Continuing medical education questionnaire

CONTINUING MEDICAL EDUCATION QUESTIONNAIRE The Journal of Foot & Ankle Surgery Continuing Medical Education (CME) program is intended to be an 18-creditper-year program. Each issue will have 10 questions of Board Examination quality in a five-part (A-E), multiplechoice format. Participants will receive a maximum of 3 credits per issue for each correctly completed CME 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 CME 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(18), AZ(l8), CA(l8), CO(3/issue, 18/year), DC( 18), DE( 18), FL(8/biennium), GA( 18), HI( 18), ID(3/issue, 6/year), MA(l8), MD(IO/biennium), ME(l8), MI(l8), MN(l8), MO(6), ND(6), NE(l8), NH(l8), NM(l), NV(l8), NY(3/issue, max. IS/triennium, Class A credits), OH(l8/IIB/biennium), OK(5), OR(18), RI(l8), SCCI8), SD(l8), UT(l8), WA(lO), WI(l8). 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 CME Answer Form which follows. The Answer Form should be returned for scoring to Data Trace Publishing Company, P. O. Box 1239, Brooklandville, MD 21022-9978.

CME QUESTIONS I. Which of the following causes lateral foot pain after plantar fascial release? A. Increased strain on the ligaments in the sinus tarsi B. Release of the medial 25% of the plantar fascia C. Release of only the lateral band of the fascia The Journal of Foot & Ankle Surgery 1067-2516/0114002-0120$4.00/0 Copyright © 2001 by the American College of Foot and Ankle Surgeons

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D. Rotation of the talus in the transverse plane E. None of the above 2. Complications of the Lapidus arthrodesis include all of the following except: A. Nonunion B. Malunion C. Lateral tarsal-metatarsal overload D. Plantar callosities E. None of the above 3. To eliminate the effects of shortening from the Lapidus arthrodesis, McInnes and Bouche recommend all of the following except:

A. Interposition bone graft at the arthrodesis site B. Plantar translation of the metatarsal C. Curettage of the joint surfaces D. Plantar declination of the first metatarsal E. Band C 4. Which of the following is not a relative contraindication to the Lapidus procedure? A. First metatarsophangeal joint arthritis B. Sesamoid pathology C. Flexible anterior equinus of the first ray D. A highly competitive athlete E. None of the above 5. According to Faraj and Nevelos, which of the following is true in regard to a posterior lateral release for idiopathic clubfoot? A. There is less risk to the neurovascular bundle. B. It allows the calcaneus to be de-rotated more easily. C. It allows for more correction with dorsiflexion of the ankle. D. Wound healing is less complicated. E. All of the above 6. Risk factors for deep vein thrombosis in the patient undergoing foot and ankle surgery include all of the following except: A. B. C. D. E.

Recent major surgery Immobilization of the extremity Cardiopulmonary disease Gastrocnemius recession Use of birth control pills

7. Renal phosphate wasting can cause which of the following clinical problems? A. B. C. D. E.

Rickets in the child Osteoporosis in the adult female Nephrolithiasis in the adult or child Osteomalacia in the adult A and D

8. Which of the following is the most common cause for recurrence following resection of a neurilemoma? A. B. C. D. E.

Transformation into malignant neurosarcoma Failure to close the nerve sheath after resection Incomplete resection Residual equinus if tumor is in plantar nerves None of the above

9. Which of the following statements is true regarding tarsal tunnel syndrome (TTS)? A. EMG studies are always positive in true TTS. B. Relief of pain following posterior tibial nerve block is pathognomonic for TTS. C. MRI will usually show the exact point of nerve tethering.

D. It is exactly analogous to carpal tunnel syndrome in the hand. E. None of the above 10. Floating tibia-talus complex refers to which of the following? A. Knee and subtalar dislocation in the same extremity B. Contralateral tibial fracture in a patient with peritalar dislocation C. Lateral subtalar dislocation with segmental tibial fracture in the same extremity D. Ankle dislocation and subtalar dislocation in the same extremity E. None of the above

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