The Journal of Foot & Ankle Surgery Continuing MedicalEducation (CME) program is intended to be an 18-credit­per-year program. Each issue will have 10 questions ofBoard Examination quality in a five-part (A-E), multiple­choice format. Participants will receive a maximum of3 credits per issue for each correctly completed CMEAnswer Form submitted by Data Trace Publishing Companyfor scoring. There is a f ee of $15.00 per issue ($12.00for ACFAS members) for scoring and processing, payablein advance. Please make checks payable to Data TracePublishing Company. All applicants for credit must becurrent subscribers to The Journal of Foot & Ankle Surgeryor current members of ACFAS in good standing.

Participants must pass the written examination material inorder to receive credit , but may request one retake (within90 days of receipt of results) of any issue for which they didnot receive credit initially. A passing grade is 70% correct.The fee f or a retake exam is $5.00, payable in advance. TheJournal of Foot & Ankle Surgery will notify state boards ofparticipants' credits only in those states that require suchnotification from a sponsoring organization; in most statesit will be the responsibility of the individual to report CMEcredit to the state boards in a timely manner.

Data Trace Publishing Company and The Journal ofFoot & Ankle Surgery are approved sponsors of continu ingeducation programs by the Council on Podiatric MedicalEducation (CPME). The following states have approvedThe Journal of Foot & Ankle Surgery program for credit.AK(18), AL(18), AR(l 8), AZ(l8), CA(18), CO(3/issue,18/year), DC( 18), DE(l 8), FL(8/biennium), GA(l8), HI(l 8),ID(3/issue, 6/year), MA(l8), MD(lO/biennium), ME(18),MI(l8), MN(l8), MO(6), ND(6), NE(18), NH(l8), NM(l ),NV(l8), NY(3/issue, max. 15/triennium, Class A credit s),OH(18/IIB/biennium), OK(5), OR(18), RI(l8), SC(18),SD(l8), UT(l8), WA(lO), WI(l 8).

INSTRUCTIONS: The following question are based on thematerial presented in the journ al issue. Please select the bestanswer and mark the appropriate box with an X on the CMEAnswer Form which follows. The Answer Form should bereturned for scoring to Data Trace Publishing Company, P.O.Box 1239, Brooklandville. MD 21022-9978.

CME QUESTIONS

I. Which is the best surgical approach to avoid neurologic aldamage or skin problems in the Achilles tendon repair?

A. Longitudin al paramedian incisionB. Longitudin al paralateral incisionC. Longitudinal central incision

The Journal of Foot & Ankle Surgery 1067-2516/0114003-0265 $4.0010Copyright © 2001 by the American College of Foot and Ankle Surgeons

CONTINUING MEDICALEDUCATION QUESTIONNAIRE

D. Transversal incisionE. None of the above

2. According to the study by Janis et aI., which of thefollowing conclusions is true?

A. Two Bionex tacks are more effective than one Mitekanchor.

B. Three Mitek anchors are more effective than twoMitek anchors.

C. Mitek Superanchor is more effective than screw andwasher fixation.

D. Mitek anchors have the least flexibility in fixation ofthe modalities tested.

E. Two Mitek anchors are more effective than one Mitekanchor.

3. Which of the following statements is true regardingfixation of first metatarsophalangeal arthrodesis?

A. All arthrodesis techniques require a minimum of 6-8weeks of immobilizat ion in a plaster cast.

B. K-wire fixation has never been successfully used toobtain first metatarsal fusion.

C. Planar resection of the joint surfaces may be expectedto be as stable as convex-concave reaming prepara­tion of the joint surfaces.

D. Plate and screw fixation has been demonstrated tohave greater strength than crossed screw fixation.

E. Crossed screw fixation is inadequate to obtain firstmetatarsophalangeal arthrodesis.

4. Predislocation syndrome most commonly affects whichof the following metatarsophalangeal joints?

A. First metatarsophalangeal jointB. Second metatarsophalangeal jointC. Third metatarsophalangeal jo intD. Fourth metatarsophal angeal jointE. Fifth metatarsophalangeal joint

5. Predislocation syndrome is most commonly mistaken forwhich of the following foot pathologies?

A. Tarsal tunnel syndromeB. Frieberg ' s infractionC. Stress fractureD. NeuromaE. Degenerative joint disease

6. Verrucous carcinoma is notable because _

A. Radiation treatment is usually successfulB. Histopathological examination is clearly distinctC. It is not known to invade osseous structuresD. The risk of metastasis is lowE. It is a variant of basal cell carcinoma

VOLUME 40, NUMBER 4, JULY/AUGUST 2001 265

7. What is the most specific confirmatory test in the diag­nosis of complex regional pain syndrome?

A. Three-phase bone scanB. MRIC. ThermographyD. Sympathetic blockE. EMG

8. Which of the following is the best diagnostic aid for aneurilemoma aside from clinical exam?A. Computerized tomographyB. High-resolution musculoskeletal ultrasoundC. Nerve conduction velocity testingD. Magnetic resonance imagingE. Plain-film radiographs

266 THE JOURNAL OF FOOT & ANKLE SURGERY

9. The most important component of functional stability ofthe ankle is which of the following?

A. Muscle strengthB. Mechanical stabilityC. Muscle reaction timeD. Balance and postureE. Proprioception

10. All of the following are predisposing factors for peronealsubluxation except:

A. Flattened or convex fibular grooveB. Superior peroneal retinacular laxity/insufficiencyC. Low-lying peroneus brevis muscle bellyD. Peroneus quartus muscleE. Enlarged peroneal tubercle of the calcaneus