Diabetic Wound Care Exam Prep
Practice Test

A 78-year-old with mild dementia, diabetic foot ulcer, and poor glycemic control lives alone. What is the appropriate management?

A referral involves a stable, shallow diabetic foot ulcer with good perfusion. What is the appropriate triage decision?

An obese patient with a non-healing DFU reports good intake. Which finding best identifies a risk for occult malnutrition?

A hospital system implements a multidisciplinary limb salvage team. Which primary metric indicates the clinical effectiveness of this care model?

A patient with a DFU and type 2 diabetes starts high-dose prednisone. What is the priority management step?

A patient with no structural foot deformities has a third recurrence of a plantar ulcer despite previous healing. Which referral addresses the likely root cause?

Triage the following patients: Patient A has stable dry gangrene of the toe (no systemic signs); Patient B has crepitus and fever.

An 80 kg patient has a large, draining sacral ulcer. Using standard injury factors for chronic wounds (30-35 kcal/kg), what is the estimated daily energy requirement?

A patient with a non-healing diabetic foot ulcer has an Ankle-Brachial Index (ABI) of 0.45. Which intervention is indicated?

An alert, non-critically ill inpatient with a diabetic foot infection has fasting blood glucose levels consistently between 145–160 mg/dL. What is the best management approach?

An 80-kg patient with a large, draining diabetic foot ulcer requires nutritional support. What is the estimated daily protein requirement?

A patient presents with a deep, infected, neuroischemic ulcer. Which referral strategy optimizes limb salvage?

A diabetic foot ulcer probes to bone. Superficial swab cultures are positive for Staphylococcus aureus. What is the most appropriate next step?

A patient with a diabetic foot ulcer repeatedly misses appointments, citing a lack of transportation. Which action addresses the primary barrier?

A patient with a diabetic ulcer and Stage 4 chronic kidney disease requires nutritional intervention. How should protein goals be determined?

A patient with a diabetic foot ulcer presents with extending cellulitis, fever of 38.9°C (102°F), and tachycardia. What is the correct triage decision?

For an 84-year-old patient with a diabetic ulcer, history of falls, and cognitive impairment, what is the primary glycemic management goal?

A patient with a non-healing ulcer has monophasic pulses and an ABI of 0.6. What is the specific role of the vascular surgeon in this case?

In the physiological sequence of diabetic wound healing, which phase is most characteristically prolonged and fails to progress?

Which complication of autonomic neuropathy most directly predisposes the diabetic foot to bacterial invasion and infection?

A clinician debrides a plantar diabetic foot ulcer but fails to implement an offloading plan. What is the likely clinical outcome?

Which physiological process is the primary hallmark of the remodeling phase of wound healing?

A diabetic patient with a non-healing foot ulcer has an Ankle-Brachial Index (ABI) of 1.4. Which test is indicated next?

A patient demonstrates loss of vibratory sensation and proprioception. Which clinical risk is primarily associated with this large-fiber deficit?

A diabetic patient presents with a red, hot, swollen foot but no open wound or systemic fever. What is the priority intervention?

Which growth factor is critically deficient in diabetic wounds, directly leading to impaired angiogenesis and capillary sprouting?

How does the accumulation of advanced glycation end-products (AGEs) structurally alter the skin in patients with diabetes?

A patient perceives a sharp pinprick but cannot feel the 10g Semmes-Weinstein monofilament. What is the correct interpretation?

What cellular dysfunction primarily drives the transition of a diabetic foot ulcer into a chronic, non-healing state?

A diabetic patient has palpable pulses, normal ABI, but a non-healing ulcer and atrophy. Which pathology is indicated?