U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Tuesday, September 30, 2014

Division of Diabetes Treatment and Prevention - Leading the effort to treat and prevent diabetes in American Indians and Alaska Natives


Preventing Amputations in Diabetes

Quiz for CE Credit

This quiz consists of multiple choice questions with one correct answer.
Please select one answer for each question, then click the Submit Answers button at the end of the quiz.
1. Principles of managing longstanding neuropathic ulcers indicate that it's not what you put on a wound, it's what you take off. In spite of that, key elements of care we often see missing from the care of patients with longstanding neuropathic ulcers are:




2. Using an annual foot exam, high risk patients, with risk factors that are predictive of ulceration and amputation, including inspection, assessment of foot pulses, and testing for loss of protective sensation, should be identified and referred to foot care specialists for ongoing preventive care and surveillance.


3. What percent of the cost of treatment of diabetes and its complications are linked to treatment of foot ulcers?




4. The ADA recommends that patients with diabetes be provided with general foot self-care education.


5. Loss of Protective Sensation (LPS) is a not considered a critical factor in the early formation of neuropathic foot ulcers in diabetes


6. Ischemic ulcers are defined as at-rest pain, ulcers, or gangrene in one or both legs. Assessment and treatment of the vascular arterial insufficiency symptoms is recommended and includes:







7. The presence of which of the following factors or combination of factors are indicative of severe infection requiring hospitalization:




8. Multidisciplinary assessment and care is important in initial ischemic wound management, and should be cautiously undertaken - just to protect the wound and to make sure the intervention is appropriate to the type of ulcer.


9. Critical treatment of an ischemic ulcer includes:





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Division of Diabetes Treatment and Prevention | Phone: (505) 248-4182 | Fax: (505) 248-4188 | diabetesprogram@ihs.gov