NBME 2 block 1 q1 - stranger016 - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3) +--- Thread: NBME 2 block 1 q1 - stranger016 (/showthread.php?tid=801092) |
NBME 2 block 1 q1 - stranger016 - ArchivalUser - 02-24-2015 1.) A 50-year-old man with a 20-year history of type 2 diabetes mellitus has had sensory neuropathy for 2 weeks. Pulses are decreased at the ankle. There is no peripheral edema. His serum glucose levels have been between 150 mg/dL and 200 mg/dL over the past 6 months. Which of the following is the most effective measure to prevent serious foot infections? A) Use of support hose B) Use of well-fitted shoes C) Prophylactic antibiotics D) Daily aspirin and dipyridamole E) Decrease in serum glucose level What do u think guys is it B or D???? 0 - ArchivalUser - 02-24-2015 I would choose B. He has sensory neuropathy. Patients with diabetes should be careful to avoid foot trauma and care for their feet to minimize the possibility of infection. 0 - ArchivalUser - 02-24-2015 i too think B....but some people on the forum thinks its E.. but my point as u said E would be the best option to prevent neuropathy from developing but once neuropathy is there then B seems more appropriate... lets see if anyone has to say anything about this 0 - ArchivalUser - 02-25-2015 it is B: foot care for Diabetic Patients 0 - ArchivalUser - 02-26-2015 I think its B cos he already has sensory neuropathy so he wont be able to feel his feet if he steps on a broken glass or so. Besides, he has had DM for 20 years and has kept his blood sugar level between 150-200. Good luck in trying to keep him below reference range moreover, diabetes is a very tough disease to control. |