Podiatry - Clinical UPDATED Actual Exam Questions and CORRECT Answers
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Course
Podiatry - Clinical
Institution
Podiatry - Clinical
Podiatry - Clinical UPDATED Actual
Exam Questions and CORRECT Answers
Define PAD - Peripheral arterial disease - CORRECT ANSWER- Comprises those
entities which result in obstruction to blood flow in the arteries
What are the risk factors associated with the development of PAD? - CORRECT ANSWE...
Podiatry - Clinical UPDATED Actual
Exam Questions and CORRECT Answers
Define PAD - Peripheral arterial disease - CORRECT ANSWER- ✔✔Comprises those
entities which result in obstruction to blood flow in the arteries
What are the risk factors associated with the development of PAD? - CORRECT ANSWER-
✔✔1) Smoking
2) Hypertension
3) Hyperlipidaemia
4) DM
5) CVD - cardio vascular disease
6) Male
7) Low physical activity
In podiatry when should we undertake a vascular screening? - CORRECT ANSWER- ✔✔All
adults over the age of 65 & all adults over the age of 50 with a history of DM or other risk
factors
What can impaired arterial supply to the lower limbs result in? - CORRECT ANSWER-
✔✔1) Hypohidrotic skin
2) Reduced hair growth
3) General thickening of nails
4) Limb temperature
5) Pulselessness
6) Change in skin colour
Dermatological changes in patients with PAD - explain what happens - CORRECT
ANSWER- ✔✔1) Impaired arterial supply to tissue of the lower extremity is associated with
several observable pathological changes to the skin and adnexa
2) Patients tend to develop anhidrotic skin due to the metabolic demands of the dermal
structures not being met
, In a patient that has impaired arterial supply what changes would you expect to the hair
growth on the lower limbs? - CORRECT ANSWER- ✔✔Hair growth requires adequate
supply of nutrients to the hair follicle to ensure growth.
Note: if there is a lack of hair always check with the patient this is normal (i.e. do they
wax/shave)
How is PAD and the general thickening of nails associated? - CORRECT ANSWER-
✔✔General thickening of nails occurs with damage to the nail matrix, ageing and due to
PAD.
In the presence of significant arterial disease this is enhanced
Note: If there is uniformed thickening on all digits and there is no fungal infection suspect
impaired arterial supply
When assessing a patients limb temperature - what would you expect a sharp drop in temp at
the foot mean? - CORRECT ANSWER- ✔✔Normally there is more warmth proximally with
a gradual cooling as you move distally - a sharp drop indicated poor blood supply
Define IC - intermittent claudication - CORRECT ANSWER- ✔✔Is transient ischaemic
muscle pain that occurs during exercise.
IC is a strong clinical indicator of the presence of significant PAD
Why does intermittent claudication cause pain in movement/exercise? - CORRECT
ANSWER- ✔✔Pain is felt when the accumulation of metabolic by-products within the
muscle is at high enough concentrations to activate pain receptors
More exercise results in more pain
What are the clinical signs and symptoms of IC? - CORRECT ANSWER- ✔✔1) IC is
characterised by the presence of aching, cramp-like pain and tiredness
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