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(l8), AZ(18), CA(l8), CO(3/issue, I8/year), 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(I), NV(18), NY(3/issue, max. IS/triennium, Class A credits), OH(l8/IIB/biennium), OK(5), OR(l8), RI(l8), SC(18), SD(l8), UT(l8), WA(lO), WI(I8). 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 1. In the bending test for in the article by Rano approximately 30° and was removed from the deformity remained?

bioabsorbable screws described et al., the screws deformed to did not break. When the screw testing apparatus, what residual

The Journal of Foot & Ankle Surgery 1067-2516/02/4101-0059$4.00/0 Copyright © 2002 by the American College of Foot and Ankle Surgeons

A. 20° B. 10° C. 15°

D. 2SO E. The screw remained bent at 30°

2. In the study by Rano et al., what statement below best characterizes the pattern of failure for the allogenic bone screw versus the bioabsorbable screw? A. The allogenic screws failed at a higher load and at a faster rate than the bioabsorbable screws. B. The allogenic bone screws failed at a lower load and more uniformly than the bioabsorbable screws. C. The allogenic bone screws failed at a lower load and at a slower rate than the bioabsorbable screws. D. The allogenic bone screws failed at a lower load and were more inconsistent in their pattern of failure than the bioabsorbable screws. E. None of the above 3. Shock wave therapy has shown a positive effect on which of the following conditions? A. B. C. D. E.

Chronic nonunion of long bone fractures Calcifying tendinitis of the shoulder Lateral epicondylitis of the elbow Proximal plantar fasciitis of the heel All of above

4. Allofix pins have the benefit of which of the following in comparison to metal or other bioabsorbables?

A. B. C. D. E.

Stronger form of fixation Osteoconductivity Poor biocompatibility Superior compression capabilities None of the above

5. Allofix cortical bone pins come in the following sizes except: A. 1.5 B.2.0 C. 2.4 D.2.7 E. 3.0 6. Which pathology is not suitable to be corrected by a supramalleolar osteotomy?

A. Previous ankle arthrodesis in pathologic position B. Deformities at the level of the talus with an ankylosed ankle joint C. Hindfoot valgus deformity with a mobile ankle joint D. Deformities at the level of subtalar joint with an ankylosed ankle joint E. None of the above

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7. Which of the following is an early warning sign of osteochondral injury to the subtalar joint? A. Massive swelling without obvious bony injury B. Light bruising laterally C. Neurovascular compromise of the foot D. Ability to weight bear early after injury E. Fractures visualized in the midfoot 8. Which of the following is the best treatment following diagnosis of an occult subtalar joint fracture with appropriate imaging?

A. B. C. D. E.

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Primary arthrodesis Triple arthrodesis Excision of the fragments Arthroscopy Early mobilization

THE JOURNAL OF FOOT & ANKLE SURGERY

9. Which of the following is the mechanism of action for rupturing the ankle syndesmosis? A. B. C. D. E.

Supination/plantarflexion Supination/adduction Dorsiflexion/inversion Dorsiflexion/external rotation Plantarflexion

10. When is surgical intervention of posteromedial process fractures of the talus recommended? A. When any displacement of fracture fragments is observed B. When displacement of fracture fragments is less than 2-3 mm C. Only after a 6-week trial of cast immobilization D. When fracture fragment displacement is greater than or equal to 3 mm or the subtalar joint is involved E. Surgical intervention is never recommended