HomeDiabetic Wound Care Exam PrepQuestions 11–20
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Diabetic Wound Care Exam Prep Exam Questions & Answers 2026 (11–20)

Diabetic Wound Care Exam Prep practice questions and answers 2026. Tap an option to test yourself — you'll see the correct answer and a plain-English explanation for every question. Free, no login.

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  1. Q11An 80-kg patient with a large, draining diabetic foot ulcer requires nutritional support. What is the estimated daily protein requirement?

    • A64 g based on RDA standards
    • B100–120 g to meet demands
    • C40–50 g to spare renal function
    • D200 g for maximum anabolism
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    ✓ Correct answer: B. 100–120 g to meet demands

    Catabolic wounds require 1.25–1.5 g/kg/day. For 80 kg, this equals 100–120 g daily.

  2. Q12A patient presents with a deep, infected, neuroischemic ulcer. Which referral strategy optimizes limb salvage?

    • AConcurrent vascular and infectious consults
    • BTreat infection first, then refer to vascular
    • CRevascularize first, then treat infection
    • DSequential referral starting with podiatry
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    ✓ Correct answer: A. Concurrent vascular and infectious consults

    Simultaneous care addresses ischemia and infection in parallel, preventing delays inherent in sequential referrals.

  3. Q13A diabetic foot ulcer probes to bone. Superficial swab cultures are positive for Staphylococcus aureus. What is the most appropriate next step?

    • AApply topical antimicrobial dressings
    • BTreat based on superficial swab results
    • CInitiate empiric oral antibiotics
    • DObtain imaging and bone biopsy
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    ✓ Correct answer: D. Obtain imaging and bone biopsy

    Positive probe-to-bone suggests osteomyelitis. Superficial swabs are unreliable; imaging and bone biopsy confirm diagnosis.

  4. Q14A patient with a diabetic foot ulcer repeatedly misses appointments, citing a lack of transportation. Which action addresses the primary barrier?

    • ADiscontinuation from practice
    • BIntensive patient education
    • CSocial work consultation
    • DPrescription of home health
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    ✓ Correct answer: C. Social work consultation

    The barrier is structural (transportation). Social work assists with logistical resources to resolve this.

  5. Q15A patient with a diabetic ulcer and Stage 4 chronic kidney disease requires nutritional intervention. How should protein goals be determined?

    • ADefault to high-protein wound protocols
    • BCollaboration with nephrology and dietetics
    • CStrict protein restriction to 0.6 g/kg
    • DUnrestricted high-protein supplementation
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    ✓ Correct answer: B. Collaboration with nephrology and dietetics

    Balancing CKD protein restrictions with wound healing requirements necessitates multidisciplinary collaboration.

  6. Q16A 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?

    • AImmediate emergency department referral
    • BUrgent vascular referral within 48 hours
    • COutpatient intramuscular antibiotics
    • DNext-day follow-up in the clinic
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    ✓ Correct answer: A. Immediate emergency department referral

    Fever and tachycardia indicate severe infection requiring immediate inpatient management; outpatient referral is unsafe.

  7. Q17For an 84-year-old patient with a diabetic ulcer, history of falls, and cognitive impairment, what is the primary glycemic management goal?

    • AAggressive insulin therapy
    • BStrict normalization of HbA1c
    • CMaintenance of HbA1c < 6.5%
    • DAvoidance of hypoglycemia
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    ✓ Correct answer: D. Avoidance of hypoglycemia

    In frail elderly patients, hypoglycemia risks outweigh tight control benefits; prioritizing safety is essential.

  8. Q18A 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?

    • APrescribe orthotic offloading
    • BManage local wound debridement
    • CPerform revascularization
    • DOversee antibiotic management
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    ✓ Correct answer: C. Perform revascularization

    The vascular surgeon's primary role is assessing for and performing revascularization to restore pulsatile flow.

  9. Q19In the physiological sequence of diabetic wound healing, which phase is most characteristically prolonged and fails to progress?

    • AProliferative phase
    • BInflammatory phase
    • CRemodeling phase
    • DHemostasis phase
    Show answer

    ✓ Correct answer: B. Inflammatory phase

    Chronic hyperglycemia arrests wounds in the inflammatory phase, preventing progression to proliferation and remodeling.

  10. Q20Which complication of autonomic neuropathy most directly predisposes the diabetic foot to bacterial invasion and infection?

    • ACutaneous anhidrosis
    • BCharcot neuroarthropathy
    • CMotor neuropathy
    • DVenous insufficiency
    Show answer

    ✓ Correct answer: A. Cutaneous anhidrosis

    Anhidrosis causes dry, cracked skin, creating portals for bacterial entry and increasing infection risk.

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