Leg Ulcers Multiple Choice Questions

Differential Diagnosis Of Leg Ulcer And Pressure Sore Multiple Choice Questions

Question 1. Which of the following statements about tubercular ulcers is false?

1. Undermined edge
2. The edge is thin and bluish in color
3. Apple jelly granulation tissue
4. Wash leather slough

Answer: 4. Wash leather slough

Question 2. The following is true for squamous cell carcinoma:

1. Keratin pearls are diagnostic
2. Induration at the base is significant
3. Ulcers have everted edges
4. Keratoacanthoma has totally different cytological features than squamous cell carcinoma

Answer: 4. Keratoacanthoma has totally different cytological features than squamous cell carcinoma

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Question 3. The following are features of a healing ulcer:

1. Serous discharge
2. Sloping edge
3. Slough is absent
4. Signs of inflammation are present

Answer: 4. Signs of inflammation are present

Question 4. The following is true for induration except:

1. Maximum induration is seen in malignant melanoma
2. Brawny induration is seen in chronic abscess
3. Carcinoma tongue may present as an indurated question
4. It is an overgrowth of fibrous tissue

Answer: 1. Maximum induration is seen in malignant melanoma

Question 5. The gummatous ulcer has the following features:

1. Commonly seen in the subcutaneous tissues
2. The floor has washed leather slough
3. Healing results in a hypertrophic scar
4. It has punched-out edges

Answer: 3. Healing results in a hypertrophic scar

Question 6. Alginate wound dressing has the following advantages:

1. Non-adherent
2. Absorbs exudate
3. It is safe in renal failure cases
4. With silver, it may act against MRSA also

Answer: 3. It is safe in renal failure cases

Question 7. The characteristic feature of a venous ulcer in the leg is:

1. Deep and painful
2. Superficial with surrounding pigmentation
3. Penetrating with visible bone
4. Present on the dorsum of the foot

Answer: 2. Superficial with surrounding pigmentation

Question 8. The following are true regarding the usage of platelet-derived growth factors in wound dressings:

1. They are used when vascularity is poor
2. They are used in neuropathic ulcers
3. They act through tyrosine kinase receptors
4. They stimulate angiogenesis

Answer: 1. They are used when vascularity is poor

Question 9. The following is true for a tropical ulcer:

1. It is caused by Vincent’s organisms
2. Minimal inflammation
3. It is also an example of a phagedenic ulcer
4. Metronidazole is helpful

Answer: 2. Minimal inflammation

Question 10. The following are true about sorbitol:

1. Nerve damage in diabetic foot ulcers is due to sorbitol
2. It results from the reduction of glucose
3. It occurs when the hydroxyl group is changed to aldehyde
4. It may be used as a laxative

Answer: 3. It occurs when the hydroxyl group is changed to aldehyde

Question 11. The following is true for infrainguinal bypass surgery for diabetic ulcers except:

1. The long saphenous vein is inferior to the PTFE graft
2. Preoperative vein marking is helpful
3. 2-year patency is around 70%
4. The amputation rate after surgery is still high

Answer: 1. Long saphenous vein is inferior to PTFE graft

Question 12. The following is true for cilostazol except:

1. It reduces the pain of intermittent claudication
2. It is a phosphodiesterase inhibitor
3. Its action is similar to pentoxifylline
4. The dose is 50 mg twice daily

Answer: 3. Its action is similar to pentoxifylline