MODULE FOUR: SECTION SEVEN TEST

1. Question

10 point(s)

Diabetes occurs when there is?

An inadequate uptake of glucose by the cells of the body resulting in raised blood glucose levels.
Failure of liver to produce insulin.
A regulation of insulin.

2. Question

10 point(s)

What are the risk factors for developing diabetes mellitus (Type 2)?
Please select three.

Increasing age.
Higher nutritional intake.
Obesity
Hypertension
Impaired glucose levels.

3. Question

10 point(s)

What is neuropathy?

When the patient has blood supply.
Is impairment of nerve function.
Is the inability to palpate pulses in the foot.

4. Question

10 point(s)

What problems can autonomic neuropathy cause in the diabetic patient?

Impairment of the nerves controlling muscles associated with autonomic neuropathy causes, muscle atrophy in the toes and foot deformities.
The loss of sensation associated with autonomic neuropathy puts the patient at risk from mechanical, chemical and thermal trauma.
Patients with autonomic neuropathy will experience lack of sweating in the feet which can extend up to the knees. The lack of sweating causes dry skin with fissuring.

5. Question

10 point(s)

What does neuro-ischaemia result from?

Impairment of the nerves.
Atherosclerosis of the arteries in the leg.
Loss of sensation.

6. Question

10 point(s)

What is the commonest site for a neuro-ischaemic diabetic ulcer?

The commonest site for a neuro-ischaemic diabetic ulcer is in the gaiter area.
The commonest site for a neuro-ischaemic diabetic ulcer is in the margin of the foot.
The commonest site for a neuro-ischaemic diabetic ulcer is in the apex of the toe.

7. Question

10 point(s)

What are the classic signs of an ischaemic foot?
(Please select two from the following list.)

The ischaemic foot may have thin shiny skin.
The ischaemic foot may have foot deformities such as ‘hammer toes’.
The ischaemic foot may have dry skin with fissuring.
The ischaemic foot may lack hair.

8. Question

10 point(s)

What problems can sensory neuropathy cause in the diabetic?

Impairment of the nerves controlling muscles associated with sensory neuropathy causes muscle atrophy in the toes and foot deformities.
The loss of sensation associated with sensory neuropathy puts the patient at risk from mechanical, chemical and thermal trauma.
Patients with sensory neuropathy will experience lack of sweating in the feet which can extend up to the knees. The lack of sweating causes dry skin with fissuring.

9. Question

10 point(s)

What problems can motor neuropathy cause in the diabetic foot?

Impairment of the nerves controlling muscles associated with motor neuropathy causes muscle atrophy in the toes and foot deformities.
The loss of sensation associated with motor neuropathy puts the patient at risk from mechanical, chemical and thermal trauma.
Patients with motor neuropathy will experience lack of sweating in the feet which can extend up to the knees. The lack of sweating causes dry skin with fissuring.

10. Question

10 point(s)

What is the commonest site for a neuropathic diabetic ulcer?

The commonest site for a neuropathic ulcer is the gaiter area.
The commonest site for a neuropathic ulcer is the margin of the toe.
The commonest site for a neuropathic diabetic ulcer is the apex of the toe.

11. Question

10 point(s)

According to the Edmonds and Foster framework for managing diabetic feet, when does a diabetic foot reach stage 3?

The diabetic foot enters a stage 3 when it becomes infected.
The diabetic foot enters stage 3 when it has broken down and ulceration is present.
The diabetic foot enters stage 3 when it has developed one or more of the risk factors for ulceration.

12. Question

10 point(s)

According to the Edmonds and Foster framework for managing diabetic feet, at what stage is a diabetic foot when it develops necrosis (gangrene)?

Stage 1
Stage 2
Stage 3
Stage 4
Stage 5
Stage 6

13. Question

10 point(s)

What are the tests that can be used to determine sensory loss in neuropathy? (Please choose 3 answers)

Monofilament test
Duplex scanning
Angiography
Vibration testing
Light tough test
ABPI

14. Question

10 point(s)

Which type of necrosis occurs in a neuro-ischaemic ulcer?

Wet necrosis
Wet necrosis and dry necrosis.
Dry necrosis

15. Question

10 point(s)

Explain the differences and management between wet and dry necrosis.

This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.

MODULE FOUR: SECTION SEVEN TEST

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