1. A 78-year-old male patient with a history of Type II diabetes
and hypertension presents with a non-healing ulcer on his left
foot. Which of the following is the most appropriate initial
intervention?
A. Prescribe antibiotics and schedule a follow-up in one week.
B. Refer to a wound care specialist for debridement.
C. Order a lower extremity arterial Doppler study.
D. Advise immediate admission for intravenous antibiotic
therapy.
Answer: C. Rationale: A lower extremity arterial Doppler study
will help determine if there is adequate blood flow to the area,
which is crucial for healing. Poor circulation is a common issue in
diabetic patients and can impede wound healing.
2. A 55-year-old female patient with rheumatoid arthritis reports
increased joint pain and stiffness. She is currently taking
methotrexate. What is the next best step in managing her
symptoms?
A. Increase the dose of methotrexate.
B. Add a biologic agent to her treatment regimen.
C. Prescribe a short course of oral corticosteroids.
D. Recommend physical therapy.
Answer: B. Rationale: Adding a biologic agent can be beneficial
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