Diabetic Foot Exam UPDATED ACTUAL
Questions and CORRECT Answers
Progressive Risk - CORRECT ANSWER -Over time uncontrolled blood sugar can damage nerves,
this damage leads to diabetic neuropathy and loss of protective sensation in the extremities
Risk Factors - CORRECT ANSWER --Poor glycemic control
-Peripheral neuropathy with loss of protective sensation
-Cigarette smoking
-Foot deformities
-Preulcerative callus or corn
-PAD
-History of foot ulcer
-Amputation
-Visual impairment
-CKD (especially patients on dailysis)
How to decrease risk - CORRECT ANSWER -Address risk factors
-control blood sugar
-quit smoking
-foot care education
Patient education
Annual Foot exam
-inspection
-pulses
-test for loss of protective sensation
Refer high risk patients to foot specialists
, Test for and treat Peripheral Artery Disease
Lower Extremity Amputation Prevention (LEAP) Program - CORRECT ANSWER -Five step
program
1. Annual foot screening
2. Patient education
3. Daily self inspection
4. Footwear selection
5. Management of Simple Foot Problems (reporting problems)
Annual Screening - CORRECT ANSWER -Inspection
-cracks, sores, blisters, calluses, toe nails, etc.
Pulses
-0-4
-dorsalis pedis and posterior tibial
Monofilament
Monofilament - CORRECT ANSWER -1. Show the monofilament to the patient
2. Hold the filament perpendicular to the skin and use a smooth motion when testing
-use a 3 step sequence that includes touching the skin, bending the filament, and lifting form the skin
-do not use rapid movement. The approach, skin contact, and departure of the monofilament should be
approximately 1.5 seconds duration
3. Ask the patient to respond "yes" when the monofilament is felt. If the patient does not respond when
you touch a given point on the foot, continue on to another site. When you have completed the sequence,
REPEAT area(s) where the patient did not indicate feeling the monofilament
Questions and CORRECT Answers
Progressive Risk - CORRECT ANSWER -Over time uncontrolled blood sugar can damage nerves,
this damage leads to diabetic neuropathy and loss of protective sensation in the extremities
Risk Factors - CORRECT ANSWER --Poor glycemic control
-Peripheral neuropathy with loss of protective sensation
-Cigarette smoking
-Foot deformities
-Preulcerative callus or corn
-PAD
-History of foot ulcer
-Amputation
-Visual impairment
-CKD (especially patients on dailysis)
How to decrease risk - CORRECT ANSWER -Address risk factors
-control blood sugar
-quit smoking
-foot care education
Patient education
Annual Foot exam
-inspection
-pulses
-test for loss of protective sensation
Refer high risk patients to foot specialists
, Test for and treat Peripheral Artery Disease
Lower Extremity Amputation Prevention (LEAP) Program - CORRECT ANSWER -Five step
program
1. Annual foot screening
2. Patient education
3. Daily self inspection
4. Footwear selection
5. Management of Simple Foot Problems (reporting problems)
Annual Screening - CORRECT ANSWER -Inspection
-cracks, sores, blisters, calluses, toe nails, etc.
Pulses
-0-4
-dorsalis pedis and posterior tibial
Monofilament
Monofilament - CORRECT ANSWER -1. Show the monofilament to the patient
2. Hold the filament perpendicular to the skin and use a smooth motion when testing
-use a 3 step sequence that includes touching the skin, bending the filament, and lifting form the skin
-do not use rapid movement. The approach, skin contact, and departure of the monofilament should be
approximately 1.5 seconds duration
3. Ask the patient to respond "yes" when the monofilament is felt. If the patient does not respond when
you touch a given point on the foot, continue on to another site. When you have completed the sequence,
REPEAT area(s) where the patient did not indicate feeling the monofilament
