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Diabetes Care: Prevention and Clinical Care of Diabetic Foot Ulcers

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You must score 70% or better to pass this test.
Select one answer for each question.
Review your selections before submitting the test for grading.

Note This course was revised and updated on March 4, 2024. If you printed test questions from the previous version of this course, you will find that some questions in your printed version differ from the test below.

Test Question

1. Which statement is accurate regarding research data on geographic distribution of those diagnosed with diabetes in the United States?

a. Rural areas have a higher incidence of diabetes compared to urban areas.
b. Urban communities have less access to diabetes self-management education and support services.
c. People living in rural communities don’t use diabetes-related services.
d. Diabetes self-management and education programs are consistently available across the country.

Test Question

2. Which function is generally carried out by the physical therapist as a member of the diabetes foot care team?

a. Assisting the patient with activities of daily living, such as getting dressed
b. Teaching the patient stress management techniques
c. Identifying early structural changes of the patient’s foot
d. Educating the patient on medication management

Test Question

3. Which statement best describes the diabetes education process?

a. Most effectively completed through one or two sessions with a diabetes educator
b. Essential for the newly diagnosed patient
c. Most effectively provided three to six months after diagnosis
d. Primarily focused on insulin administration

Test Question

4. Which consideration is most important when providing diabetes education to a patient?

a. Using medical terminology in place of everyday terms
b. Consistently using the term “wound” instead of the less common term “ulcer”
c. Presenting each teaching point only once
d. Using teaching materials that are age-appropriate for the patient

Test Question

5. Which education does the clinician provide when instructing the patient with diabetes on good foot care?

a. Foot checks should be performed once a week.
b. Never walk barefoot in any location.
c. If feet are cold, use a heating pad.
d. Wear tight-fitting socks.

Test Question

6. Which characteristic is appropriate in shoes for a patient with diabetes?

a. Room in the toe area
b. Loose fit around the heel
c. Slip-on instead of laced
d. Made of rigid materials that do not stretch

Test Question

7. At which time will patients typically experience the most intense pain related to sensory neuropathy?

a. First thing in the morning when they get out of bed
b. When they have been standing for long periods of time
c. After donning shoes and socks
d. At night when lying down

Test Question

8. Which type of injury may trigger a Charcot foot?

a. Prolonged exposure to chemicals resulting in a burn injury
b. Severe blunt trauma
c. A slight joint injury that may not be noticed by the patient
d. A superficial skin injury

Test Question

9. Which finding requires immediate attention when assessing a diabetic foot ulcer?

a. Dry tissue
b. Exposed bone in the wound
c. Stringy slough
d. Pink, viable tissue

Test Question

10. Which finding is a characteristic of a grade 4 diabetic foot ulcer on the Wagner classification system?

a. Wet or dry gangrene present on part of the foot
b. A history of a previously healed ulcer
c. Exposure of tendon and bone in the ulcer
d. Gangrene encompassing the entire foot

Test Question

11. Which general rule is applied when selecting a dressing for a diabetic foot ulcer?

a. For stable necrotic eschar, apply a dressing that will debride the eschar.
b. Choose a dressing that can be left in place for more than five days.
c. Apply wet-to-dry dressing to any wound with granulation tissue.
d. For ulcers with slough, choose a dressing that will assist with debridement.

Test Question

12. For which reason are bone biopsies used to diagnose osteomyelitis?

a. Determine how long the infection has been there
b. Assess the adequacy of circulation to the area
c. Determine if the infection has spread into other tissues
d. Obtain an accurate diagnosis of osteomyelitis

Test Question

13. Which disadvantage is considered the most critical when using total contact casting (TCC) as an intervention for a diabetic foot ulcer?

a. TCC is rarely covered by a patient’s healthcare insurance.
b. TCC can only be applied in an inpatient setting.
c. Patients can develop allergic reactions to some of the components in TCC.
d. TCC prevents frequent wound assessment since it is normally only replaced once a week.

Test Question

14. To achieve which outcome is a removable peg system utilized when customizing shoes for individuals with diabetic foot ulcers?

a. Easy dressing changes
b. Frequent wound inspections
c. Pressure relief
d. Improved stability

Test Question

15. Which statement best describes a ray amputation?

a. It is required when tissue death has spread beyond the patient’s forefoot.
b. It removes the affected toe or toes along with part or all of the corresponding metatarsal.
c. Forefoot stability is maintained when more than two rays are removed.
d. Ray amputations have a higher rate of revision surgery than other amputations.

Test Question

16. Which statement describes the basis behind mirror box therapy in the treatment of phantom pain?

a. It distracts the patient from focusing on the amputated limb.
b. It tricks the brain into believing that the missing limb is being moved into a pain-relieving position.
c. It helps to facilitate patient adjustment to a new body image.
d. It reenforces that phantom limb pain is an imaginary concept and is not real.

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Diabetes Care: Prevention and Clinical Care of Diabetic Foot Ulcers