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Question 1
A 62-year-old diabetic with HbA1c 9.4% has a 3-week-old plantar 2nd metatarsal head ulcer (2 cm, full thickness, exposed tendon). Probe-to-bone is positive. WBC 12,500, ESR 92, CRP 8.5. X-ray shows cortical erosion of the 2nd metatarsal head. Next best step is:
Correct Answer:
Admit for IV antibiotics (vanco + pip-tazo), MRI to define osseous extent, surgical debridement with bone biopsy/culture, glucose control, vascular workup
Question 2
A 70-year-old has rest pain in the forefoot at night relieved by hanging foot over the bed, with shiny atrophic skin and absent pedal pulses. ABI 0.32. The next step is:
Correct Answer:
Urgent vascular surgery consult for revascularization (CLI: chronic limb-threatening ischemia)
Question 3
A 55-year-old diabetic presents with hot swollen midfoot, no ulcer, temperature 99.8F. X-ray shows fragmentation of the Lisfranc complex with subluxation. MRI shows marrow edema and no soft-tissue collection. WBC normal. The most likely diagnosis is:
Correct Answer:
Acute Charcot neuroarthropathy (Eichenholtz stage 1)
Question 4
A 45-year-old with end-stage ankle arthritis (post-traumatic) has tried bracing, NSAIDs, and injections without relief. Imaging shows global ankle joint destruction, preserved subtalar joint, neutral hindfoot alignment, no avascular necrosis. The best surgical option is:
Correct Answer:
Total ankle arthroplasty or ankle arthrodesis based on patient activity demands, age, and surgeon experience
Question 5
A 25-year-old soccer player has chronic lateral ankle pain after multiple sprains. Physical exam shows positive talar tilt and anterior drawer; subtalar instability also suspected. MRI shows ATFL, CFL tears, and posterior facet effusion. Best surgical approach is:
Correct Answer:
Modified Brostrom-Gould lateral ligament reconstruction with anatomic ATFL and CFL repair plus inferior extensor retinaculum augmentation; consider subtalar arthroscopy
Question 1
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About this Exam

Prepare with the APMLE Part III Practice Questions - American Podiatric Medical Licensing Examination Part III (Licensure) Exam practice quiz. This question bank includes 100 questions covering year-old, shows, pain, management, and ankle. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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APMLE Part III Practice Questions - American Podiatric Medical Licensing Examination Part III (Licensure) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, shows, pain, management, and ankle. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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