operatively, the patient had a significant active flexion deficit, but also a 30-degree pas

Accepted Answer

An underlying fixed joint contracture of the PIP joint.

Orthopaedic Surgery Board Exam Review: ABOS Part I & AAOS OITE Prep Questions | Part 22210

ABOS Part I Orthopaedic Surgery Board Review & MCQ Practice | Part 22163

Key Takeaway