ABOS Orthopaedic Sports Medicine Practice Questions - ABOS Orthopaedic Sports Medicine Subspecialty Certification Examination Exam - ABOS Orthopaedic Sports Medicine Practice Questions - ABOS Orthopaedic Sports Medicine Subspecialty Certification Examination Exam

Question 1

A 22-year-old male collegiate soccer player sustains a noncontact ACL rupture. You are planning ACL reconstruction and considering graft choice. Which graft has historically demonstrated HIGHER re-tear rates in young, high-demand athletes compared to other autograft options?

Bone-patellar tendon-bone (BTB) autograft Hamstring autograft — multiple meta-analyses (e.g., MOON cohort, Samuelsen meta-analysis of 47,613 patients) demonstrate slightly higher re-tear rates for hamstring vs BTB autograft in young athletes <25, though clinical outcomes often equivalent Quadriceps tendon autograft Contralateral BTB autograft

Correct Answer:

Hamstring autograft — multiple meta-analyses (e.g., MOON cohort, Samuelsen meta-analysis of 47,613 patients) demonstrate slightly higher re-tear rates for hamstring vs BTB autograft in young athletes <25, though clinical outcomes often equivalent

Question 2

During anatomic single-bundle ACL reconstruction, where should the femoral tunnel be placed for optimal biomechanical restoration?

Over-the-top (12 o'clock transtibial position) Anatomic footprint — at the center of the native ACL femoral footprint, typically via anteromedial portal or outside-in technique (anatomic placement ~2 o'clock right knee / 10 o'clock left knee, low and deep on lateral wall) High on the lateral wall at 1 o'clock At the roof of the notch

Correct Answer:

Anatomic footprint — at the center of the native ACL femoral footprint, typically via anteromedial portal or outside-in technique (anatomic placement ~2 o'clock right knee / 10 o'clock left knee, low and deep on lateral wall)

Question 3

A 17-year-old female soccer player with open physes sustains an ACL tear. She has 2 years of growth remaining. Which reconstruction technique minimizes physeal injury?

Standard adult-style transphyseal hamstring reconstruction All-epiphyseal reconstruction or physeal-sparing techniques (e.g., Anderson, MicheliiT band technique) using soft-tissue graft, avoiding hardware or bone blocks crossing the physis Transphyseal BTB graft with bone blocks at each physis Delayed reconstruction until skeletal maturity is always preferred

Correct Answer:

All-epiphyseal reconstruction or physeal-sparing techniques (e.g., Anderson, MicheliiT band technique) using soft-tissue graft, avoiding hardware or bone blocks crossing the physis

Question 4

In high-risk adolescent ACL reconstruction patients (young age, pivoting sport, hyperlaxity), which adjunct procedure has evidence for reducing graft re-tear rates?

Lateral extra-articular tenodesis (LET) or modified Lemaire procedure — RCT evidence (e.g., STABILITY trial) shows LET reduces re-tear rates in high-risk patients Medial meniscectomy Posterior capsular plication Fibular osteotomy

Correct Answer:

Lateral extra-articular tenodesis (LET) or modified Lemaire procedure — RCT evidence (e.g., STABILITY trial) shows LET reduces re-tear rates in high-risk patients

Question 5

What is a 'ramp lesion' in the context of ACL injury?

A longitudinal vertical tear of the medial meniscus at the meniscocapsular junction of the posterior horn — high association with ACL injury and often missed on standard arthroscopy without specific posteromedial portal or probing A chondral defect of the lateral femoral condyle A ligamentous injury of the PCL A bone bruise on the posterior tibia

Correct Answer:

Question 1

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Prepare with the ABOS Orthopaedic Sports Medicine Practice Questions - ABOS Orthopaedic Sports Medicine Subspecialty Certification Examination Exam practice quiz. This question bank includes 100 questions covering year-old, pain, management, player, and shows. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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ABOS Orthopaedic Sports Medicine Practice Questions - ABOS Orthopaedic Sports Medicine Subspecialty Certification Examination Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, pain, management, player, and shows. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

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ABOS Orthopaedic Sports Medicine Practice Questions - ABOS Orthopaedic Sports Medicine Subspecialty Certification Examination Exam

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