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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(18), AL(I8), AR(I8), AZ(l8), CA(l8), CO(3/issue, I8/year), DC(l8), DE( 18), 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(3/issue, max. I5/triennium, Class A credits), OH(l8/IIB/biennium), OK(5), OR(l8), RI(l8), SC(18), SD(18), UT(18), 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 returnedfor scoring to Data Trace Publishing Company, P.O. Box 1239, Brooklandville, MD 21022-9978.
CME QUESTIONS I. In contrast to the skeletal system at large, what is the most common malignant tumor of the bones of the feet? A. Osteogenic sarcoma B. Metastatic carcinoma C. Ewing's sarcoma The Journal of Foot & Ankle Surgery 1067-2516/01/4005-0346$4.00/0 Copyright © 200 I by the American College of Foot and Ankle Surgeons
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THE JOURNAL OF FOOT & ANKLE SURGERY
D. Chondrosarcoma E. Epithelioid hemangioendothelioma 2. Which of the following is a property of osteogenic sarcoma of the pedal bones that is unique to this site? A. A highly aggressive clinical course in all cases B. A higher percentage of low-grade lesions which may be effectively treated with local resection alone C. A higher percentage of high-grade lesions which, in most cases, require chemotherapy followed by amputation D. Early metastasis followed by an indolent clinical course E. A propensity toward spontaneous resolution 3. Which of the following is not a possible residual deformity after clubfoot surgery? A. B. C. D. E.
Hindfoot varus Heel equines Forefoot pronation Forefoot adduction Cavus foot
4. What is the current surgical treatment of choice for severe idiopathic clubfoot? A. B. C. D. E.
Manipulation/casting under general anesthesia Posterior releases Ilizarov distraction Bony osteotomies Radical soft-tissue release
5. The difference in the volume of the human foot . A. Varies significantly during the day B. Is dependent on age and sex C. Demonstrates a diurnal pattern only in ambulatory patients D. Demonstrates no diurnal pattern E. Occurs regularly between right and left feet 6. In the long Z-osteotomy, troughing is most likely to occur if the majority of the osteotomy is performed in which zone of the first metatarsal? A. Distal one-third B. Epiphysis C. Diaphysis D. Metaphysis E. Proximal one-third 7. In the long Z-osteotomy, which of the following techniques is used to correct the proximal articular set angle? A. Rotating the plantar capital fragment medially B. Rotating the plantar capital fragment laterally C. Rotating the plantar capital fragment dorsally
D. Performing laterally based wedges at the proximal and distal osteotomies E. Performing an additional distal osteotomy such as a Reverdin
A. B. C. D. E.
3 mm 5 mm 10 mm 30 mm 50 mm
8. Which of the following is true for Jahss type I injuries? A. They always respond to closed reduction techniques. B. They usually require open reduction. C. They involve disruption of the intersesamoidal ligament. D. A and C E. Band C
9. What is the maximum length that a nerve will grow well through a bioabsorbable neural conduit, like the Neurotube'['", permitting an autogenous nerve graft not to be used?
10. Which of the following statement is correct concerning the Provisional Fixation system with the TC-IOO screws and plates? A. It is not compatible with other fixation systems. B. It aids in the reduction of comminuted and osteoporotic fractures. C. It has additional holes that weaken the plates. D. It requires the use of bone clamps. E. It requires further soft-tissue dissection than conventional operative procedure.
VOLUME 40, NUMBER 5, SEPTEMBER/OCTOBER 2001
347
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(18), AL(I8), AR(I8), AZ(l8), CA(l8), CO(3/issue, I8/year), DC(l8), DE( 18), 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(3/issue, max. I5/triennium, Class A credits), OH(l8/IIB/biennium), OK(5), OR(l8), RI(l8), SC(18), SD(18), UT(18), 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 returnedfor scoring to Data Trace Publishing Company, P.O. Box 1239, Brooklandville, MD 21022-9978.
CME QUESTIONS I. In contrast to the skeletal system at large, what is the most common malignant tumor of the bones of the feet? A. Osteogenic sarcoma B. Metastatic carcinoma C. Ewing's sarcoma The Journal of Foot & Ankle Surgery 1067-2516/01/4005-0346$4.00/0 Copyright © 200 I by the American College of Foot and Ankle Surgeons
346
THE JOURNAL OF FOOT & ANKLE SURGERY
D. Chondrosarcoma E. Epithelioid hemangioendothelioma 2. Which of the following is a property of osteogenic sarcoma of the pedal bones that is unique to this site? A. A highly aggressive clinical course in all cases B. A higher percentage of low-grade lesions which may be effectively treated with local resection alone C. A higher percentage of high-grade lesions which, in most cases, require chemotherapy followed by amputation D. Early metastasis followed by an indolent clinical course E. A propensity toward spontaneous resolution 3. Which of the following is not a possible residual deformity after clubfoot surgery? A. B. C. D. E.
Hindfoot varus Heel equines Forefoot pronation Forefoot adduction Cavus foot
4. What is the current surgical treatment of choice for severe idiopathic clubfoot? A. B. C. D. E.
Manipulation/casting under general anesthesia Posterior releases Ilizarov distraction Bony osteotomies Radical soft-tissue release
5. The difference in the volume of the human foot . A. Varies significantly during the day B. Is dependent on age and sex C. Demonstrates a diurnal pattern only in ambulatory patients D. Demonstrates no diurnal pattern E. Occurs regularly between right and left feet 6. In the long Z-osteotomy, troughing is most likely to occur if the majority of the osteotomy is performed in which zone of the first metatarsal? A. Distal one-third B. Epiphysis C. Diaphysis D. Metaphysis E. Proximal one-third 7. In the long Z-osteotomy, which of the following techniques is used to correct the proximal articular set angle? A. Rotating the plantar capital fragment medially B. Rotating the plantar capital fragment laterally C. Rotating the plantar capital fragment dorsally
D. Performing laterally based wedges at the proximal and distal osteotomies E. Performing an additional distal osteotomy such as a Reverdin
A. B. C. D. E.
3 mm 5 mm 10 mm 30 mm 50 mm
8. Which of the following is true for Jahss type I injuries? A. They always respond to closed reduction techniques. B. They usually require open reduction. C. They involve disruption of the intersesamoidal ligament. D. A and C E. Band C
9. What is the maximum length that a nerve will grow well through a bioabsorbable neural conduit, like the Neurotube'['", permitting an autogenous nerve graft not to be used?
10. Which of the following statement is correct concerning the Provisional Fixation system with the TC-IOO screws and plates? A. It is not compatible with other fixation systems. B. It aids in the reduction of comminuted and osteoporotic fractures. C. It has additional holes that weaken the plates. D. It requires the use of bone clamps. E. It requires further soft-tissue dissection than conventional operative procedure.
VOLUME 40, NUMBER 5, SEPTEMBER/OCTOBER 2001
347