Nine questions on leg ulcers

Leg ulcers
Created 2020.
This exercise will ask you a set of nine questions on leg ulcers. Each question contains only one correct answer.
 
If you want to read up on it, you can do so by clicking on the link below.
 
https://dermnetnz.org/cme/wound-healing/leg-ulcers-cme/
 
Learning objectives

Describe clinical features, investigations, their complications and management:

  • Venous insufficiency
  • Venous ulcers
  • Arterial ulcers
  • Neuropathic ulcers
  • Pressure ulcers
  • Care of chronic wounds
Created by: Dr Muhammad Wasay Ali Khan, DermNet NZ Volunteer
Editor
: Adjunct A/Prof Amanda Oakley, Dermatologist, Hamilton, New Zealand
Leg ulcers
Created 2020.
This exercise will ask you a set of nine questions on leg ulcers. Each question contains only one correct answer.
 
If you want to read up on it, you can do so by clicking on the link below.
 
https://dermnetnz.org/cme/wound-healing/leg-ulcers-cme/
 
Learning objectives

Describe clinical features, investigations, their complications and management:

  • Venous insufficiency
  • Venous ulcers
  • Arterial ulcers
  • Neuropathic ulcers
  • Pressure ulcers
  • Care of chronic wounds
Created by: Dr Muhammad Wasay Ali Khan, DermNet NZ Volunteer
Editor
: Adjunct A/Prof Amanda Oakley, Dermatologist, Hamilton, New Zealand
1. In patients with chronic leg ulceration:
a. 80% present with chronic venous insufficiency
b. 80% present with chronic arterial insufficiency
c. 80% present with peripheral neuropathy
d. 80% present with type-2 diabetes mellitus
2. Predisposing factors for venous insufficiency include:
a. Obesity
b. Insulin resistance
c. Hypertension
d. Immobility
3. For venous ulceration, which of the following statements apply?
a. May be complicated by chronic irritant dermatitis
b. Progresses to a blackened slough
c. The most common site is the lateral malleolus
d. Should not be treated by compression bandaging
4. Signs of arterial insufficiency include:
a. Loss of ankle jerk reflex
b. Oedema of the lower leg
c. Lipodermatosclerosis
d. Shiny thin skin
5. When staging pressure ulcers, non-blanching erythema is found in:
Stage 1
Stage 2
Stage 3
Stage 4
6. Select the abnormality shown in the image above:
a. Athlete's foot
b. Behcet Disease
c. Polyarteritis nodosa
d. Arterial ulcer
7. Necrobiosis lipoidica:
a. Is diagnosed by the presence of antineutrophil cytoplasmic antibodies (ANCA)
b. Results in yellow atrophic telangiectatic plaques that may ulcerate
c. Is characterised by the appearance of angulated necrotic ulcers on the thighs and calves
d. Is seen as subcutaneous calcifications on X-ray
8. Pressure ulcers should be managed by:
a. Continuing smoking
b. Occlusion with hydrocolloid dressings
c. Analgesics for ischaemic pain
d. Repositioning of the patient every hour or two
9. What disease is shown in the image above?
a. Pyoderma gangrenosum
b. Cellulitis
c. Necrotising fasciitis
d. Basal cell carcinoma
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