A 54-year-old diabetic on metformin and dapagliflozin, HbA1c 7.7%, had a traumatic toe wound that is healing well. What is the next step?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Monofilament testing
A diabetic with a foot wound needs a foot risk assessment, and the core neurologic test is the 10 g monofilament (loss of protective sensation is the main driver of ulceration). ABI is done only if indicated (e.g., absent pulses or ischemic features), which this healing wound does not suggest. Adding insulin is unrelated to the wound.
ليش كل خيار صح أو غلط
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A
ليش صح
The neurologic part of the diabetic foot exam is a 10 g monofilament plus one other test (tuning fork, pinprick, ankle reflexes or VPT).
✓ Diabetic foot & Ulcer.pdf · p. 3 -
B
ليش غلط
Capillary refill is not part of the listed foot assessment: the vascular step is foot pulses, with ABI only if indicated.
✓ Diabetic foot & Ulcer.pdf · p. 3 -
C
ليش غلط
ABI is listed as "if indicated" after checking foot pulses, not as the core routine step; the monofilament is.
✓ Diabetic foot & Ulcer.pdf · p. 3 -
D
ليش غلط
The listed approach is a comprehensive foot examination (inspection, pulses, reflexes, monofilament); with the wound healing, the next step is assessment rather than adding insulin.
✓ Diabetes mellitus overall Copy.pdf · p. 8
- المصدر
- Diabetic foot & Ulcer.pdf · p. 3
Diabetes mellitus overall Copy.pdf · p. 8 - المحاضرة
- Diabetes Mellitus · Endocrinology · Module B
- ظهر في
- MED41 ♂ EOM B