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

Which aspect of the foot is assessed with Semmes-Weinstein monofilament testing?

1. Heel

2. Top of the foot

3. Bottom of the toes

4. All of the above

The correct answer is: All of the above

The Semmes-Weinstein monofilament test is a widely recognized method used to assess sensory perception and detect peripheral neuropathy, especially in individuals with diabetes. When conducting this test, practitioners evaluate various areas of the foot to determine the integrity of sensory function. This test specifically focuses on areas that are most likely to be affected by conditions that lead to ulcerations or neuropathy, such as diabetes. By assessing the heel, the top of the foot, and the bottom of the toes, the test covers both the pressure sensitivity in the plantar areas and other relevant parts of the foot. Assessing all these areas provides a comprehensive view of the patient’s sensory status, allowing for early detection of potential issues that may lead to complications if not addressed. Therefore, recognizing that the Semmes-Weinstein monofilament testing encompasses evaluations of the heel, the top of the foot, and the bottom of the toes is crucial for understanding its purpose in clinical assessments.