Question 1

Which medication does not commonly cause photosensitivity eruptions?

Accepted Answer

Spironolactone does not commonly cause photosensitivity eruptions. Photosensitivity is a skin reaction (i.e., rash) that occurs after exposure to ultraviolet (UV) radiation from the sun or an artificial light source. Medications like thiazide diuretics, loop diuretics, amiodarone, and sulfonylureas have been associated with photosensitivity, but spironolactone is generally not linked to this adverse effect.

Question 2

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

Accepted Answer

Antiviral medications do not decrease the recurrence of herpes zoster; they are used to manage the acute episode and its complications.

Question 3

Which is not true of measles?

Accepted Answer

Koplik's spots appear before the rash in measles, not after. They are a characteristic early sign, typically showing up in the prodromal phase, 1-2 days before the rash and 3-5 days after the onset of fever.

Question 4

Which is not true of henoch schonlein purpura?

Accepted Answer

Steroids do not necessarily diminish the likelihood of renal complications in Henoch-Schönlein purpura; their role is more in managing severe symptoms like abdominal pain.

Question 5

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

Accepted Answer

The answer of How many days it take a wound...

Question 6

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

Accepted Answer

The answer of Which imaging modality is most successful at...

Question 7

Which is the best irrigation fluid for most wounds?

Accepted Answer

Normal saline is the best irrigation fluid for most wounds because it is isotonic and does not damage tissue. Other solutions like povodine-iodine and chlorhexidine can be cytotoxic and potentially delay wound healing.

Question 8

Which is the correct regimen for wound irrigation?

Accepted Answer

A 19 gauge needle with a 50 ml syringe is recommended for wound irrigation because it provides an optimal balance of pressure and volume to effectively clean the wound without causing additional trauma.

Question 9

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

Accepted Answer

IV antibiotics are given prior to wound manipulation in the ED to ensure rapid and effective delivery of the medication, especially in high-risk infections, and a discharge prescription is provided for continued treatment.

Question 10

Which wound is most likely to produce tetanus?

Accepted Answer

Puncture wounds are most likely to produce tetanus because they create an anaerobic environment conducive to the growth of Clostridium tetani, the bacterium that causes tetanus.

Question 11

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

Accepted Answer

Monofilament, synthetic sutures are preferred for wounds at risk of infection because they have a lower propensity to harbor bacteria compared to multifilament sutures and are less reactive in tissue than natural sutures.

Question 12

Which is false regarding staples?

Accepted Answer

Staples have a lower rate of infection than sutures.

Question 13

At which distance should two point discrimination be possible?

Accepted Answer

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Question 14

Which is not readily seen on Xray?

Accepted Answer

Fish bones are not readily seen on X-ray because they are often too thin and lack the density to be easily detected, unlike the other items listed which are generally more visible on X-rays.

Question 15

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

Accepted Answer

Human bites to the hand have the highest rate of infection due to the complex structure of the hand, which includes many small compartments, tendons, and joints where bacteria can easily spread and thrive.

Question 16

Regarding bites which is false?

Accepted Answer

The answer of Regarding bites which is false?
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Question 17

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

Accepted Answer

Augmentin Duo Forte (amoxicillin/clavulanate) is recommended for bites with a high risk of infection due to its broad-spectrum coverage, including anaerobes and beta-lactamase producing bacteria.

Question 18

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

Accepted Answer

Axillary wounds, assuming they are not complicated or deep, typically do not require antibiotic prophylaxis if proper wound care is applied and the patient is seen within a short time frame.

Quiz 2: Wound Care and Medications