Exam Content

The Recertification examination and Self-assessment examination content is classified into Subject Areas and subcategories.

Each test question is classified with a single area and subcategory. For example, a question could cover surgical principles (subject area) regarding the treatment of a hallux abductovalgus deformity (subcategory)

Foot and RRA Surgery Recertification Examinations Subject Areas

 

Problem-focused History and Physical (Foot Only)
Diagnostic Studies/Medical Imaging
Differential Diagnosis 
Surgical Principles
Surgical Procedures/Techniques
Procedural Perioperative Management
Complications
General Medical (Foot & SAE Only)

Foot Exam Weight 10%
RRA Exam Weight 0%

Definition: The technique, the pertinent elements, and the interpretation of the history and physical exam.

Sample Topics

  • Interpret findings of the history and physical examination.
  • Ask for a diagnosis from a particular examination element.
  • Ask for the pertinence of a particular examination.
  • May involve non-lower extremity pathology.
  • List multiple findings of a history and physical examination and ask for a diagnosis.
  • Pertain to pathoanatomy, pathomechanics, and/or pathophysiology.

Foot Exam Weight 10%
RRA Exam Weight 10%

Definition: Interpretation of specific studies of diseases, disorders, and conditions of the lower extremity. RRA subject areas may be tested on the Foot exam.

Sample Topics

  • Diagnosis or differential based on laboratory studies, imaging, or other diagnostic studies.
  • Diagnosis based on a specific imaging study.

Foot Exam Weight 10%
RRA Exam Weight 10%

Definition: A differential diagnosis based on multiple elements, including history and physical, and diagnostic studies.

Sample Topics

  • Ask for a diagnosis based on multiple elements.
  • Require arrival at a specific classification.
  • Specify a classification system and ask to identify the parameters of that system.
  • List findings of a study or studies with no imaging study shown and ask for a diagnosis.

Foot Exam Weight 15%
RRA Exam Weight 15%

Definition: General principles standard to all surgical disciplines and applicable to podiatric surgery. RRA subject areas may be tested on the Foot exam.

Sample Topics

  • Preoperative, intraoperative, or postoperative decision-making or management.
  • Not procedure-specific.

Foot Exam Weight 15%
RRA Exam Weight 25%

Definition: Intraoperative aspects of specific surgical procedures.

Sample Topics

  • Relevant (normal or abnormal) anatomy encountered and surgically altered during the performance of a surgical procedure.
  • Anatomy that is encountered and surgically altered.
  • Incision placement and dissection technique.
  • The orientation of bone cuts.
  • Selection and application of fixation devices and bioimplants.
  • Placement and fixation of tissue transfers.
  • Selection and application of closure materials, drains, and surgical dressings.
  • Complications that are assessed and/or managed intraoperatively.

Foot Exam Weight 15%
RRA Exam Weight 20%

Definition: Procedure-specific and preoperative or postoperative in nature (not intraoperative). RRA subject areas may be tested on Foot exam.

Sample Topics

  • Selection of a specific procedure based on findings.
  • Diagnosis that requires a surgical management decision.
  • Postoperative management of a specific procedure.

Foot Exam Weight 15%
RRA Exam Weight 20%

Definition: Procedure- or injury-specific postoperative or post-traumatic conditions. RRA subject areas may be tested on Foot exam.

Sample Topics

  • Identification and/or management of lower extremity procedure-specific postoperative complications.
  • All-inclusive subject categories dealing with diagnosis and/or treatment.

Foot Exam Weight 10%
RRA Exam Weight 0%

Definition: All general medical diagnostics and treatments exclusive of lower-extremity pathology.

Sample Topics

  • Systemic complications.
  • Diagnosis that requires a medical management decision. 
  • Medical management: diagnosis and treatment of diseases, disorders, and conditions exclusive of the lower extremity.
  • Interpretation of history and physical examination and diagnostic studies relating to non-lower extremity pathology.
  • Anesthesia: local, regional, spinal, epidural, IV sedation, and general anesthesia topics, including related peri-anesthesia assessment and pharmacologic management.
  • Emergency medicine: diagnosis and treatment of urgent or emergent diseases, disorders, and conditions exclusive of lower extremity.

