Chapter 6 Surgical Infections

Question 1

Septic patient on ventilatory support with oliguria

Answer 1

Severe sepsis

Question 2

State of acute circulatory failure

Answer 2

Septic shock

Question 3

Septic shock Gram positive

Answer 3

No sensorial changes

Question 4

Septic shock Gram negative

Answer 4

With sensorial changes

Question 5

RUQ pain, jaundice, fever, hypotension, mental changes

Answer 5

Reynold’s pentad

Question 6

Treatment for abscess includes which of the following?
A) drainage
B) antibiotics
C) warm compress
D) analgesics

Answer 6

A) drainage

Question 7

Effective treatment for incisional SSI?
A) topical antibiotics
B) broad spectrum antibiotics
C) drainage
D) all of the above

Answer 7

C) drainage

Question 8

Identification of microorganisms in host tissue or the bloodstream, plus an inflammatory response to their presence is termed
A) SIRS 
B) Infection 
C) Severe Sepsis 
D) Sepsis 
E) Bacteremia

Answer 8

D) sepsis

Question 9

He experimented with the use of dressings saturated with carbolic acid 
A) Joseph Lister 
B) Robert Koch 
C) Ignaz Semmelweis 
D) Louis Pasteur 
E) None of the Above

Answer 9

A) Joseph Lister

Question 10

3 vaccines for splenectomy?

Answer 10

Pneumococcal
Meningococcal
Flu (H. influenza)

Question 11

The first intra--abdominal operation to treat infection via source control was
A) Splenectomy 
B) Hemi-colectomy 
C) Appendectomy 
D) Cholecystectomy 
E) All of the Above

Answer 11

C) appendectomy

Question 12

Criteria for SIRS include/s 
A) Leukocytosis 
B) Fever 
C) Hypothermia 
D) Leucopenia 
E) All of the above

Answer 12

E) all of the above

Question 13

This wound class has an expected infection rate of 3.4-13.2%
A) Class I
B) Class II - Cholecystectomy, elective GI surgery (not colon)
C) Class II - Colorectal surgery
D) Class III
E) Class IV

Answer 13

D) Class III

Class I 1-2%
Class II (non-colon) 2.1-9.5%
Class II (colon) 4-14%
Class III 3.4-13.2%
Class IV 3.1-12.8%

Question 14

This type of microbial peritonitis occurs subsequent to contamination of the peritoneal cavity due to perforation or severe inflammation and infection of an intra-abdominal organ
A) Primary 
B) Secondary 
C) Tertiary 
D) Persistent 
E) None of the above

Answer 14

B) secondary

Question 15

True statement/s for necrotizing soft tissue infections include/s
A) The extremities,perineum, trunk, and torso are most commonly affected
B) skin lesions present with grayish, turbid, semi-purulent material (dishwater pus)
C) Bronze hue or brawny induration are seen D) Pain at the site of infection that appears to be out of proportion to any of the physical manifestations
E) All of the above

Answer 15

E) all of the above