This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endocrinology, Subject name: Medicine
Ulcers in Diabetes precipitated by all except 
Select and explain. 
A. Trophic ulcers, B. Neuropathy, C. Microangiopathic changes in blood vessels, D. Macroangiopathy
C: Microangiopathic changes in blood vessels
Answer: C: Microangiopathic changes in blood vessels 
Explanation: Answer is option 3 - micro angiopathic changes in blood vessels. Factors in generation of foot ulcers in DM includes :- Neuropathy ( peripheral sensory neuropathy) : trophic changes Abnormal foot biomechanics Peripheral aerial disease (macroangiopathy) and poor wound healing Autonomic neuropathy (anhydrosis and altered superficial blood flow in foot) Ref Harrison 19 /2428