PODIATRY OSCE QUESTIONS WITH CORRECT ANSWERS 2025

PODIATRY OSCE QUESTIONS WITH
CORRECT ANSWERS 2025
DMBFootBExaminationB-BCORRECTBANSWERB-SUBJECTIVE:

-
BDiabeticBpatientBpresentsBtoBclinicBforBdiabeticBfootBexamination.BPatientBstatesBthatBtheyBwasBref


erredBbyBtheirBprimaryBcareBdoctor.BPatientBstatesBthatBhaveBdiabetesBforB1OByears.

PatientBstatesBthatBtheBfastingBbloodBglucoseBwasB2OOBmg/dLBasBofBthisBmorning.BPatientBdoesBno
tBknowBmostBrecentBHbA1C.BPatientBadmitsBtoBhavingBburning,BtinglingBandBnumbnessBinBbothBfee
t.BPatientBvisitedBprimaryBcareBdoctorBapproximatelyB1BmonthBago.BPatientBdeniesBhavingBheatBorB
coldBintoleranceBorBnoticingBrecentBchangeBinBbodyBweight.



-BDoBOLDCARTSB&BHIIMATESS

-B*BPOLYB-BURIA,BDIPSIA,BPHAGIA




OBJECTIVE:

-
BNeuro:BProtectiveBsensationBviaBmonofilamentB3/1OBB/L;BvibratoryBsensationBabsentBatB1stBMTPJB


B/LBandBpresentBatBmedialBmalleolusBB/L

-BDerm:BNoBinterdigitalBmaceration,BnoBopenBlesion,BnoBclinicalBsignsBofBinfection,BnoBerythemaB

-BMsk:BMuscleBpowerB5/5BinBallBcompartmentsBB/L

-BVascular:BDPB&BPTB2/4BB/L;BCFTB<B2BsecondsBxB1O;BtemperatureBgradientBWNL;Bno



ASSESSMENTB(DDx):

-BPeripheralBNeuropathyBsecondaryBtoBuncontrolledBDMB

-BUremiaB(ESRD)B

-BB12BdeficiencyB

,PLAN:

-BCBCBw/diff,BCMP,BUA,BHbA1C,BLipidBPanel,BCoags:BPT/PTT,BB12BLevel,B

-ElectromyographyB(EMG)

-BGabapentinB100mgBTID

-BCapsacinB0.1%BcreamB

-BPatientBeducationBonBdiet,BexerciseBandBlimitingBsugarB

-BDiabeticBshoes,BstockingsBandBsockBordered

-
BPatientBeducationBonBfootBcare,BlookingBforBscrapesBorBlesionsBonBfoot,BkeepBfootBcleanBandBdry,Bn


everBgoBbarefoot,BchangeBsocksBdaily



GoutB-BCORRECTBANSWERB-SUBJECTIVE:

-
BPatientBpresentsBwithBsuddenBonset,BredBhotBswollen,BasymmetricalBmonoarticularBarthritisB(join


tBsparingBunlessBchronic),BattackBatB1stBMPJB(Podagra),BpainBoutBofBproportionB(10/10),BDietBusuall
yBredBmeats,Bcheese,Bwine.

-BDoBOLDCARTSB&BHIIMATESS

-BClue:BIfBtakingBDiureticsB(HCTZs)B



OBJECTIVE:

-BIfBXRAYBgivenBclue:B"rateBbite"BMartelBsignB(overhangingBmargins)

-
BDerm:BErythemaBatBtheBrightB1stBMTPJ,BpresenceBofBtophi,BNoBinterdigitalBmaceration,BnoBopenBle


sion

-BMSK:BPainBonBpalpationBonBrightB1stBMTPJBactiveBonBpassiveBrangeBofBmotion

, -
BVasc:BDPBandBPTB2/4BB/L;BCFTB<B2BsecBxB1O;BtemperatureBgradientBWNLBonBtheBleftBandBwarmBtoB


warmBonBtheBright;Bnon-pittingBedemaBonBtheBdorsalBrightBforefootBandBmidfoot

-BNeuro:BProtectiveBsensationBviaBmonofilamentB1O/1OBB/L



ASSESSMENTB(DDx):

-BGoutB

-BPsuedogout

-BSepticBArthritisB



PLAN:

-BLabs:BUricBAcidBLevelB(ChronicBvsBAcute),BUricBAcidBUA,BCBCBw/diff,BCMP,BLipidBpanel,BSTIBpanel.

-BJointBAspirateB(PsuedoBvsBGoutBvsBSeptic)

-BJointBXRAYB(ifBnotBpresentedBwithBone)B

-BIndomethacinB50BmgBQIDBxB1wkB(Acute)

-BProbenecidB250mgBBIDBxB1wkB(underproducer)

-BAllopurionolB300mgBQDB(overproducer)

-
BPatientBeducation:BmodifiedBdietBavoidBhighBpurineBbasedBfoods,BorganBmeats,BredBmeat,Bcheese,


BredBwineB



-BChangeBmedicationBtoBavoidBflareBups

-BRTCBxB1wk



DVTB-BCORRECTBANSWERB-SUBJECTIVE:

-
BPatientBpresentsBwithBpain,BpatientBtoBER/ClinicB(DifferentiateBscenario)BcomplainingBofBpainBandB


swellingBinBrightBcalf

-BDoBOLDCARTSB&BHIIMATESS