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

Question 1

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

TheoryPractice · Accepted Answer

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.

Question 2

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

TheoryPractice · Accepted Answer

Concurrent vascular and infectious consults. Simultaneous care addresses ischemia and infection in parallel, preventing delays inherent in sequential referrals.

Question 3

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

TheoryPractice · Accepted Answer

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

Question 4

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

TheoryPractice · Accepted Answer

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

Question 5

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

TheoryPractice · Accepted Answer

Collaboration with nephrology and dietetics. Balancing CKD protein restrictions with wound healing requirements necessitates multidisciplinary collaboration.

Question 6

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?

TheoryPractice · Accepted Answer

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

Question 7

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

TheoryPractice · Accepted Answer

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

Question 8

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?

TheoryPractice · Accepted Answer

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

Question 9

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

TheoryPractice · Accepted Answer

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

Question 10

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

TheoryPractice · Accepted Answer

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

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

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