Foot Ulcers / Key Assessments

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4 • 608 Ratings

🗓️ 14 May 2025

⏱️ 11 minutes

🔗️ Recording | iTunes | RSS

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Summary

Betty presents with type 2 diabetes and a non-healing ulcer on the lateral ankle. The ulcer is dry, and the patient reports discomfort in her posterior lower leg with walking. On examination, the affected foot has a capillary refill that is prolonged. Which assessment is MOST important to include during the initial evaluation?

A) Monofilament testing for protective sensation

B) Visual inspection for signs of infection

C) ABI to evaluate vascular supply

D) Toe pressure measurement for microvascular assessment

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Transcript

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0:00.0	I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide.
0:09.0	It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE.
0:16.0	Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see
0:22.0	the life I have today, a life filled with love, financial freedom, and a dream job that
0:27.2	allows me to change lives every single day. I created the NPTE Clinical Files podcast to
0:33.4	give you simple, actionable strategies, along with a step-by-step walkthrough of NPTE-based questions.
0:40.6	All of this so that you can dominate your exam like I did and achieve your dream.
0:45.6	So if you're a driven PT student who's looking to pass the NPTE and start creating a life you love,
0:51.7	you're in the right place.
0:53.3	Enjoy the show.
0:56.4	For this week's clinical file, we have Betty and Betty presents with type 2 diabetes and a non-healing ulcer on the lateral
1:01.8	ankle. The ulcer is dry and the patient reports discomfort in her posterior lower leg with walking.
1:09.0	Upon examination, the affected foot has a capillary refill that
1:13.3	is prolonged. Which assessment is most appropriate to include during the initial evaluation?
1:19.7	So we have A, monofilament testing for protective sensation. B, visual inspection for signs of
1:26.3	infection. C, A, B, A, to evaluate vascular supply. D, toe pressure measurement for
1:33.2	microvascular assessment. All right, let's go up to the top of this question. This is a good one right here,
1:39.1	because it gives us conditions. We need to pick out which examination tools, which examination strategies are we going to use in order to really pull out what's going on.
1:51.8	What is this major reason for us having the ulcer? That's what it's really going after.
1:57.5	So what we're going to do is we're going to dive into this question, absolutely dominate it and leave with tremendous value. Let's go ahead and jump in.
2:05.4	So Betty presents with type 2 diabetes and a non-healing ulcer on the lateral ankle.
2:12.0	Pretty straightforward. First sentence here, type 2 diabetes, big time on the MPTE.
	...

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