Approach to foot pain Quiz: Ace Your Exams
Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!
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A 62-year-old woman presents to a primary care office for evaluation of bilateral foot pain. She has had burning pain and tingling across both feet for the last year. She reports the symptoms worsen at night, and she has had two falls since symptom onset. Past medical history is significant for type II diabetes, hypertension, and hyperlipidemia. Temperature is 37.0°C (98.6°F), pulse is 72/min, respiratory rate is 18/min and blood pressure is 130/82 mmHg. Cardiopulmonary examination is within normal limits. There is no joint pain, swelling, or edema of the lower extremities. The skin is intact without rashes and distal pulses are 3+. There is decreased sensation in both feet using monofilament testing. Vibration perception is absent in the feet bilaterally and distal proprioception is reduced. Laboratory studies reveal a hemoglobin A1C of 9.1% and vitamin B12 of 422 pg/mL. Which of the following additional findings is most consistent with the likely underlying condition?
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