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Continuing podiatric medical education questionnaire
CONTINUING PODIATRIC MEDICAL EDUCATION QUESTIONNAIRE The Journal of Foot & Ankle Surgery Continuing Podiatric Medical Education (CPME) program is intended to be an 18-credit-per-year program. Each issue will have 10 questions of Board Examination quality in a five-part (A-E), multiple-choice format, Participants will receive a maximum of 3 credits per issue for each correctly completed CPME Answer Form submitted by Data Trace Publishing Company for scoring. There is a fee of $15.00 per issue ($12.00 for ACFAS members) for scoring and processing, payable in advance. Please make checks payable to Data Trace Publishing Company. All applicants for credit must be current subscribers to The Journal of Foot & Ankle Surgery or current members of ACFAS in good standing. Participants must pass the written examination material in order to receive credit, but may request one retake (within 90 days of receipt of results) of any issue for which they did not receive credit initially. A passing grade is 70% correct. The fee for a retake exam is $5.00, payable in advance. The Journal of Foot & Ankle Surgery will notify state boards of participants' credits only in those states that require such notification from a sponsoring organization; in most states it will be the responsibility of the individual to report CPME credit to the state boards in a timely manner. Data Trace Publishing Company and The Journal of Foot & Ankle Surgery are approved sponsors of continuing education programs by the Council on Podiatric Medical Education (CPME). The following states have approved The Journal of Foot & Ankle Surgery program for credit. AK(l8), AL(l8), AR(l8), AZ(l8), CA( 18), CO(l8), DC(18), DE(l8), FL(8/biennium), GA(l8), HI(l8), ID(3/issue, 6/year), MA(l8), MD(lO/biennium), ME(l8), MI(l8), MN(l8), MO(6), ND(6), NE(l8), NH(l8), NM(l), NV(l8), NY(l5/triennium), OH(l8/lIB/biennium), OK(5), OR(l8), RI(l8), SC(l8), SD(l8), UT(l8), WA(lO), WI(J8). INSTRUCTIONS: The following question are based on the material presented in the journal issue. Please select the best answer and mark the appropriate box with an X on the CPME Answer Form which follows. The Answer Form should be returnedfor scoring to Data Trace Publishing Company, P.O. Box 1239, Brooklandville, MD 21022-9978.
CPME QUESTIONS
J. Conditions that have been associated with the development of Charcot arthropathy include all of the following except: The Journal of Foot & Ankle Surgery 1067- 2516/99/380 1-0086$4.0010 Copyright © 1999 by the American College of Foot and Ankle Surgeons
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THE JOURNAL OF FOOT & ANKLE SURGERY
A. B. C. D. E.
Tabes dorsalis Syringomyelia Leprosy Diabetes mellitus Multiple sclerosis
2. The prevalence of Charcot foot in the general diabetic population is which of the following? A. B. C. D. E.
0.8%-7.5% 5.5%-10.5% 7.5%-12.3% 11.0%-14.8% 29.0%-35%
3. Which of the following statements is true regarding disseminated intravascular coagulation? A. Fuliminant disseminated intravascular coagulation is commonly associated with cardiovascular autoimmune, renal vascular, hematological, and inflammatory disorders. B. Low-grade disseminated intravascular coagulation is commonly associated with septicemia, viremia, crush and bum injuries, metastatic malignancy, acute liver disease, and transplant surgery. C. Fuliminant disseminated intravascular coagulation is commonly associated with septicemia, Viremia, crush and bum injuries, metastatic malignancy, acute liver disease, and transplant surgery. D. Low-grade disseminated intravascular coagulation is commonly associated with septicemia, Viremia, crush injuries, rheumatoid arthritis, diabetic foot infections, and hematological and inflammatory disorders. E. Fuliminant disseminated intravascular coagulation is commonly associated with septicemia, viremia, autoimmune disease, inflammatory disorders, and Meniere's disease. 4. Which of the following conditions is NOT felt to be a predisposing factor in latex allergies? A. B. C. D. E.
