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AFRM question of the week.

Week of 26 October 2026. Have a go, then see the reasoning behind every option.

Amputation and prosthetics

Four people are 2 weeks after a unilateral transtibial amputation for peripheral arterial disease. Each has a healed wound and can stand on the intact leg in the parallel bars. Which additional finding most lowers the likelihood that the person will become a functional prosthetic walker?

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AFRM-style questions, marked with a reason for every option. Free account, no card.

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Earlier weeks

Week of 19 October 2026
Musculoskeletal

A 79-year-old man has an acute flare of gout affecting his left knee, right ankle and right wrist, with crystals confirmed and sepsis excluded. His estimated glomerular filtration rate is 25 mL/min/1.73 m2. He takes apixaban for atrial fibrillation and verapamil for rate control. Which flare treatment is most appropriate?

Week of 12 October 2026
Spinal cord dysfunction

A 41-year-old recreational scuba diver surfaces after a 30-metre dive off the Queensland coast. Within 30 minutes she develops pain around her lower chest, numbness and weakness of both legs, and is unable to pass urine. She is alert, with no chest pain, and her oxygen saturation is 97% on room air. Which management is most appropriate first?

Week of 5 October 2026
Neurological conditions

A 68-year-old woman with Parkinson disease has bradykinesia and rigidity in all four limbs. On the pull test she takes four steps backwards and the examiner has to catch her. She walks without an aid, lives alone and is independent in personal care, although slower. What is her modified Hoehn and Yahr stage?

Week of 28 September 2026
Musculoskeletal

A 46-year-old woman has 5 months of burning pain and numbness over the sole of her left foot and medial heel, worse at night and after prolonged standing. Tapping posterior and inferior to the medial malleolus reproduces tingling into the sole. Her ankle reflexes are present, sensation over the dorsum and lateral border of the foot is normal and she has no pain on her first steps in the morning. Which diagnosis is most likely?

More free reading: how the AFRM exams are marked →