OITE & AAOS Board Review MCQs – Master Prep Part 26

Question 1

Figure 30 shows the radiograph of a 38-year-old man who reports persistent pain laterally and plantarly about the fifth metatarsal head. Examination reveals calluses dorsolaterally and plantarly about the fifth metatarsal head. Nonsurgical management

Accepted Answer

oblique mid-diaphyseal osteotomy of the fifth metatarsal.

Question 2

An 11-year-old boy stepped on a nail and sustained a puncture to the right forefoot 6 days ago. He was wearing tennis shoes at the time of injury. Treatment in the emergency department consisted of local debridement and tetanus prophylaxis; a radiogr

Accepted Answer

Surgical debridement

Question 3

A 20-year-old elite college football player has ecchymosis, swelling, and pain on the lateral side of his foot after a game. Radiographs are shown in Figures 31a through 31c. Management should consist of

Accepted Answer

percutaneous screw fixation with a 4.5-mm screw.

Question 4

Which of the following structures are found in the anterior tarsal tunnel?

Accepted Answer

Extensor hallucis longus, tibialis anterior, extensor digitorum longus, dorsalis pedis artery, deep peroneal nerve

Question 5

A 55-year-old man who runs on the weekends reports a 1-year history of continued pain directly posteriorly in the heel. Management consisting of anti-inflammatory drugs, icing techniques, a heel-counter in his shoe split, and physical therapy consist

Accepted Answer

a central-splitting surgical approach through the tendon, excision of the Haglund’s exostosis and the insertional calcifications, bursectomy, flexor hallucis longus tendon transfer to the posterior tuberosity, and attachment of the tendon to the calcaneus.

Question 6

A 45-year-old man who has had recurrent pain and swelling of the left Achilles tendon insertion for the past 10 years reports that physical therapy and activity modification have provided relief in the past. He now has continued pain despite these ef

Accepted Answer

HLA-B27

Question 7

A 29-year-old man reports severe knee instability and popliteal pain. History reveals that he had polio of the left lower extremity as a child and has been brace-free his entire life. Examination reveals that he walks with 40° of knee hyperextension

Accepted Answer

Soft-tissue release of the ankle and a knee-ankle-foot orthosis with a locked ankle and drop-lock knee joint

Question 8

Figures 34a and 34b show the clinical photographs of a 46-year-old woman who has a painful deformity of the second toe. Surgical treatment consisting of metatarsophalangeal capsulotomy and proximal interphalangeal joint resection arthroplasty resulte

Accepted Answer

Transfer of the flexor digitorum longus to the extensor tendon

Question 9

A 40-year-old man fell 10 feet from a tree and sustained the closed isolated injury shown in Figures 35a and 35b. Management consists of splinting. At his 2-week follow-up visit, he clinically passes the wrinkle test. He agrees to open reduction and

Accepted Answer

Open reduction and internal fixation with a lateral approach, extensile right-angled lateral incision, vertical limb 0.5 cm anterior to the Achilles tendon, and horizontal limb at the junction of the lateral skin and the plantar glabrous skin

Question 10

In the treatment of all magnitudes of bunionette deformities, what is the most common complication associated with lateral condylectomy of the fifth metatarsal head?

Accepted Answer

Recurrent deformity

OITE & ABOS Orthopedic Board Prep: Practice Exam Part 26

Key Medical Takeaway

About This Board Review Set

How to Use the Interactive Quiz

Topics Covered in Part 26

Sample Questions from This Set

Why Active MCQ Practice Works

About Dr. Mohammed Hutaif