Neuropathy Neuropathy Complications and Prevention 2

Question 1

Which psychological comorbidity is most prevalent in patients with chronic neuropathic pain?

Accepted Answer

Depression and anxiety

Answer

Depression and anxiety occur in up to 60% of patients with chronic neuropathic pain, significantly worsening pain perception and quality of life.

Question 2

Which structured educational program is most effective in preventing diabetic foot complications in neuropathy patients?

Accepted Answer

Therapeutic patient education on foot care

Answer

Structured therapeutic patient education on foot inspection, proper footwear, and early wound recognition significantly reduces foot complications.

Question 3

Corneal confocal microscopy is increasingly used to monitor neuropathy progression because it non-invasively assesses which structure?

Accepted Answer

Corneal sub-basal nerve plexus density

Answer

Corneal confocal microscopy visualizes the sub-basal nerve plexus of the cornea, which reflects small fiber neuropathy status throughout the body.

Question 4

In patients with hereditary neuropathies like CMT disease, which intervention preserves function by preventing contractures?

Accepted Answer

Physical therapy, orthotics, and AFO bracing

Answer

Physical therapy, custom orthoses, and ankle-foot orthoses (AFOs) maintain mobility and prevent contractures in hereditary motor neuropathies.

Question 5

Which infection complication must be urgently treated to prevent osteomyelitis in a neuropathic foot ulcer?

Accepted Answer

Deep soft tissue or wound infection

Answer

Deep soft tissue infections in neuropathic foot ulcers can rapidly progress to osteomyelitis (bone infection), which often necessitates amputation.

Neuropathy Practice Test