Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What is a symptom of motor neuropathy related to foot structure?

1. Increased fat pads

2. Pain in the heel

3. Claw toes

4. Cold feet

The correct answer is: Claw toes

The presence of claw toes as a symptom of motor neuropathy is significant because motor neuropathy can lead to muscle weakness and imbalances in the foot. Specifically, when the muscles that control the toes are weakened or not functioning properly due to nerve damage, the toes may curl or flex in a way that causes them to assume a claw-like appearance. This deformity occurs because the intrinsic muscles of the foot cannot maintain their normal tone and strength, leading to an imbalance between the flexor and extensor muscles. Claw toes are often associated with conditions that affect nerve function, such as diabetes or peripheral neuropathy, where the integrity of the motor nerves is compromised. Thus, recognizing claw toes in patients can indicate underlying motor neuropathy and prompt further assessment and management of their foot health.