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+--- 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.