QuestionSBA
QuestionChoice
This patient's normal sensory examination makes a neuropathic ulcer unlikely.
10003597
b
Neuropathic ulcer
QuestionChoice
Arterial ulcers are the result of insufficient tissue perfusion secondary to atherosclerosis. This results in ischaemia and subsequent skin breakdown. This patient's ABPI of 0.68 ABPI is indicative of peripheral arterial disease which is associated with the development of arterial ulcers. Furthermore, this patient's history of myocardial infarction increases the likelihood of her having systemic atherosclerosis.
10003596
a
Arterial ulcer
QuestionChoice
This patient's ABPI, examination, and history of myocardial infarction point towards an arterial ulcer as opposed to a venous one.
10003599
d
Venous ulcer
QuestionChoice
Although this patient has a history of diabetes, she has no history of diabetic neuropathy or reduced sensation.
10003600
e
Diabetic ulcer
QuestionChoice
There is no mention of a traumatic process or injury in this patient's history.
10003598
c
Traumatic ulcer
Concept
Chapter
2693
4181
Ulcers
Topic
144
Dermatology
13266
A 57-year-old woman presents to her GP with an ulcer over her left heel. She works as a construction site manager and has a past medical history of diabetes as well as a myocardial infarction 3 years ago.

On examination, the ulcer is 3.5cm in diameter and deeply penetrating. Her sensory examination is normal, and her doppler ratio on the left is 0.68 and 0.98 on the right.

What's the most likely mechanism of this ulcer?
a