Second Check Out

Question 1

Common findings in Peripheral artery disease

Answer 1

Absence of hair
Pale color
Cool temperature
Reduced muscle mass
Tight and shiny skin
Small painful ulcers on digits or lateral ankle

Question 2

dorsal is pedis and posterior tibial pulses = 0 this means

Answer 2

Absent, not palpable

Question 3

dorsal is pedis and posterior tibial pulses = 1 + means what

Answer 3

Weak, barely palpable

Question 4

dorsal is pedis and posterior tibial pulses = 2+ means what

Answer 4

Palpable, but diminished

Question 5

dorsal is pedis and posterior tibial pulses = 3+ means what

Answer 5

Normal, easily palpable

Question 6

dorsal is pedis and posterior tibial pulses = 4+ means what

Answer 6

Bounding

Question 7

Normal results for interpreting rubor dependency screen

Answer 7

Slight pink color in <15 seconds

Question 8

Suspected peripheral artery disease interpretation for rubor of dependency screen

Answer 8

Color returns in > 15 seconds with notable deep red color

Question 9

Common findings in lymphedema

Answer 9

Non- pitting edema
Edema that is not gravity dependent and does not fluctuate throughout the day
Usually no ulcers present
Common skin changes include hyperkeratosis and/or papillomas

Question 10

Common findings in chronic venous insufficiency

Answer 10

-Pitting edema usually below the knee
-Edema that is gravity dependent
- Hemosiderin staining
- Ulcers that are broad, shallow, painless and present on the medial side of the lower leg and ankle

Question 11

Stemmer’s sign = cannon pick up a fold of skin this means what?

Answer 11

Positive screen fro lymphedema

Question 12

Stemmer’s sign = can pick up a fold of skin.. this means what

Answer 12

Negative screen for lymphedema

Question 13

Circumferential measurements = 1.5 - 3 cm difference between affected and unaffected limbs

Answer 13

Mild lymphedema

Question 14

Circumferential measurements = 3.1 - 5 cm difference means what

Answer 14

Moderate lymphedema

Question 15

Circumferential measurements = > 5 cm difference means what

Answer 15

Severe lymphedema

Question 16

Common findings for diabetic feet

Answer 16

• dry and cracking skin
• callous, non blanching erythema, blisters or wounds
• thickened, discolored, and deformed nails
• fungal infection
• hammer toes or claw toes
• mid-foot collapse
• intrinsic muscle wasting

Question 17

Monofilament Test results - 0 missed locations means what

Answer 17

The patient has protective sensation

Question 18

Monofilament Test results - 1 or more missed locations means what

Answer 18

Patient does not have protective sensation

Question 19

Running fork test - 8 seconds or greater means what

Answer 19

Suggests patients has protective sensation

Question 20

Running for test - < 8 seconds (greater than 4 but less than 8)

Answer 20

Suggests patient has peripheral neuropathy

Question 21

Running for - < 4 seconds (less than 4) means what

Answer 21

Suggests patient has severe peripheral neuropathy

Question 22

When is it necessary to get an ABI test to assist in a formal diagnosis of PAD?

Answer 22

Any positive findings during a screen for peripheral artery disease

Question 23

Any positive findings on screen for PAD, refer to who?

Answer 23

PCP

Question 24

Presence of would — refer to who?

Answer 24

Refer to wound care physician, nurse or clinic

Question 25

Patient presents with severe pain, presence of wound, or clinician suspects a severely stenosed or occluded blood vessel refer to who?

Answer 25

Vascular surgeon

Question 26

CVI layers of a proper compression wrap include what

Answer 26

Soft cotton padding, short stretch bandage, long stretch bandage, coban layer

Question 27

CVI ABI > 0.8 what type of wrap do you do

Answer 27

Use standard multilayer bandaging

Question 28

CVI ABI between 0.7 and 0.8 use what do you do for wrapping?

Answer 28

Omit long stretch layer

Question 29

CVI ABI between 0.5 and 0.69 what do you do for wrapping

Answer 29

Omit long stretch layer and self adhering bandage

Question 30

CVI - ABI < 0.5 what do you do for bandaging

Answer 30

Do not use compression

Question 31

Lymphedema or lymphedema superimposed on CVI layers from proper compression include what

Answer 31

Soft cotton padding, foam, short stretch bandage

Question 32

You should never use what on lymphedema

Answer 32

Long stretch bandages

Question 33

Lymphedema - ABI <0.5 what do you do for compression

Answer 33

Do not use compression

Question 34

When to prescribe diabetic shoes?

Answer 34

Any positive findings on a diabetic foot exam

Question 35

What is the off loading device gold standard in presence of wound

Answer 35

Total contact cast

Question 36

What are acceptable alternative options to total contact cast for offloading devices

Answer 36

Felted foam dressing, radar football dressing, instant total contact cast

Question 37

To effectively manage a diabetic foot ulcer you need to prescribe what two things

Answer 37

Weight bearing status and a proper off loading device