Short panes should extend past all tabs

Foot Surgery Recertification Examination Subcategories

 

Deformities
Infections
Neoplasms/tumors/masses (primary benign, primary malignant, metastatic)
Other conditions
Acute trauma
Nonspecific
  • Acquired digital deformities.
  • Hallux abductovalgus.
  • Hallux limitus.
  • Central metatarsal deformities.
  • Fifth metatarsal deformities.
  • Other common forefoot deformities.
  • Complex/combined forefoot deformities.
  • Common rearfoot deformities.
  • Congenital digital deformities (polydactyly, syndactyly, marcrodactyly, overlapping digits).
  • Congenital forefoot deformities (brachymetatarsia, clawfoot, hallux varus).
  • Metatarsus adductus.

The following subcategories are covered in all Subject Areas except “Surgical Procedures/Techniques”:

  • Metatarsus adductus/skewfoot
  • Pes planus
  • Pes cavus
  • Clubfoot
  • Tarsal coalition
  • Vertical talus
  • Calcaneovalgus
  • Equinus deformities
  • Complex leg/ankle deformities
  • Soft tissue.
  • Bone/joint.
  • Systemic.

 

 

  • Soft tissue.
  • Bone.
  • Vascular disorders.
  • Focal neuropathies (entrapments, neuroma, TTS) and RSD.
  • Neuropathic bone, joint, or soft-tissue derangements.
  • Neuromuscular disorders.
  • Arthritic disorders.
  • Metabolic bone disease.
  • Tendinopathies.
  • Other soft-tissue disorders (plantar fasciitis).
  • Nail and dermatologic disorders.
  • Chronic post-traumatic disorders.
  • Osteochondroses/AVN.
  • Digital and sesamoidal fractures/dislocations.
  • Metatarsophalangeal joint dislocations.
  • Metatarsal fractures.
  • Tarsometatarsal fractures/dislocations.
  • Acute tendon ruptures/lacerations.
  • Acute nerve/vascular injury (including compartment syndrome).
  • Miscellaneous acute trauma (degloving injury, foreign body, gunshot wounds, crush injury, contusions, burns).
  • Pediatric fractures/growth-plate injuries.

The following subcategories are covered in all Subject Areas except “Surgical Procedures/Techniques”:

  • Midfoot fractures/dislocations
  • Rearfoot fractures/dislocations
  • Ankle fractures
  • Acute soft-tissue ankle injuries
  • Joint implants.
  • Fixation devices.
  • Bone grafts/bone substitutes/bone healing.
  • Suture materials.
  • Soft tissue/anchor/skin graft/healing.
  • Anatomy.
  • Medicine (illnesses/therapeutics).
  • Anesthesia.
  • Other.
  •  

The Foot Surgery didactic examination does not cover RRA Surgical Procedures/Techniques but does cover RRA topics in all other subcategories.

RRA Surgery Recertification Examination Subcategories

 

Deformities
Infections
Neoplasms/tumors/masses (primary benign, primary malignant, metastatic)
Other conditions
Acute trauma
Nonspecific
  • Metatarsus adductus/skewfoot
  • Pes planus
  • Pes cavus
  • Clubfoot
  • Tarsal coalition
  • Vertical talus
  • Calcaneovalgus
  • Equinus deformities
  • Complex leg/ankle deformities
  • Soft tissue.
  • Bone/joint.
  • Systemic.

