2026 WITH Recent Newest Verified And Well Analyzed Exam
Questions (Actual Exam 2026-2027) Correct Detailed & Verified
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what happens in autonomic neuropathy and what do you typically observe? -
ANSWERS-an involuntary nervous system resulting in loss of sweating and oil
production causing skin to be dry. Xerosis leads to fissures, cracks, callus, and
ulceration
Under the foot risk classification system, what signs connote low risk diabetes and
how should you manage the condition to prevent neuropathic ulcers? -ANSWERS-
intact sensation(neuropathy), intact pulse (vasularity), no foot deformities (motor
fx). management includes: education r/t disease control, daily inspection of foot,
proper shoe wear, early report of foot injuries; annual foot exam and callus
removal and nail care prn
Under the foot risk classification system, what signs connote moderate risk
diabetes and how should you manage the condition to prevent neuropathic
ulcers? -ANSWERS-intact sensation(neuropathy), intact pulse (vasularity), foot
deformities present (motor fx). management includes: education r/t disease
control, daily inspection of foot, proper shoe wear, early report of foot injuries;
depth in-lay footwear, foot exam every 6 months; referral to foot/ankle specialist
if deformity is causing pressure and conservative measures failed
Under the foot risk classification system, what signs connote high risk diabetes
and how should you manage the condition to prevent neuropathic ulcers? -
ANSWERS-absent sensation(neuropathy), absent pulse (vasularity), foot
deformities present (motor fx). management includes: education r/t disease
control, daily inspection of foot, proper shoe wear, early report of foot injuries;
,custom footwear, foot exam every 3months; callus maintenance; referral to
foot/ankle specialist if deformity is causing pressure and conservative measures
failed
what are some key things to remember when caring for diabetic foot? -ANSWERS-
daily inspections of foot and shoes, don't soak in water for prolonged period to
avoid maceration, avoid nylon socks bc they don't breathe, avoid chemicals for
removing corns, never use razor blades, change shoes often to reduce hotspots,
see a professional for trimming nails
Describe SSSS (staphylococcal scaled skin syndrome)? -ANSWERS-infectious
wound caused by toxins from staph and usually affects healthy children 6 yrs or
younger.
primary lesion: superficial bullae
secondary lesion: superficial scales
looks like a burn; avoid adhesive dressings
Describe necrotizing fasciitis (aka flesh eating infection)? -ANSWERS-rapidly
progressive and fatal infection of the SQ tissue and fascia accompanied by pain,
erythema, crepitous, and sysemic toxicity (bullae, sloughing, gangrene aslo
noted). Aggressive surgical debridement and IV abx is required
Describe pyoderma granulosum? -ANSWERS-inflammatory condition of the skin
characterized by painful necrosis, ulceration, and vasculitis. Associated with RA
and IBS (Crohn's disease) and often occurs on the LE or trunk of the body. wound
edges are violaceous w/ undermining and surrounding wound is erythematous
and indurated. Tx includes topical steroid ointment, systemic corticosteroids, and
Ciclosporin (immunosuppressant); mainstay of tx is immunosuppression; may
start out as a pimple and progress to crater
, Describe phemphigus vulgaris? -ANSWERS-painful autoimmune disorder that
causes blisters on the skin and mucous membranes. blistera are flaccid and
ruptures.Mainstay tx is systemic corticosteroids
Describe fungating neoplastic wound? -ANSWERS-mass of malignant cells which
have infiltrated the epithelium and surrounding blood vessels and lymph vessels-
ulcerating necrois and slough. most frequently reported symptoms are malodour,
exudate, bleeding and pain. Tx is usually palliative and may require catuerization
w/silver nitrate d/t bleeding or use of charcoal dressing, Chloromycetion solution
or metronidazole to control odor. surgical or sharp debridement is not
recommended bc of excessive bleeding; instead autolytic or enzymatic
debridement is preferred. avoid adhesive dressings and cont to keep wound
moist.
Describe Calciphylaxis? -ANSWERS-Painful, burning, and sometimes itchy lesion
that's indurated, necrotic w/violacious discoloration. The skin cells die because of
lack of blood supply (dry gangrene). This causes deep and often extensive ulcers.
Occurs w/ESRD patients with hypercalcemia, hyperphosphatemia, and
hyperparathydroidism. A distinct finding w/calciphylaxis is intact peripheral pulses
bc bloo flow distal to or deeper than necrosis remains intact. Txed with
normalization of calcium and phosphorous. IV Sodium thiosulfate has shown to be
beneficial.
What acronym is used to evaluate surgical infections, post-op for 5 days? What
does each letter stand for? -ANSWERS-ASPSIS:
A: abx
S: serous discharge
E: erythema
P: purulent drainage
S: separation of tissue