Intermittent claudication leg pain is characterized as pain that occurs:
a. With activity and is relieved by rest.
. Only during the night.
c. In the absence of activity with the leg in a dependent position.
d. When the leg is elevated such as when the patient is lying supine. - Answers a. With activity
and is relieved by rest.
As you examine a patient's lower extremity you observe a thin leg with dry skin and very little
hair; the ABI is 0.5. From this data, what condition would you assess to be present?
a. Arterial insufficiency.
b. Venous hypertension.
c. Neuropathy.
d. Mixed arterial/venous ulcer. - Answers a. Arterial insufficiency.
Which of the following statements about inelastic compression bandages is accurate?
a. They are only effective in the ambulatory patient.
b. They may be used when the ABI = 0.5 or less.
c. They can only be used after edema is reduced.
d. They provide sustained compression whether the patient is ambulatory or immobile. -
Answers a. They are only effective in the ambulatory patient.
What is Mrs. Lang's foot deformity called when there is a rocker bottom appearance to her foot?
a. Claw toes.
b. Charcot's joint.
c. Hammer toes.
d. Onychomycosis. - Answers b. Charcot's joint.
Which of the following statements about contact casting is correct?
, a. The contact cast is a multi-layer graduated compression wrap.
b. The patient can be instructed to replace the contact cast every 7 days.
c. It may be used when the ulcer is infected.
d. The contact cast redistributes the weight of the diabetic foot. - Answers d. The contact cast
redistributes the weight of the diabetic foot.
Mrs. Anderson has dependent rubor and elevation pallor of her right lower extremity. The
systolic pressure in her R. arm is 170 mmHg; L arm is 165 mmHg, R. dorsal pedis systolic
pressure was 100 mmHg and the posterior tibial pressure was 95 mmHg. What is Mrs.
Anderson's ABI for the RLE?
a. .056
b. 1.7
c. 0.59
d. 1.65 - Answers c. 0.59
An ambulatory patient with insulin dependent diabetes has an ulcer located on the plantar
surface of the left foot over the third metatarsal head. The ulcer is 1 cm in diameter, with a dry,
red surface. The patient denies any pain in the ulcer. What type of wound does this most likely
represent?
a. Venous Ulcer.
b. Neuropathic Ulcer.
c. Shear Ulcer.
d. Arterial Insufficiency Ulcer. - Answers b. Neuropathic Ulcer.
Which of the following assessments is most indicative of an arterial ulcer?
a. The presence of pain.
b. Absence of edema in the leg.
c. An ABI of 0.7.