Your Name: Howard Tribe

Theme: Wound Infection

OPTION LIST

A	Airborne contamination	I	Implantation of a prosthetic hip
B	Oral administration of methicillin	J	Haemophilus influenzae
C	Abdominal hysterectomy	K	I. V. injection of diazepam
D	Staphylococcal aureus	L	Drainage and evacuation of pus
E	I. V. injection of tetanus antitoxin	M	Escherichia coli
F	Oral administration of ampicillin	N	Removal of a breast carcinoma
G	Streptococcus pneumoniae	O	Oral administration with penicillin G
H	Heart valve replacement	P	I. V. injection of botulinum antitoxin

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. A 37 year old woman is complaining of pain a tenderness surrounding a recently sutured wound on her forehead. On examination you notice erythema and minimal serous discharge. Which pathogen is the most likely cause of this infection?

2. A 55 year old man comes into A&E complaining of a increasing difficulty in opening is mouth and that the muscles on his face occasionally spasm. On examination you observe that his eyes are partially closed and that the angles of his mouth are stretched outwards and slightly downwards. You also note that he has a very rigid abdomen. Which treatment option should be carried out first for this patient?

3. Which of the above is an example where prophylactic systemic antibiotic therapy should not be used.

4. Postoperative inspection of a wound in the left axilla reveals the presence of an abscess. What is the appropriate treatment to resolve the abcess

5. A man is recovering from surgery and inspection of the wound reveals that it has become infected. A swab is taken and the laboratory results show Staphylococcal aureus infection. What is appropriate treatment for this man?

ANSWERS

1. D

2. E

3. N

4. L

5. B