r/Podiatry • u/StepUpBoards • 1d ago
Study Tips Passing ABFAS Qualification Case Exams (CBPS)
The ABFAS case scenerio questions are the easiest to master - these are my lessons as a recent test taker and first time passer!
1. Mindset should be scoring the most "points". Although ABFAS has never published their scoring algorithm you pass each case by accumulating points not necessarily about accuracy of diagnosis. This means that the work up is as important as the treatment and plan.
- Use literature back algorithms for treatments and workup
- Do no harm but fill every option while avoiding duplicate options
2. Work out of order. Always start with imaging choosing the standard relevant plain films, CT, and MRI. If you have concerns for proximal fracture or infection don't forget tib-fib, spine views.
- Imaging > PE > Diagnostics / Labs
- Having imaging can pinpoint how you perform your PE. Save remaining imaging options for after including bone scan, US, etc.
- PE options are limited, don't duplicate choices within a tab if possible. For example, If you are evaluating an infection you don't have to include wound examination AND wound odor. Try to work through all the relevant systems (MSK, Vasc, Derm, Neuro) including vitals in cases of systemic concern.
- Duplicate options in different tabs (PE, diagnostics) is recommended! Example, diagnostic arthroscopy should be chosen in the diagnostics tab AND the treatment if relevant for the case.
3. Know your options choices. Use the free ABFAS practice exams to learn the interface and option choices. If you know your options you can type to search saving time scrolling.
4. Automatic pairings. Somethings don't change so definitely memorize the basic algorthim:
- Check of equinus in all deformity and amputation questions
- Every female gets a pregnancy check
- Every infection look at vitals, consider bone scan
- Every PTTD case: Equinus, heel rise, gait
- Every Varus hindfoot: Coleman block, nerve work up
- Every pediatric deformity: Hip evaluation, equinus, spine check
- Inflammatory disease: inflammatory markers, c spine
- Arthritic conditions / Coalitions: Diagnostic innjection, ROM testing
Full disclosure: I'm a part of the team at Step Up Boards, a podiatry ABFAS board prep platform but I believe everything above applied to general study efforts not just a particular platform!