Podiatry Clinical OSCE UPDATED Actual Exam Questions and CORRECT Answers
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Course
Podiatry Clinical OSCE
Institution
Podiatry Clinical OSCE
Podiatry Clinical OSCE UPDATED Actual
Exam Questions and CORRECT Answers
What is Peripheral Arterial Disease? - CORRECT ANSWER- The build-up of fatty
deposits (i.e. atherosclerosis) in the arteries which narrow and occlude the peripheral blood
vessels and restrict blood supply to the legs an...
Podiatry Clinical OSCE UPDATED Actual
Exam Questions and CORRECT Answers
What is Peripheral Arterial Disease? - CORRECT ANSWER- ✔✔The build-up of fatty
deposits (i.e. atherosclerosis) in the arteries which narrow and occlude the peripheral blood
vessels and restrict blood supply to the legs and feet.
What are the risk factors of PAD? - CORRECT ANSWER- ✔✔- Atherosclerosis
- Smoking
- Diabetes mellitus (poorly controlled or longstanding)
- Hyperlipidaemia
- Obesity or high BMI
- Chronic kidney disease
- Hypertension
- Advancing age
What are the signs and symptoms of PAD? - CORRECT ANSWER- ✔✔- Intermittent
Claudication
- Monophasic or absent pulses
- Poor capillary refill
- Pallor
- Muscle atrophy
- Hair loss
- Thinning, shiny skin
- Thickened toenails
*Many patients are asymptomatic*
What are the main complications of PAD? - CORRECT ANSWER- ✔✔-Tissue loss -
ulcerations, gangrene, or amputation
- Procedural complications
- Cardiovascular complications - stroke, MI, etc.
, - Impaired quality of life
- Psychosocial consequences
Which NICE guidelines are related to PAD? - CORRECT ANSWER- ✔✔CG147
When should we assess for PAD? - CORRECT ANSWER- ✔✔- Person has symptoms
- Diabetic
- Non-healing wound on legs or feet
- Unexplained leg pain
What is the ankle brachial pressure index (ABPI)? - CORRECT ANSWER- ✔✔Ratio of
systolic blood pressure at the ankle versus the arm used to diagnose PAD
What does an ABPI <0.5 indicate? - CORRECT ANSWER- ✔✔Abnormally low ABPI -
severe PAD and chronic limb ischemia - refer urgently to vascular specialist for assessment.
What does an ABPI of >0.5 to <0.8 indicate? - CORRECT ANSWER- ✔✔Low ABPI -
presence of PAD or mixed arterial/venous disease - refer to vascular specialist for assessment.
What does an ABPI of 0.8 to 1.3 indicate? - CORRECT ANSWER- ✔✔Normal ABPI - no
evidence of PAD.
What does an ABPI of >1.3 indicate? - CORRECT ANSWER- ✔✔High ABPI - presence of
arterial calcification or vessel hardening - take care when interpreting result as it can mislead
- refer to vascular specialist for further assessments.
How often should an ABPI be done? - CORRECT ANSWER- ✔✔6-12 months or earlier if
clinically indicated
What is acute limb ischemia? - CORRECT ANSWER- ✔✔Sudden decrease in limb
perfusion that threatens limb viability. Onset and development less than 2 weeks. Most
commonly associated with thrombosis (plaque rupture). 6 hours until complications.
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