WBR2001

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Author Mahmoud Sakr M.D.
Exam Type USMLE Step 2 CK
Main Category Internal medicine, Surgery
Sub Category Dermatology, Musculoskeletal/Rheumatology, Surgery
Prompt A Quality improvement initiative team is investigating several cases of bedsores at a local nursing home. You’re the physician in charge of rounding on those patients. They are asking for your input in the project. What are the most common sites of bedsores in those patients?
Answer A Hips, sacrum and heels
Answer A Explanation Correct!
Answer B Hips, sacrum and ankles
Answer B Explanation Ankles are less frequently affected as they are not pressure points
Answer C Sacrum, knees and ankles
Answer C Explanation knees are almost never affected as they are not pressure points.
Answer D Hamstrings, calves and heels
Answer D Explanation Hamstrings and calves are almost never affected as they are not pressure points.
Answer E Hips, hamstrings and big toes
Answer E Explanation hamstrings and big toes are almost never affected as they are not pressure points.
Right Answer A
Explanation The most common sites for bedsores are the sites in direct contact with the bed when the patient is lying on his/her back, which are sacrum, hips and heels.

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