Vascular surgery: diabetic foot: practice question

A General Surgery 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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General Surgery · Vascular surgery: diabetic foot

Sample item

A diabetic man has a foot ulcer with a deep plantar abscess and osteomyelitis but no gangrene. According to the Wagner classification, which grade is this?

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

The answer and the reasoning

A. Grade 3

In the Wagner scale, grade 3 is a deep ulcer with abscess or osteomyelitis. Grade 1 is superficial, grade 2 is deep to tendon or capsule without abscess, grade 4 is localised gangrene and grade 5 is gangrene of the whole foot.

Option by option

  • A. Grade 3 (correct)

    Correct. Deep abscess or osteomyelitis defines grade 3.

  • B. Grade 2

    Grade 2 is deep to tendon or capsule without abscess or bone infection.

  • C. Grade 1

    Grade 1 is a superficial ulcer.

  • D. Grade 4

    Grade 4 requires localised gangrene of the forefoot.

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 General Surgery question

What is the answer to this General Surgery question?

The best answer is A, Grade 3. In the Wagner scale, grade 3 is a deep ulcer with abscess or osteomyelitis.

Why is "Grade 2" not the answer?

Grade 2 is deep to tendon or capsule without abscess or bone infection.

Why is "Grade 1" not the answer?

Grade 1 is a superficial ulcer.

Why is "Grade 4" not the answer?

Grade 4 requires localised gangrene of the forefoot.

What concept does this question test?

It tests Vascular surgery: diabetic foot in General Surgery. Grade 1 is superficial, grade 2 is deep to tendon or capsule without abscess, grade 4 is localised gangrene and grade 5 is gangrene of the whole foot.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. 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 Vascular surgery: diabetic foot?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery 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.