 

 

  • Soft tissue.
  • Bone.
  • Vascular disorders.
  • Focal neuropathies (entrapments, neuroma, TTS) and RSD.
  • Neuropathic bone, joint, or soft-tissue derangements.
  • Neuromuscular disorders.
  • Arthritic disorders.
  • Metabolic bone disease.
  • Tendinopathies.
  • Other soft-tissue disorders (plantar fasciitis).
  • Nail and dermatologic disorders.
  • Chronic post-traumatic disorders.
  • Osteochondroses/AVN.
  • Digital and sesamoidal fractures/dislocations.
  • Metatarsophalangeal joint dislocations.
  • Metatarsal fractures.
  • Tarsometatarsal fractures/dislocations.
  • Acute tendon ruptures/lacerations.
  • Acute nerve/vascular injury (including compartment syndrome).
  • Miscellaneous acute trauma (degloving injury, foreign body, gunshot wounds, crush injury, contusions, burns).
  • Pediatric fractures/growth-plate injuries.

The following subcategories are covered in all Subject Areas except “Surgical Procedures/Techniques”:

  • Midfoot fractures/dislocations
  • Rearfoot fractures/dislocations
  • Ankle fractures
  • Acute soft-tissue ankle injuries
  • Acute tendon ruptures/lacerations.
  • Acute nerve/vascular injury (including compartment syndrome).
  • Miscellaneous acute trauma (degloving injury, foreign body, gunshot wounds, crush injury, contusions, burns).
  • Pediatric fractures/growth-plate injuries.
  • Joint implants.
  • Fixation devices.
  • Bone grafts/bone substitutes/bone healing.
  • Suture materials.
  • Soft tissue/anchor/skin graft/healing.
  • Anatomy.
  • Medicine (illnesses/therapeutics).
  • Anesthesia.
  • Other.
  •  

Self-assessment Examination

The Self-assessment examination content is classified into Subject Areas and subcategories.

Each test question is classified with a single subject area and a subcategory. For example, a question could cover surgical principles (subject area) regarding the treatment of a hallux adbuctovalgus deformity (subcategory).

Self-assessment Examination Subject Areas

 

Problem-focused History and Physical
Diagnostic Studies/Medical Imaging
Differential Diagnosis 
Surgical Principles
Surgical Procedures/Techniques
Procedural Perioperative Management
Complications
General Medical (Foot & SAE Only)

SAE Exam Weight 10%

Definition: The technique, the pertinent elements, and the interpretation of the history and physical exam.

Sample Topics

  • Interpret findings of the history and physical examination.
  • Ask for a diagnosis from a particular examination element.
  • Ask for the pertinence of a particular examination.
  • May involve non-lower extremity pathology.
  • List multiple findings of a history and physical examination and ask for a diagnosis.
  • Pertain to pathoanatomy, pathomechanics, and/or pathophysiology.

SAE Exam Weight 10%

Definition: Interpretation of specific studies of diseases, disorders, and conditions of the lower extremity. RRA subject areas may be tested on the Foot exam.

Sample Topics

  • Diagnosis or differential based on laboratory studies, imaging, or other diagnostic studies.
  • Diagnosis based on a specific imaging study.

SAE Exam Weight 10%

Definition: A differential diagnosis based on multiple elements, including history and physical, and diagnostic studies.

Sample Topics

  • Ask for a diagnosis based on multiple elements.
  • Require arrival at a specific classification.
  • Specify a classification system and ask to identify the parameters of that system.
  • List findings of a study or studies with no imaging study shown and ask for a diagnosis.

SAE Exam Weight 15%

Definition: General principles standard to all surgical disciplines and applicable to podiatric surgery. RRA subject areas may be tested on the Foot exam.

Sample Topics

  • Preoperative, intraoperative, or postoperative decision-making or management.
  • Not procedure-specific.

SAE Exam Weight 15%

Definition: Intraoperative aspects of specific surgical procedures.

Sample Topics

  • Relevant (normal or abnormal) anatomy encountered and surgically altered during the performance of a surgical procedure.
  • Anatomy that is encountered and surgically altered.
  • Incision placement and dissection technique.
  • Orientation of bone cuts.
  • Selection and application of fixation devices and bioimplants.
  • Placement and fixation of tissue transfers.
  • Selection and application of closure materials, drains, and surgical dressings.
  • Complications that are assessed and/or managed intraoperatively.

