PC Diabetic Foot Care & Wound Management

Question 1

Which classification system is most widely used to grade diabetic foot ulcers in clinical podiatric practice?

Accepted Answer

Wagner Classification System

Answer

Meggitt-Durham Scale

Answer

Gustilo-Anderson Classification

Answer

Salter-Harris Classification

Question 2

A patient with diabetes presents with a painless plantar ulcer and absent Achilles reflex. Which underlying condition is most likely contributing to the ulcer formation?

Accepted Answer

Diabetic peripheral neuropathy

Answer

Peripheral arterial disease

Answer

Osteomyelitis

Answer

Charcot neuroarthropathy

Question 3

When performing the monofilament test (Semmes-Weinstein) for diabetic neuropathy screening, which filament size indicates loss of protective sensation?

Accepted Answer

10 g (5.07 monofilament)

Answer

1 g (5.07 monofilament)

Answer

4 g (5.46 monofilament)

Answer

10 g (6.10 monofilament)

Question 4

In managing a Grade 2 Wagner diabetic foot ulcer with suspected deep-tissue infection, which imaging modality is most sensitive for detecting osteomyelitis?

Accepted Answer

MRI

Answer

Plain radiograph (X-ray)

Answer

CT scan

Answer

Bone scan (technetium-99m)

Question 5

Which ankle-brachial index (ABI) value range is considered indicative of severe peripheral arterial disease requiring vascular surgery referral?

Accepted Answer

Below 0.4

Answer

0.9–1.3

Answer

0.7–0.89

Answer

0.4–0.69

Question 6

Which offloading device is considered the gold standard for treating plantar diabetic foot ulcers?

Accepted Answer

Total contact cast (TCC)

Answer

Removable cast walker

Answer

Therapeutic footwear with custom insole

Answer

Felted foam padding

Question 7

A diabetic patient presents with a warm, swollen, erythematous foot with marked temperature asymmetry but no open wound. X-ray reveals joint fragmentation. What is the most likely diagnosis?

Accepted Answer

Charcot neuroarthropathy (acute phase)

Answer

Acute gout flare

Answer

Cellulitis with abscess

Answer

Deep vein thrombosis