PC Treatment Planning & Management 2

Question 1

A diabetic patient with a Wagner Grade 2 foot ulcer has adequate perfusion. What is the most appropriate initial treatment approach?

Accepted Answer

Debridement, offloading, and antibiotics for clinical infection

Answer

Wagner Grade 2 ulcers (deep to tendon/capsule/bone without abscess) are managed with debridement, total contact casting for offloading, and antibiotics only if clinical infection is present.

Question 2

Which orthotic design is most appropriate for a patient with a flexible flatfoot and symptomatic posterior tibial tendon dysfunction (PTTD) Stage I?

Accepted Answer

Rigid functional orthosis with medial heel skive and deep heel cup

Answer

Stage I PTTD with flexible deformity is best managed with a functional orthosis incorporating a medial heel skive to supinate the subtalar joint and a deep heel cup for rearfoot control.

Question 3

A patient presents with recurrent ingrown toenails despite conservative care. The most definitive surgical option is:

Accepted Answer

Winograd procedure (partial nail avulsion with matricectomy)

Answer

The Winograd procedure, a partial nail avulsion with permanent chemical or surgical matricectomy of the offending border, is the standard definitive treatment for recurrent ingrown toenails.

Question 4

When treating Achilles tendinopathy with eccentric exercise, what protocol is most evidence-based?

Accepted Answer

Alfredson protocol: 3 sets of 15 repetitions twice daily, 12 weeks

Answer

The Alfredson eccentric loading protocol (3×15 reps with knee straight and bent, twice daily, 12 weeks) has the strongest evidence base for mid-portion Achilles tendinopathy.

Question 5

A patient with rheumatoid arthritis develops hallux valgus with lesser toe deformities causing painful metatarsal head pressure. The preferred surgical reconstruction is:

Accepted Answer

Pan-metatarsal head resection with first MPJ arthrodesis

Answer

In RA with pan-metatarsal involvement, pan-metatarsal head resection combined with first MPJ arthrodesis restores a balanced forefoot and relieves plantar pressure across all metatarsals.

(PC) Podiatrist Certification Practice Test

(PC) Podiatrist Certification Practice Test

PC Treatment Planning & Management 2