SAE Exam Weight 15%

Definition: Procedure-specific and preoperative or postoperative in nature (not intraoperative). RRA subject areas may be tested on Foot exam.

Sample Topics

  • Selection of a specific procedure based on findings.
  • Diagnosis that requires a surgical management decision.
  • Postoperative management of a specific procedure.

SAE Exam Weight 15%

Definition: Procedure- or injury-specific postoperative or post-traumatic conditions. RRA subject areas may be tested on Foot exam.

Sample Topics

  • Identification and/or management of lower extremity procedure-specific postoperative complications.
  • All-inclusive subject categories dealing with diagnosis and/or treatment.

SAE Exam Weight 10%

Definition: All general medical diagnostics and treatments exclusive of lower-extremity pathology.

Sample Topics

  • Systemic complications.
  • Diagnosis that requires a medical management decision. 
  • Medical management: diagnosis and treatment of diseases, disorders, and conditions exclusive of the lower extremity.
  • Interpretation of history and physical examination and diagnostic studies relating to non-lower extremity pathology.
  • Anesthesia: local, regional, spinal, epidural, IV sedation, and general anesthesia topics, including related peri-anesthesia assessment and pharmacologic management.
  • Emergency medicine: diagnosis and treatment of urgent or emergent diseases, disorders, and conditions exclusive of lower extremity.

Short panes should extend past all tabs

Self-assessment Examination Subcategories

 

Deformities
Infections
Neoplasms/tumors/masses (primary benign, primary malignant, metastatic)
Other conditions
Acute trauma
Nonspecific
  • Acquired digital deformities.
  • Hallux abductovalgus.
  • Hallux limitus.
  • Central metatarsal deformities.
  • Fifth metatarsal deformities.
  • Other common forefoot deformities.
  • Complex/combined forefoot deformities.
  • Common rearfoot deformities.
  • Congenital digital deformities (polydactyly, syndactyly, marcrodactyly, overlapping digits).
  • Congenital forefoot deformities (brachymetatarsia, clawfoot, hallux varus).
  • Metatarsus adductus/skewfoot.
  • Pes planus.
  • Pes cavus.
  • Clubfoot.
  • Tarsal coalition.
  • Vertical talus.
  • Calcaneovalgus.
  • Equinus deformities.
  • Complex leg/ankle deformities.
  • Soft tissue.
  • Bone/joint.
  • Systemic.

 

 

  • Soft tissue.
  • Bone.
  • Vascular disorders.
  • Focal neuropathies (entrapments, neuroma, TTS) and RSD.
  • Neuropathic bone, joint, or soft-tissue derangements.
  • Neuromuscular disorders.
  • Arthritic disorders.
  • Metabolic bone disease. Tendinopathies.
  • Tendinopathies.
  • Other soft-tissue disorders (plantar fasciitis).
  • Nail and dermatologic disorders.
  • Chronic post-traumatic disorders.
  • Osteochondroses/AVN.
  • Digital and sesamoidal fractures/dislocations.
  • Metatarsophalangeal joint dislocations.
  • Metatarsal fractures.
  • Tarsometatarsal fractures/dislocations.
  • Midfoot fractures/dislocations.
  • Rearfoot fractures/dislocations.
  • Ankle fractures
  • Acute tendon ruptures/lacerations.
  • Acute nerve/vascular injury (including compartment syndrome).
  • Miscellaneous acute trauma (degloving injury, foreign body, gunshot wounds, crush injury, contusions, burns).
  • Pediatric fractures/growth-plate injuries.
  • Joint implants.
  • Fixation devices.
  • Bone grafts/bone substitutes/bone healing.
  • Suture materials.
  • Soft tissue/anchor/skin graft/healing.
  • Anatomy.
  • Medicine (illnesses/therapeutics).
  • Anesthesia.
  • Other.
  •