Acute Infections Sinuses Fistula And Surgical Site Infection Multiple Choice Questions
Question 1. Treatment of cold abscess is:
- Excision
- Incision and drainage
- Marsupialisation
- Nondependent aspiration
Answer: 4. Nondependent aspiration
Question 2. The following are true about tubercular sinuses in the neck:
- Usually multiple
- The edge is bluish in colour
- Induration is highly characteristic
- Jugulodigastric nodes are commonly affected
Answer: 3. Induration is highly characteristic
Question 3. The ideal treatment of a carbuncle is:
- Drainage
- Incision and drainage
- Excision
- Aspiration
Answer: 3. Aspiration
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Question 4. The following are true about Ludwig’s angina except:
- It is caused by Staphylococcus aureus
- Diffuse swelling in the submental and submandibular region is common
- Putrid halitosis is common
- It may also give rise to mediastinitis
Answer: 1. It is caused by Staphylococcus aureus
Question 5. The following are true about pyaemic abscesses except:
- They are usually multiple
- They are deep to the deep fascia
- The diagnostic feature is a high local rise in temperature
- It occurs due to a psychological process
Answer: 3. The diagnostic feature is a high local rise in temperature
Question 6. The following are true about carbuncles:
- Nape of the neck is the most common site
- Cribriform appearance is diagnostic
- Abscesses do not communicate with each other
- Staphylococcus is the most common organism
Answer: 3. Abscesses do not communicate with each other
Question 7. The following are true about erysipelas except:
- Rose pink rash is common
- Cuticular lymphangitis is an important component
- The pinna never gets affected in facial erysipelas
- It is caused by Streptococcus pyogenes
Answer: 3. The pinna never gets affected in facial erysipelas
Question 8. Muscles are spared in which condition?
- Gas gangrene
- Necrotising fasciitis
- Pyomyositis
- Acute embolic gangrene
Answer: 2. Necrotising fasciitis
Question 9. The following are features of necrotising fasciitis type 2:
- It is monomicrobial—β-haemolytic streptococci
- It may also occur in young, healthy individuals
- The organism is not sensitive to clindamycin
- It may give rise to toxic shock syndrome
Answer: 3. The organism is not sensitive to clindamycin
Question 10. Which of the following is true regarding the prevention of surgical site infections?
- Preoperative hair clipping should be done just prior to the surgical procedure
- Skin is prepared by 20% povidone-iodine
- Blood sugar levels should be maintained within 200 mg/dl
- Positive pressure ventilation at a temperature of 25°C is ideal
Answer: 1. Preoperative hair clipping should be done just prior to the surgical procedure
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