Diabetic Wounds and Debridement
Authored by Emily Johnson
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University
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13 questions
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1.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
What is the appropriate term to describe the right diabetic foot?
Dyshidrosis
Glycosylation
Charcot Arthropathy
Crusty
2.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
How long is the "Golden Hour for the Diabetic Foot"?
4 hours
4 days
4 weeks
4 months
Answer explanation
“Patients in whom ulcer size fails to reduce by half over the first 4 weeks of treatment are unlikely to achieve wound healing over a reasonable period”
200x greater risk of infection in wounds progressing beyond 4 weeks
155x greater risk of amputation in wounds developing infection
“Patients in whom ulcer size fails to reduce by half over the first 4 weeks of treatment are unlikely to achieve wound healing over a reasonable period”
200x greater risk of infection in wounds progressing beyond 4 weeks
155x greater risk of amputation in wounds developing infection
3.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
What is a common wound care treatment for a neuropathic wound but not an arterial wound?
Treatment of infection
Dressings with appropriate moisture management
Sharps debridement of callus and necrotic tissue
ABI
4.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
What is the Gold Standard for off-loading a diabetic foot wound?
Total Contact Casting
Off-Loading Devices
Toe Crest Pads
NWB with an appropriate AD
5.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
True or False: Standard Rocker Bottom shoes are an appropriate option for long-term footwear for someone who has diabetic foot ulcers
True
False
Answer explanation
False: Diabetic shoes are imperative. Diabetic shoes have extra depth, total contact molded inside and a rocker bottom
6.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
True or False: Diabetic shoes require a physician prescription.
True
False
7.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
Glycosylation has what effect?
Charcot Athropathy
Hypermobility
Stiffening of connective tissue
Dishidrosis
Answer explanation
Glycosylation is an enzymatic process caused by the presence of a sugar molecule and long term hyperglycemia → glucose reaction with protein to form irreversible collagen cross links → general stiffening of connective tissue.
Prayer sign: looks for ability of patient to place palms of hands together with full contact of palms and fingers
Dorsiflexion ROM loss
Hammer toes.
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