Foot: Wagner classification of diabetic foot: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Orthopaedics · Foot: Wagner classification of diabetic foot

Sample item

In the Wagner classification of diabetic foot ulcers, which grade denotes a deep ulcer with abscess or osteomyelitis?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Grade 3

Wagner grades are 0 (at-risk foot with no ulcer), 1 (superficial ulcer), 2 (deep ulcer to tendon or capsule), 3 (deep ulcer with abscess or osteomyelitis), 4 (localised gangrene of forefoot) and 5 (gangrene of the whole foot).

Option by option

  • A. Grade 3 (correct)

    Correct. Grade 3 includes abscess and osteomyelitis.

  • B. Grade 1

    Grade 1 is a superficial ulcer.

  • C. Grade 2

    Grade 2 is a deep ulcer without abscess or bone involvement.

  • D. Grade 5

    Grade 5 is extensive gangrene.

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.

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Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is A, Grade 3. Wagner grades are 0 (at-risk foot with no ulcer), 1 (superficial ulcer), 2 (deep ulcer to tendon or capsule), 3 (deep ulcer with abscess or osteomyelitis), 4 (localised gangrene of forefoot) and 5 (gangrene of the whole foot).

Why is "Grade 1" not the answer?

Grade 1 is a superficial ulcer.

Why is "Grade 2" not the answer?

Grade 2 is a deep ulcer without abscess or bone involvement.

Why is "Grade 5" not the answer?

Grade 5 is extensive gangrene.

What concept does this question test?

It tests Foot: Wagner classification of diabetic foot in Orthopaedics. The correct option holds because: Correct. Grade 3 includes abscess and osteomyelitis.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Foot: Wagner classification of diabetic foot?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.