APMLE Part III case studies
APMLE Part III · Put your knowledge to work in context.
The American Podiatric Medical Licensing Examination (APMLE) is a series of examinations that a candidate must successfully complete to be eligible for licensure to practice podiatric medicine in the United States. The National Board of Podiatric Medical Examiners (NBPME), a nonprofit organization established in 1956, enacts the policy, guides the development, and oversees the administration of these exams; successful completion gives state licensing boards the confidence to issue a license without requiring additional testing. The APMLE Part III case studies are 5 cases and about 1,616 words.
1Diabetic Foot Ulcer with New Charcot Deformity
A 58-year-old man with type 2 diabetes (HbA1c 9.8%), peripheral neuropathy, and a 3-week history of a plantar ulcer under the first metatarsal head presents with new swelling and warmth of the midfoot. The ulcer is 2.0 x 1.5 cm, probing to bone.
425 words, about 2 min2Anticoagulation Before Elective Forefoot Surgery
A 71-year-old woman on warfarin for atrial fibrillation (CHA2DS2-VASc 5, prior stroke) is scheduled for elective bunionectomy and hammertoe correction. She also takes aspirin 81 mg, metoprolol, and atorvastatin.
325 words, about 2 min3Acute Hot Swollen Ankle in a Patient on Multiple Medications
A 64-year-old woman with hypertension, gout, and stage 3 chronic kidney disease (eGFR 38) presents with a 2-day history of a red, hot, swollen right ankle. Temperature 38.1 degrees C, HR 104, BP 148/88.
318 words, about 2 min4Postoperative Wound Dehiscence After First Ray Amputation
A 62-year-old man with diabetes and peripheral arterial disease (ABI 0.6, toe pressure 40 mmHg) underwent first ray amputation 10 days ago for osteomyelitis. He now has a 2 cm wound dehiscence with exposed bone at the distal margin, scant serous drainage, and surrounding erythema.
286 words, about 1 min5The Anxious Patient Requesting Opioids After Minor Surgery
A 34-year-old woman undergoes hammertoe correction and is 5 days postoperative. She calls reporting pain 8/10 despite acetaminophen and ibuprofen, requests oxycodone, and says she cannot sleep.
262 words, about 1 min