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* 1. Name and email:

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* 2. Following the session, which of the following cardiovascular risk factors would you evaluate for suspected CLTI patients (check all that apply)

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* 3. Following the session, would you change how  you counsel your patients on any of the following: (check all that apply)

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* 4. Following the session, would you routinely evaluate your CLTI patients using classification system?

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* 5. Following the session, which of the following classification system do you use currently for staging your patients? (check all that apply)

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* 6. Following the session, how confident are you using the staging systems?

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* 7. Following the session, how helpful do you find the staging system in your clinical practice?

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* 8. Following the session, which of the following do you intend to use to assess the severity of CLTI in your patients? (check all that apply)

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* 9. Following the session, how confident are you in assessing the severity of  your CLTI patients?

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* 10. Following the session, will you prescribe your CLTI patients any of the following?

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* 11. Following the session, how confident are you in prescribing your CLTI patients statins?

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* 12. Following the session, which of the following would you use to assess the quality of life in your CLTI patients? (check all that apply)

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* 13. Following the session, how confident are you in assessing the quality of life in your patients with CLTI?

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* 14. Following the session, would include patients in the development of their treatment plan?

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* 15. A 74 year-old woman weighing 55 kg presents to your office with hypertension, hyperlipidemia and intermittent, nocturnal rest pain. She does not have an ulcer, gangrene or any signs of foot infection She is on antihypertensive therapy, high dose statin, and antiplatelet therapy. Her BP is 118/68 and her most recent LDL is 65. You consider this patient’s medical management to be:

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* 16. A 74 year-old woman recently developed a shallow distal toe ulcer with a small rim of cellulitis and no exposed bone. Her ABI is 0.79; toe pressure is 52 mm Hg. The correct WIfI classification, stage and amputation risk are: 

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* 17. The GLASS system relies on the concept of a target artery path (TAP) selected by the treating physician after a diagnostic angiogram study has been obtained. Which of the following statements regarding the TAP are correct?

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