Myelodysplasia Congenital uninary anomalies Spinal cord injuries A history of atopy Rheumatoid arthritis
5. The mainstay of management and prevention of latex allergy is which of the following? A. Prophylactic use of lanolin-based hand creams for hospital personnel with latex allergies B. Prophylactic use of steroid-based hand creams for hospital personnel with latex allergies
C. Strict avoidance of exposure to latex products for hospital personnel with latex allergies D. Monthly allergy shots for hospital personnel with latex allergies E. Desensitization by repeated low-level exposure to natural latex products 6. Which of the following fungi are NOT associated with madura foot? A. Norcardia asteroides B. Acremonium falcijorme C. Exophiala jeanselmi D. Madurell grisea E. Pseudoallescheria boydii 7. Which of the following triads of clinical features is considered diagnostic for a mycetoma infection? A. B. C. D. E.
Tumefaction, draining sinus tracts, and osteopenia Mumification, draining sinuses, and grain-filled pus Tumefaction, nondraining sinus tracts, and osteopenia Tumefaction, draining sinuses, and grain-filled pus Mumification, nondraining sinuses, and grain-filled pus
8. According to Grace and co-workers, factors that differentiate adolescent from adult hallux valgus include which of the following? A. Absence of thickened medial bursa of the first metatarsal head, larger dorsal medial eminence, increased forefoot adduction, increased valgus rotation of the great toe, minimal deviation of the articular cartilage of the first metatarsal, and increased first metatarsal angle B. Absence of thickened medial bursa of the first metatarsal head, smaller dorsal medial eminence, less adduction and valgus rotation of the great toe, minimal deviation of the articular cartilage of the first metatarsal, and increased first intermetatarsal angle C. Absence of thickened medial bursa of the first metatarsal head, smaller dorsal medial eminence, increased metatarsus adductus, less valgus rotation of the great toe, minimal deviation of the articular cartilage of the first metatarsal, and decrease in the first intermetatarsal angle
D. Absence of the thickened medial bursa of the first metatarsal head, smaller dorsal medial eminence, less metatarsus adductus of the forefoot, exaggerated valgus rotation of the great toe, minimal deviation of the articular cartilage of the first metatarsal, and decreased first intermetatarsal angle E. Absence of the thickened medial bursa of the first metatarsal head, larger dorsal medial eminence, less adduction or the great toe with greater valgus rotation, minimal deviation of the articular cartilage of the first metatarsal, and increased first intermetatarsal angle 9. According to Crane and Werber, when a critical pathway approach to diabetic foot pathology was instituted, which of the following was true? A. There was a significant decrease in the rate of reulceration in high-risk diabetics. B. There was a significant decrease in the incidence of Charcot arthropathy and the need for hospitalization of infected diabetic foot ulceration. C. There was a significant decrease in the length of hospital stay for high-risk diabetics. D. There was a significant decrease in the length of stay but the number of midfoot amputations and the need for revascularization procedures increased. E. There was a significant increase in the length of hospital stay and there was a decrease in the number of major amputations.
10. According to Reed, which of the following statements regarding freeze-dried bone pins is true? A. The use of freeze-dried bone pins was associated with sterile sinus tract formation in 30% of patients 30-65 days following implantation. B. The use of freeze-dried bone pins was associated with sterile sinus tract formation in 20% of patients 45 - 75 days following implantation. C. The use of freeze-dried bone pins was not associated with sterile sinus tract formation. D. The use offreeze-dried bone pins was associated with loss of fixation in 20% of patients. E. The use of freeze-dried bone pins was associated with delayed or malunion in 20% of patients.
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CPME QUESTIONS
J. Conditions that have been associated with the development of Charcot arthropathy include all of the following except: The Journal of Foot & Ankle Surgery 1067- 2516/99/380 1-0086$4.0010 Copyright © 1999 by the American College of Foot and Ankle Surgeons
