Diabetic Foot Exam UPDATED ACTUAL
Questions and CORRECT Answers
The most common triad of causes that interact and ultimately result in foot ulceration in diabetics has
been identified as: - CORRECT ANSWER -neuropathy, deformity, and trauma
Risk factors for foot ulceration - CORRECT ANSWER -• Previous amputation
• Past foot ulcer history
• Peripheral neuropathy
• Foot deformity
• Peripheral vascular disease
• Visual impairment
• Diabetic nephropathy (especially patients
on dialysis)
• Poor glycemic control
• Cigarette smoking
What should you always inspect when doing a diabetic foot exam? - CORRECT ANSWER -the
patient's shoes
_______ ________ and _______ __________ are common contributory factors in the development of
foot ulceration - CORRECT ANSWER -*Inappropriate footwear* and *foot deformities* are
common contributory factors in the development of foot ulceration
Rigid deformities are defined as: - CORRECT ANSWER -any contractures that cannot easily be
manually reduced and are most frequently found in
the digits.
Common forefoot deformities that are known to increase plantar pressures and are associated with skin
breakdown include: - CORRECT ANSWER -metatarsal phalangeal joint hyperextension with
interphalangeal flexion (claw toe) or distal phalangeal extension (hammer toe)
, This occurs in the neuropathic
foot and most often affects the midfoot.
This may present as a unilateral red, hot,
swollen, flat foot with profound deformity - CORRECT ANSWER -Charcot arthropathy
______ _________ is the most common component cause in the pathway to
diabetic foot ulceration - CORRECT ANSWER -*Peripheral neuropathy* is the most common
component cause in the pathway to
diabetic foot ulceration
The
clinical exam recommended for the diabetic foot is designed to identify... - CORRECT ANSWER -
loss of protective sensation (LOPS)
LOPS testing result interpretation - CORRECT ANSWER -One or more abnormal tests would
suggest LOPS, while at least two normal tests (and
no abnormal test) would rule out LOPS
Inability to feel the monofilament has been associated with... - CORRECT ANSWER -loss of
large-fiber nerve function.
It is recommended that which four sites be
tested on each foot with the monofilament? - CORRECT ANSWER -1st, 3rd, and 5th metatarsal
heads
and plantar surface of distal hallux
When testing the foot with a monofilament, the patient should recognize... - CORRECT
ANSWER -the perception of pressure as well as
identify the correct site.
What areas of the foot should always be avoided when testing for pressure perception? - CORRECT
ANSWER -Areas of callus
Questions and CORRECT Answers
The most common triad of causes that interact and ultimately result in foot ulceration in diabetics has
been identified as: - CORRECT ANSWER -neuropathy, deformity, and trauma
Risk factors for foot ulceration - CORRECT ANSWER -• Previous amputation
• Past foot ulcer history
• Peripheral neuropathy
• Foot deformity
• Peripheral vascular disease
• Visual impairment
• Diabetic nephropathy (especially patients
on dialysis)
• Poor glycemic control
• Cigarette smoking
What should you always inspect when doing a diabetic foot exam? - CORRECT ANSWER -the
patient's shoes
_______ ________ and _______ __________ are common contributory factors in the development of
foot ulceration - CORRECT ANSWER -*Inappropriate footwear* and *foot deformities* are
common contributory factors in the development of foot ulceration
Rigid deformities are defined as: - CORRECT ANSWER -any contractures that cannot easily be
manually reduced and are most frequently found in
the digits.
Common forefoot deformities that are known to increase plantar pressures and are associated with skin
breakdown include: - CORRECT ANSWER -metatarsal phalangeal joint hyperextension with
interphalangeal flexion (claw toe) or distal phalangeal extension (hammer toe)
, This occurs in the neuropathic
foot and most often affects the midfoot.
This may present as a unilateral red, hot,
swollen, flat foot with profound deformity - CORRECT ANSWER -Charcot arthropathy
______ _________ is the most common component cause in the pathway to
diabetic foot ulceration - CORRECT ANSWER -*Peripheral neuropathy* is the most common
component cause in the pathway to
diabetic foot ulceration
The
clinical exam recommended for the diabetic foot is designed to identify... - CORRECT ANSWER -
loss of protective sensation (LOPS)
LOPS testing result interpretation - CORRECT ANSWER -One or more abnormal tests would
suggest LOPS, while at least two normal tests (and
no abnormal test) would rule out LOPS
Inability to feel the monofilament has been associated with... - CORRECT ANSWER -loss of
large-fiber nerve function.
It is recommended that which four sites be
tested on each foot with the monofilament? - CORRECT ANSWER -1st, 3rd, and 5th metatarsal
heads
and plantar surface of distal hallux
When testing the foot with a monofilament, the patient should recognize... - CORRECT
ANSWER -the perception of pressure as well as
identify the correct site.
What areas of the foot should always be avoided when testing for pressure perception? - CORRECT
ANSWER -Areas of callus
