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DOMAIN 1: LICENSURE, SCOPE OF PRACTICE, & DEFINITIONS (Questions 1-15)
Q1 (Multiple Choice): According to the Texas Occupations Code, the practice of podiatry
includes the treatment of the human foot but is explicitly limited regarding the ankle.
Which of the following statements accurately reflects this statutory limitation?
A. Treatment may include the ankle if it is contiguous with a condition of the foot.
B. Surgical treatment of the ankle is prohibited unless performed in a hospital setting.
C. Treatment may include the ankle but does not include the tibial and fibular shafts.
D. The ankle is excluded from the practice of podiatry under all circumstances.
Correct Answer: C
Detailed Answer: Tex. Occ. Code §202.002(a)(4) defines the practice of podiatry as
including "the treatment of the ankle and the tendons that attach to the ankle as long as
the treatment is for a condition affecting the foot." However, Tex. Occ. Code
§202.0025(b) explicitly states, "The treatment of the ankle under this chapter does not
include the tibial or fibular shafts." Therefore, treatment may include the ankle, but with
the specific statutory exclusion of the shafts.
,Q2 (Multiple Answer): Per TSBPME rules, which of the following are mandatory
requirements for initial licensure as a podiatrist in Texas? (Select all that apply.)
1. Passage of the American Podiatric Medical Licensing Examination (APMLE)
Parts I, II, and III.
2. Completion of a podiatric residency program accredited by the Council on
Podiatric Medical Education (CPME).
3. A passing score on the Texas Jurisprudence Examination.
4. Proof of current professional liability insurance.
5. Submission of fingerprints for a national criminal background check.
Correct Answers: 1, 3, 5
Detailed Answer: According to 22 TAC §375.2 (relating to Licensure Requirements), an
applicant must provide proof of passing APMLE Parts I, II, and III (1) and pass the Texas
jurisprudence exam (3). Additionally, Tex. Occ. Code §202.252 requires applicants to
submit fingerprints for a criminal history record information check (5). While a
CPME-accredited residency is standard practice, Tex. Occ. Code §202.254 allows for
licensure pathways that do not strictly mandate residency completion for all applicants
(e.g., reciprocity or practice-based pathways), making (2) not an absolute universal
mandate. Professional liability insurance (4) is required for facility registration and
license renewal but is not a stated requirement for the initial license grant under
§202.254.
Q3 (Multiple Choice): Under Tex. Occ. Code §202.002, which of the following
procedures is explicitly included within the statutory definition of "the practice of
podiatry"?
A. Amputation of the leg below the knee
B. Treatment of systemic diabetes mellitus
,C. Administration of local anesthetic agents for podiatric procedures
D. Prescription of contact lenses for foot-related corneal conditions
Correct Answer: C
Detailed Answer: Tex. Occ. Code §202.002(a)(4) explicitly includes "the administering of
local anesthetic agents" within the practice of podiatry when performed in connection
with podiatric treatment. Amputation below the knee (A) exceeds the statutory scope
limited to the foot and ankle (excluding tibial/fibular shafts). Systemic diabetes
treatment (B) constitutes the practice of medicine, not podiatry. Contact lens
prescription (D) is outside the defined scope regardless of the purported connection to
foot conditions.
Q4 (Scenario Application): Dr. Martinez, a podiatrist licensed in Texas for 8 years,
wishes to employ a surgical assistant who is not a licensed healthcare professional.
Under TSBPME rules, which of the following tasks may this unlicensed assistant legally
perform in Dr. Martinez's office?
A. Make initial patient assessments and document the medical history
B. Hold retractors during surgical procedures under direct supervision
C. Prescribe post-operative antibiotics under a standing order
D. Conduct independent pre-operative patient consultations
Correct Answer: B
Detailed Answer: Per 22 TAC §375.4 (relating to Delegation of Duties), a podiatrist may
delegate tasks to unlicensed personnel only if: (1) the task does not require
independent professional judgment, (2) the task is performed under the direct
, supervision of the podiatrist, and (3) the podiatrist maintains ultimate responsibility.
Holding retractors (B) is a technical task that does not require professional judgment
and may be delegated with direct supervision. Initial assessments (A), prescribing (C),
and independent consultations (D) all require professional licensure and independent
judgment, making them non-delegable to unlicensed personnel.
Q5 (Multiple Choice): According to 22 TAC §375.3, what is the minimum number of
continuing education hours required for biennial license renewal for a Texas podiatrist?
A. 20 hours
B. 24 hours
C. 30 hours
D. 40 hours
Correct Answer: B
Detailed Answer: 22 TAC §375.3(a) requires each licensee to complete a minimum of
24 hours of continuing education during each two-year renewal period. This must
include at least 2 hours of ethics/professional responsibility education and 2 hours of
risk management or quality assurance. The 24-hour requirement is specific to the
biennial renewal cycle, not annual.
Q6 (Scenario Application): Dr. Chen's Texas podiatry license expires on August 31, 2026.
She completes her continuing education requirements on September 15, 2026, and
submits her renewal application with the required fee on September 20, 2026. What is
the legal status of her license and practice authority during the period September 1-20,
2026?