PC Clinical Procedures & Protocols 3

Question 1

A patient with diabetes undergoes a wound culture revealing Pseudomonas aeruginosa. Which wound characteristic is most commonly associated with this organism?

Accepted Answer

Sweet fruity odor with blue-green exudate

Answer

Pseudomonas aeruginosa produces pyocyanin (blue-green pigment) and a distinctive fruity odor due to its metabolic byproducts.

Question 2

The ankle-brachial index (ABI) value indicating moderate peripheral arterial disease that warrants vascular surgery referral is:

Accepted Answer

0.41–0.69

Answer

An ABI of 0.41–0.69 indicates moderate PAD, which typically requires vascular surgery consultation before elective podiatric procedures.

Question 3

During a hammertoe arthroplasty, the resection is performed at which joint?

Accepted Answer

Proximal interphalangeal joint

Answer

Hammertoe arthroplasty involves resection of the head of the proximal phalanx at the proximal interphalangeal joint to relieve the deformity.

Question 4

Which suture material is preferred for closing a plantar skin incision due to its high tensile strength and knot security?

Accepted Answer

Nylon (Prolene)

Answer

Nylon (monofilament non-absorbable) provides superior tensile strength and is preferred for plantar closures that endure high mechanical stress.

Question 5

In the management of an acute Charcot foot, the hallmark initial treatment is:

Accepted Answer

Total contact casting with strict non-weight-bearing

Answer

Total contact casting with protected weight-bearing or non-weight-bearing is the cornerstone of acute Charcot neuroarthropathy management to offload and immobilize the foot.

(PC) Podiatrist Certification Practice Test

(PC) Podiatrist Certification Practice Test

PC Clinical Procedures & Protocols 3