86
THE JOURNAL OF FOOT & ANKLE SURGERY
A. B. C. D. E.
Tabes dorsalis Syringomyelia Leprosy Diabetes mellitus Multiple sclerosis
2. The prevalence of Charcot foot in the general diabetic population is which of the following? A. B. C. D. E.
0.8%-7.5% 5.5%-10.5% 7.5%-12.3% 11.0%-14.8% 29.0%-35%
3. Which of the following statements is true regarding disseminated intravascular coagulation? A. Fuliminant disseminated intravascular coagulation is commonly associated with cardiovascular autoimmune, renal vascular, hematological, and inflammatory disorders. B. Low-grade disseminated intravascular coagulation is commonly associated with septicemia, viremia, crush and bum injuries, metastatic malignancy, acute liver disease, and transplant surgery. C. Fuliminant disseminated intravascular coagulation is commonly associated with septicemia, Viremia, crush and bum injuries, metastatic malignancy, acute liver disease, and transplant surgery. D. Low-grade disseminated intravascular coagulation is commonly associated with septicemia, Viremia, crush injuries, rheumatoid arthritis, diabetic foot infections, and hematological and inflammatory disorders. E. Fuliminant disseminated intravascular coagulation is commonly associated with septicemia, viremia, autoimmune disease, inflammatory disorders, and Meniere's disease. 4. Which of the following conditions is NOT felt to be a predisposing factor in latex allergies? A. B. C. D. E.
Myelodysplasia Congenital uninary anomalies Spinal cord injuries A history of atopy Rheumatoid arthritis
5. The mainstay of management and prevention of latex allergy is which of the following? A. Prophylactic use of lanolin-based hand creams for hospital personnel with latex allergies B. Prophylactic use of steroid-based hand creams for hospital personnel with latex allergies
C. Strict avoidance of exposure to latex products for hospital personnel with latex allergies D. Monthly allergy shots for hospital personnel with latex allergies E. Desensitization by repeated low-level exposure to natural latex products 6. Which of the following fungi are NOT associated with madura foot? A. Norcardia asteroides B. Acremonium falcijorme C. Exophiala jeanselmi D. Madurell grisea E. Pseudoallescheria boydii 7. Which of the following triads of clinical features is considered diagnostic for a mycetoma infection? A. B. C. D. E.
Tumefaction, draining sinus tracts, and osteopenia Mumification, draining sinuses, and grain-filled pus Tumefaction, nondraining sinus tracts, and osteopenia Tumefaction, draining sinuses, and grain-filled pus Mumification, nondraining sinuses, and grain-filled pus
8. According to Grace and co-workers, factors that differentiate adolescent from adult hallux valgus include which of the following? A. Absence of thickened medial bursa of the first metatarsal head, larger dorsal medial eminence, increased forefoot adduction, increased valgus rotation of the great toe, minimal deviation of the articular cartilage of the first metatarsal, and increased first metatarsal angle B. Absence of thickened medial bursa of the first metatarsal head, smaller dorsal medial eminence, less adduction and valgus rotation of the great toe, minimal deviation of the articular cartilage of the first metatarsal, and increased first intermetatarsal angle C. Absence of thickened medial bursa of the first metatarsal head, smaller dorsal medial eminence, increased metatarsus adductus, less valgus rotation of the great toe, minimal deviation of the articular cartilage of the first metatarsal, and decrease in the first intermetatarsal angle
D. Absence of the thickened medial bursa of the first metatarsal head, smaller dorsal medial eminence, less metatarsus adductus of the forefoot, exaggerated valgus rotation of the great toe, minimal deviation of the articular cartilage of the first metatarsal, and decreased first intermetatarsal angle E. Absence of the thickened medial bursa of the first metatarsal head, larger dorsal medial eminence, less adduction or the great toe with greater valgus rotation, minimal deviation of the articular cartilage of the first metatarsal, and increased first intermetatarsal angle 9. According to Crane and Werber, when a critical pathway approach to diabetic foot pathology was instituted, which of the following was true? A. There was a significant decrease in the rate of reulceration in high-risk diabetics. B. There was a significant decrease in the incidence of Charcot arthropathy and the need for hospitalization of infected diabetic foot ulceration. C. There was a significant decrease in the length of hospital stay for high-risk diabetics. D. There was a significant decrease in the length of stay but the number of midfoot amputations and the need for revascularization procedures increased. E. There was a significant increase in the length of hospital stay and there was a decrease in the number of major amputations.
10. According to Reed, which of the following statements regarding freeze-dried bone pins is true? A. The use of freeze-dried bone pins was associated with sterile sinus tract formation in 30% of patients 30-65 days following implantation. B. The use of freeze-dried bone pins was associated with sterile sinus tract formation in 20% of patients 45 - 75 days following implantation. C. The use of freeze-dried bone pins was not associated with sterile sinus tract formation. D. The use offreeze-dried bone pins was associated with loss of fixation in 20% of patients. E. The use of freeze-dried bone pins was associated with delayed or malunion in 20% of patients.
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