FCC FCC Pathology & Wound Care 1 — Questions and Answers
Question 1: What type of ulcer is most commonly associated with diabetic foot complications?
- Arterial ulcer
- Neuropathic ulcer (Correct answer)
- Venous ulcer
- Pressure ulcer
Correct answer: Neuropathic ulcer
Diabetic foot ulcers are most commonly neuropathic, arising from peripheral neuropathy that eliminates protective sensation in the feet.
Question 2: Which medical term describes a fungal infection of the toenails?
- Tinea pedis
- Paronychia
- Onychomycosis (Correct answer)
- Plantar keratoma
Correct answer: Onychomycosis
Onychomycosis is the clinical term for fungal infection of the nail unit, most frequently affecting toenails.
Question 3: What is the Wagner Grading System used to classify?
- Types of foot orthotics
- Diabetic foot ulcers by depth and infection (Correct answer)
- Ankle-brachial index results
- Peripheral arterial disease stages
Correct answer: Diabetic foot ulcers by depth and infection
The Wagner Grading System (grades 0–5) classifies diabetic foot ulcers based on wound depth and the presence of infection or gangrene.
Question 4: Which foot deformity is characterized by a flexion contracture at the proximal interphalangeal (PIP) joint?
- Mallet toe
- Claw toe
- Hammertoe (Correct answer)
- Overlapping toe
Correct answer: Hammertoe
Hammertoe involves a flexion contracture at the PIP joint, giving the digit a hammer-like dorsal prominence.
Question 5: What does the term 'maceration' describe in wound care?
- Excessive callus formation
- Skin softening caused by prolonged moisture exposure (Correct answer)
- Hardening of wound edges
- Formation of eschar tissue
Correct answer: Skin softening caused by prolonged moisture exposure
Maceration is the softening and breakdown of skin tissue resulting from prolonged contact with moisture, commonly seen between toes.
Question 6: Which organism is the most common cause of tinea pedis (athlete's foot)?
- Candida albicans
- Staphylococcus aureus
- Trichophyton rubrum (Correct answer)
- Pseudomonas aeruginosa
Correct answer: Trichophyton rubrum
Trichophyton rubrum is the leading dermatophyte responsible for tinea pedis, particularly the chronic interdigital and moccasin-type forms.
What type of ulcer is most commonly associated with diabetic foot complications?