Deck 2: Wound Care and Medications

Question 1

Which medication does not commonly cause photosensitivity eruptions?

A)thiazide diuretics
B)spironolactone
C)loop diuretics
D)amioderone
E)sulfonylureas

Answer 1

spironolactone

Question 2

Which is not true of antiviral medications if given within 72 hours of vesicle formation in herpes zoster?

A)it decreases time to healing
B)it decreases new lesion formation
C)it decreases recurrence
D)it possibly decreases pain
E)it possibly decreases duration of post herpetic neuralgia

Answer 2

it decreases recurrence

Question 3

Which is not true of measles?

A)Koplicks spots are seen a few days after the onset of rash
B)The rash appears a few days after the prodrome, starting at the head and moving downwards
C)Unimmunised contacts should be given MMR within 72 hours if over 6 months of age
D)If greater than 72 hours immunoglobulin should be given i.m.
E)Unimmunised contacts should be excluded from school for 2 weeks

Answer 3

Koplicks spots are seen a few days after the onset of rash

Question 4

Which is not true of henoch schonlein purpura?

A)it is a vasculitis of unknown cause
B)purpura are classically on the lower limbs
C)abdominal pain and malena are documented
D)renal disease is a potentially serious complication
E)steroids diminish the likelihood of renal complications

Question 5

How many days it take a wound to reach 100% of its original tensile strength?

A)40
B)100
C)150
D)250
E)360

Question 6

Which imaging modality is most successful at detecting suspected foreign bodies in wounds?

A)normal plain xray
B)plain xray 'soft tissue view'
C)ultrasound
D)CT
E)Bone scan

Question 7

Which is the best irrigation fluid for most wounds?

A)normal saline
B)povodine - iodine
C)aquesous chlorhexidine
D)chlorhexidine with cetramide
E)a combination of A and B

Question 8

Which is the correct regimen for wound irrigation?

A)21 gauge needle, 50 ml syringe
B)21 gauge needle, 20 ml syringe
C)19 gauge needle, 50 ml syringe
D)19 gauge needle, 20 ml syringe
E)1 litre bag with giving set wide open

Question 9

When antibiotics are given for a wound with a high risk of infection, how should they be given in the ED?

A)orally prior to wound manipulation, with discharge prescription
B)iv prior to wound manipulation, with discharge prescription
C)a prescription to be filled on discharge
D)both A and B give the same result
E)infiltrated around wound i.m

Question 10

Which wound is most likely to produce tetanus?

A)Intraoral laceration
B)scalp laceration with underlying skull fracture
C)crush injury to distal phalynx
D)frostbite
E)puncture wounds

Question 11

Which suture should be used for wounds at risk of infection?

A)monofilament, natural
B)monafilament, synthetic
C)multifilament, natural
D)multifilament, synthetic
E)catgut

Question 12

Which is false regarding staples?

A)they have a higher rate of infection than sutures
B)they are cheaper than sutures
C)they are quicker to insert than sutures
D)they are more painful to remove than sutures
E)they do not provide as accurate a finish as sutures

Question 13

At which distance should two point discrimination be possible?

A)2mm
B)5mm
C)7.5mm
D)10mm
E)15mm

Question 14

Which is not readily seen on Xray?

A)all glass greater than 2mm
B)gravel
C)teeth
D)fish bone
E)steak bone

Question 15

Human bites to what area have the highest rate of infection?

A)face
B)arm
C)shin
D)back
E)hand

Question 16

Regarding bites which is false?

A)all hand bites (animal and human) should be managed by delayed primary closure or secondary intention
B)primary wound closure to the head and neck is acceptable after appropriate wound irrigation
C)wounds less than1-2 cm have a lower rate of infection and can be safely treated with primary closure
D)infection with pasturella multicodia is specific to cat bites
E)infection with capnocytophaga caninorsus is secific to dog bites

Question 17

Which antibiotic regimen is recommended in antibiotic guidelines for bites with a high risk of infection?

A)augmentin duo forte
B)penicillin
C)ampicillin
D)cephalexin
E)metronidazole plus penicillin

Question 18

Which wound does not require antibiotic prohylaxis upon discharge (assuming seen within 3 hours and appropriate wound care applied)?

A)intraoral
B)complicated dog bites
C)complicated human bites
D)all cat bites
E)axillary