CME SECTION

OR

CME on the Mini-Symposium on Foot and Ankle

1 Which of the following probably occurs earliest in theprogression of hallux valgus?

A Cartilage atrophy over medial metatarsal head

B Contracture of adductor hallucis

C Failure of the medial sesamoid ligament

D Flexor and extensor hallucis longus become adductors of

great toe

E Pronation deformity produced by pull of lateral

sesamoid

2 What minimum degree of dorsoplantar movement at the1st tarsometatarsal joint is clinically indicative ofhypermobility of that joint?

A 5 mm

B 9 mm

C 14 mm

D 18 mm

E 22 mm

3 Which of the following procedures involves the mostprolonged recovery period before restoration of normalwalking after surgery?

A Chevron osteotomy

B Lapidus procedure (first TMTJ arthrodesis)

C Proximal opening wedge osteotomy

D Proximal phalanx (Akin) osteotomy

E Scarf osteotomy

4 What are the three components of a typical hallux varusdeformity complicating bunion surgery?

A Medial deviation of hallux at 1st MTP joint, pronation

and IP joint flexion

B Medial deviation of hallux at 1st MTP joint, supination

and IP joint extension

C Medial deviation of hallux at 1st MTP joint, supination

and IP joint flexion

D Lateral deviation of hallux at 1st MTP joint, pronation

and IP joint extension

E Lateral deviation of hallux at 1st MTP joint, supination

and IP joint flexion

5 What is the most common inheritance pattern for thecondition that is the most frequent neurological causeof cavovarus foot?

A Autosomal dominant

B Autosomal recessive

C Mitochondrial

D X linked dominant

E X linked recessive

THOPAEDICS AND TRAUMA 28:1 58

6 Which of the following is most prone to fatigue fracturesin the cavovarus foot?

A Calcaneus

B Fifth metatarsal

C First metatarsal

D Navicular

E Second metatarsal

7 A patient is being assessed for cavovarus foot and thefollowing are measured: calcaneal pitch, angle betweenaxes of talus and first metatarsal and the anglebetween the axes of the calcaneus and first metatarsal.Which of the following is an abnormal set of resultsconsistent with a cavovarus foot?

A 30:0:45

B 20:0:45

C 10:0:40

D 30:0:10

E 30:0:55

8 A patient has a rigid hindfoot as shown by the Colemanblock test e which of the following would be the mostappropriate corrective surgery?

A Dorsal closing wedge 1st metatarsal osteotomy alone

B Lateral 1st metatarsal osteotomy and lateral closing

wedge calcaneal osteotomy

C Dorsal closing wedge 1st metatarsal osteotomy and

lateral opening wedge calcaneal osteotomy

D Dorsal closing wedge 1st metatarsal osteotomy and

lateral closing wedge calcaneal osteotomy

E Dorsal closing wedge 1st metatarsal osteotomy and

lateral closing wedge calcaneal osteotomy with lateral

closing wedge midfoot osteotomy

9 Approximately what proportion of patients reportsubjective good long term outcomes for triple fusionwhen used to treat cavovarus foot in Charcot MarieTooth disease?

A 10%

B 30%

C 50%

D 70%

E 90%

10 Which portal for ankle arthroscopy is made just medialto the extensor digitorum communis tendon?

A Anterocentral

B Anteromedial

� 2013 Published by Elsevier Ltd.

CME SECTION

C Anterolateral

D Posteromedial

E Posterolateral

11 What is the currently recommended maximum size ofosteochondral defects of the talus, not suitable forfixation, that can be treated by debridement andmarrow stimulation techniques?

A 5 mm

B 7.5 mm

C 10 mm

ORTHOPAEDICS AND TRAUMA 28:1 59

D 15 mm

E 20 mm

12 Which of the following is most at risk when creating ananterior portal for anterior subtalar joint arthroscopy?

A Peroneal nerve branches

B Peroneal tendons

C Small saphenous vein

D Sural nerve

E Tibialis posterior artery

� 2013 Published by Elsevier Ltd.