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Psoriatic arthritis — CCFP MCQ

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HardDermatologyPsoriatic arthritisCCFP

A patient with diabetes has a neuropathic plantar ulcer. It is clean, without erythema, warmth, purulence, systemic illness or exposed bone. Which management is most appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Offload and dress the ulcer, assess perfusion and arrange foot-care review

Explanation lettering: E = shown as A · A = shown as B · D = shown as C · C = shown as D · B = shown as E

D is correct. A clinically uninfected diabetic foot ulcer does not benefit from antibiotics; healing requires pressure offloading, wound care, vascular assessment and timely multidisciplinary review. E treats colonization as infection. A adds prolonged antimicrobial exposure without benefit. B uses a low-value superficial culture to drive unnecessary therapy. C delays the central mechanical intervention. New inflammation, purulence, systemic features or bone concern should trigger deep assessment and infection treatment.

Reference: Diabetes Canada: Foot care: https://guidelines.diabetes.ca/cpg/chapter32