DFC online training quiz: week 5

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* 1. Write your full name

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* 2. Write your job title

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* 3. A person presents with a new diabetic foot wound to the diabetic foot clinic. The wound is classification 1A. It is located on the bottom of the foot at the plantar aspect of their first metatarsal.

You have not seen them before.

Move/drag the following options into the order of treatment flow (first to last) for which the forms will be used for this person's client pathway.

NOTE: All wounds on the bottom of the foot must be referred for offloading

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* 4. When cutting out offloading pads, which of the following is NOT true?

It is best to put the offloading pad directly into the person's shoe

Offloading pads are effective and you do not need to use and offloading device/boot/shoe/cast

The edges must be smoothed to prevent rubbing and friction on the skin

You must decide which off-loading design based on the size and location of the wound to offload effectively

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* 5. A person has a wound on the apex (end) of their third toe. Which of the following would be the best offloading pad choice?

Single wing pad

Aperture pad

Toe prop

U-pad

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* 6. After applying a total contact cast shoe (TCS) to a person's ankle you must:

Trim and cut the edges below the malleoli and make sure the cast does not restrict dorsiflexion

Teach the person how to make a total contact cast shoe

Tell the person they can wear it every now and then

Make a cast for the person's other foot (despite there being no wound)

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* 7. You should instruct a person to wear a total contact cast shoe:

When they are walking outside

When they want too

As much as possible (all the time) both indoors and outdoors

When they remember

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* 8. If you are unable to palpate a person's pulse, what further clinical investigation should you do? (Tick two boxes)

Listen to their pulses with a doppler

Undertake an ABI

Send for an x-ray

All of the above

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* 9. Which type of of cast tape should be used to mould the shape of the foot when fitting a TCS?

Rigid tape cast tape

Semi-rigid cast tape

Sports tape

Any type

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* 10. For an ABI which of the following is a normal range?

1.3

0.7-09

0.9-1.1

less than 0.7

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* 11. When should a total contact case (TCC) or total contact cast shoe (TCS) NOT be used?

An infected wound

Deep and narrow wounds

With severe swelling or if client will walk in water

All of the above

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* 12. After applying offloading pads or a toe prop you must teach the person:

Not to get the device wet (do not shower with it on)

Check feet daily and what signs to look out for

How to put on and remove toe prop

All of the above