Podiatry - Clinical Exam Questions
And Answers
Define PAD - Peripheral arterial disease - correct answer
✅Comprises those entities which result in obstruction to blood
flow in the arteries
What are the risk factors associated with the development of PAD?
- correct answer ✅1) Smoking
2) Hypertension
3) Hyperlipidaemia
4) DM
5) CVD - cardio vascular disease
6) Male
7) Low physical activity
In podiatry when should we undertake a vascular screening? -
correct answer ✅All adults over the age of 65 & all adults over the
age of 50 with a history of DM or other risk factors
What can impaired arterial supply to the lower limbs result in? -
correct answer ✅1) Hypohidrotic skin
2) Reduced hair growth
3) General thickening of nails
,Podiatry - Clinical Exam Questions
And Answers
4) Limb temperature
5) Pulselessness
6) Change in skin colour
Dermatological changes in patients with PAD - explain what
happens - correct answer ✅1) Impaired arterial supply to tissue of
the lower extremity is associated with several observable
pathological changes to the skin and adnexa
2) Patients tend to develop anhidrotic skin due to the metabolic
demands of the dermal structures not being met
In a patient that has impaired arterial supply what changes would
you expect to the hair growth on the lower limbs? - correct answer
✅Hair growth requires adequate supply of nutrients to the hair
follicle to ensure growth.
Note: if there is a lack of hair always check with the patient this is
normal (i.e. do they wax/shave)
, Podiatry - Clinical Exam Questions
And Answers
How is PAD and the general thickening of nails associated? - correct
answer ✅General thickening of nails occurs with damage to the
nail matrix, ageing and due to PAD.
In the presence of significant arterial disease this is enhanced
Note: If there is uniformed thickening on all digits and there is no
fungal infection suspect impaired arterial supply
When assessing a patients limb temperature - what would you
expect a sharp drop in temp at the foot mean? - correct answer
✅Normally there is more warmth proximally with a gradual
cooling as you move distally - a sharp drop indicated poor blood
supply
Define IC - intermittent claudication - correct answer ✅Is transient
ischaemic muscle pain that occurs during exercise.
IC is a strong clinical indicator of the presence of significant PAD
And Answers
Define PAD - Peripheral arterial disease - correct answer
✅Comprises those entities which result in obstruction to blood
flow in the arteries
What are the risk factors associated with the development of PAD?
- correct answer ✅1) Smoking
2) Hypertension
3) Hyperlipidaemia
4) DM
5) CVD - cardio vascular disease
6) Male
7) Low physical activity
In podiatry when should we undertake a vascular screening? -
correct answer ✅All adults over the age of 65 & all adults over the
age of 50 with a history of DM or other risk factors
What can impaired arterial supply to the lower limbs result in? -
correct answer ✅1) Hypohidrotic skin
2) Reduced hair growth
3) General thickening of nails
,Podiatry - Clinical Exam Questions
And Answers
4) Limb temperature
5) Pulselessness
6) Change in skin colour
Dermatological changes in patients with PAD - explain what
happens - correct answer ✅1) Impaired arterial supply to tissue of
the lower extremity is associated with several observable
pathological changes to the skin and adnexa
2) Patients tend to develop anhidrotic skin due to the metabolic
demands of the dermal structures not being met
In a patient that has impaired arterial supply what changes would
you expect to the hair growth on the lower limbs? - correct answer
✅Hair growth requires adequate supply of nutrients to the hair
follicle to ensure growth.
Note: if there is a lack of hair always check with the patient this is
normal (i.e. do they wax/shave)
, Podiatry - Clinical Exam Questions
And Answers
How is PAD and the general thickening of nails associated? - correct
answer ✅General thickening of nails occurs with damage to the
nail matrix, ageing and due to PAD.
In the presence of significant arterial disease this is enhanced
Note: If there is uniformed thickening on all digits and there is no
fungal infection suspect impaired arterial supply
When assessing a patients limb temperature - what would you
expect a sharp drop in temp at the foot mean? - correct answer
✅Normally there is more warmth proximally with a gradual
cooling as you move distally - a sharp drop indicated poor blood
supply
Define IC - intermittent claudication - correct answer ✅Is transient
ischaemic muscle pain that occurs during exercise.
IC is a strong clinical indicator of the presence of significant PAD
