NBME 2 block 1 q1 - stranger016

[ArchivalUser]

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????

[ArchivalUser]

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.

[ArchivalUser]

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

[ArchivalUser]

it is B: foot care for Diabetic Patients

[ArchivalUser]

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.