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Dermatology · Leg ulcers
Sample itemWhat feature is typical of an arterial leg ulcer?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Painful distal ulcer with poor pulses
Arterial insufficiency ulcers often occur distally on toes or feet and are painful with reduced pulses, cool skin, and signs of poor perfusion.
Option by option
A. Warm gaiter edema
Warm gaiter edema favors venous disease.
B. Scaly trunk plaque
Scaly trunk plaque has a different dermatologic differential.
C. Painful distal ulcer with poor pulses (correct)
Correct: painful distal ulcer with weak pulses suggests arterial disease.
D. Painless moist fold rash
Moist fold rash suggests intertrigo.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.