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Diabetic Foot Ulcers - OT - 3 Hour

You will need to answer 11 questions correctly to pass the test.
(1) Peripheral neuropathy effects the _____ nervous system. (p. 3)
(A) Sensory
(B) Motor
(C) Autonomic
(D) All of the above
(2) Symmetric "glove and stocking" loss of sensation is the primary factor predisposing patients to ulcers and infection. (p. 4)
(A) True
(B) False
(3) Midfoot collapse or "rocker-bottom" foot is most commonly associated with ____. (p. 6)
(A) Charcot arthropathy
(B) equinus deformation
(C) hallux rigidus
(D) pes cavus
(4) The progression to foot ulceration can be attributed to impaired arterial supply, neuropathy, musculoskeletal deformities, infection, or a combination of these factors. (p. 8)
(A) True
(B) False
(5) Which of the following is NOT an identified risk factor for diabetic foot ulcer? (p. 8-9)
(A) Callus formation
(B) Systolic hypotension
(C) Smoking
(D) Impaired vision
(6) Which type of ulcer is painful, has minimal bleeding, and is typically located on the tips or between toes? (p. 10-11)
(A) Ischemic
(B) Neuropathic
(C) Peptic
(D) Autonomic
(7) Which wound classification system categorizes wounds based on grade (depth of lesion) and stage (presence of infection or ischemia)? (p. 11-14)
(A) Wagner-Meggitt Classification
(B) The University of Texas Wound Classification
(D) DEPA Scoring System
(8) Which of the following is NOT normally utilized as part of a typical diabetic foot ulcer evaluation? (p. 14-19)
(A) Thermometer and blood pressure cuff (sphygmomanometer)
(B) Sterile stainless steel probe
(C) A 5.07 Semmes-Weinstein monofilament
(D) Bornstein densiometer
(9) The ankle brachial index (ABI) is used to determine the extent of the vascular problem. It measures the diastolic blood pressures in the ankles. (p. 17)
(A) True
(B) False
(10) The gold standard test for osteomyelitis is a bone biopsy. (p. 20)
(A) True
(B) False
(11) Which of the following is toxic to growing dermal and epidermal cells and should be avoided? (p. 25)
(A) Hydroactive hypocolloid gel
(B) Silver sulfadiazine
(C) Antiseptics such as povidone, acetic acid, and hydrogen peroxide
(D) All of the above
(12) Total contact casting (TCC) is considered the best method of offloading. (p. 27)
(A) True
(B) False
(13) Which of the following is correct concerning alternative and adjunctive therapies? (p. 27-31)
(A) Hyperbaric oxygen therapy injects 4-5 atmospheres of oxygen directly into the wound and may cause a pulmonary embolism.
(B) The primary risk of maggot therapy is that they frequently digest bone, tendon, and other viable tissue.
(C) The effects of phototherapy are chemical and not thermal.
(D) Autologous platelet rich plasma is infused intravenously to help fight against infection.
(14) The ________ amputation is a disarticulation through the midtarsal joint, leaving only the talus and calcaneus. (p. 32-34)
(A) Lisfranc
(B) Chopart's
(C) Syme's
(D) Modified Taylor
(15) The correct shoe length for an individual with diabetes is __________. (p. 36-37)
(A) 5 mm from the end of the great toe in nonweight bearing
(B) 5 cm from the end of the great toe in when standing
(C) 1 cm from the end of the longest toe when standing
(D) 1 inch from the end of the longest toe in nonweight bearing
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