Diabetic Foot Ulcer Management

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Which of the following is the most common cause of diabetic foot ulcers?

Peripheral arterial disease

Venous insufficiency

Neuropathy

Trauma

Which test is most appropriate for assessing perfusion in a diabetic foot?

Ankle-Brachial Index (ABI)

Blood glucose monitoring

Pulmonary function test

Urinalysis

What is the recommended HbA1c target for diabetic patients to reduce ulcer risk?

<6%

<7%

<8%

<10%

Which of the following organisms is commonly associated with infected diabetic foot ulcers?

Pseudomonas aeruginosa

Staphylococcus aureus

Clostridium difficile

Helicobacter pylori

What is the Wagner classification of a diabetic foot ulcer with exposed bone?

Grade 1

Grade 2

Grade 3

Grade 5

Describe three common risk factors for developing diabetic foot ulcers.

What is the importance of offloading in DFU management, and which devices are commonly used?

Briefly explain how to perform a 10g monofilament test and its significance.

Outline the basic steps in managing a mildly infected diabetic foot ulcer.

What role does glycemic control play in DFU prevention and healing?

Case 1 Scenario: A 55-year-old male with poorly controlled diabetes presents with a painless ulcer on the plantar surface of his right foot. There is no erythema, but a foul-smelling discharge is present. Tasks: What further investigations will you perform to assess the severity of this ulcer? Which debridement method would you consider? Outline a treatment plan including wound care and infection management.

Case 2 Scenario: A 62-year-old woman with type 2 diabetes complains of numbness in her feet and has a small ulcer on her toe. You suspect peripheral neuropathy. Tasks: Which tests would you use to confirm neuropathy? How will you educate the patient on preventing further ulcers? What follow-up care and referrals are necessary? Answer Key and Scoring Guide

Diabetic Foot Ulcer Management

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