LE 2 Flashcards
Which of the ff. is true regarding the definition of “sepsis” in
the SEPSIS 3 model of 2016?
A. A life threatening organ dysfunction of more than 2 points on
the SOFA
B. Severe sepsis is SIRS plus one organ dysfunction
C. Life threatening sepsis implies at least one of these
parameters: altered mental status, SBP = 100, RR > 22/min
D. SIRS + infection
A. A life threatening organ dysfunction of more than 2 points on
the SOFA
Which of the following is accepted “prophylaxis” with the goal
to diminish presence of exogenous and endogenous microbes
prior to schedule OR
A. Skin cleansed with hydrogen peroxide
B. Irrigation or soaking of prosthetic material to be used with
antimicrobial containing solutions
C. Full body bath night before planned major surgery
D. Hair removal with razor at the OR
C. Full body bath night before planned major surgery
Which of the following is considered as a source control of
infection?
A. Removal of forein bodies at the site of infection
B. Drainage of purulent material
C. Flushing with betadine solution hydrogen peroxide on the
wound
D. Debridement of infected/devitalized tissue
C. Flushing with betadine solution hydrogen peroxide on the
wound
Which of the following is antibiotic prophylaxis appropriate? A. Acute appendicitis uncomplicated B. Herniorrhaphy C. Mastectomy D. Penetrating stab wound
A. Acute appendicitis uncomplicated
Which of the following conditions wherein patients may be
given antimicrobial prophylaxis for clean surgical case?
A. Cardiac and neurological cases
B. Prosthetic material will be used
C. Patient has hx of infection in previous surgery
D. Immunocompromised and diabetic
E. Operation is more than 3 hours
B. Prosthetic material will be used
C. Patient has hx of infection in previous surgery
D. Immunocompromised and diabetic
Which of the following conditions should antibiotic not be given for more than 24 hours?
A. Ruptured appendicitis
B. Traumatic bowel perforation who received surgical tx within 12 hrs
C. Cholecystits without perforation
D. Intrabadominal abscess
B. Traumatic bowel perforation who received surgical tx within 12 hrs
C. Cholecystits without perforation
Which of the following risk factors predispose patient to develop surgical site infections?
A. Improper dressing material
B. Malnutrition, anemia, obesity
C. Inadequate antibacterial prophylaxis
D. Presence of prosthetic material
E. Failure to apply topical antibiotic to the wound
F. Prolonged procedure and hospitalization
B. Malnutrition, anemia, obesity
C. Inadequate antibacterial prophylaxis
F. Prolonged procedure and hospitalization
A patient with type III or IV type of wound is best managed with what type of wound closure? A. Primary B. Tertiary C. Secondary or delayed D. Primary with drain
B. Tertiary
days post-op the operative site was erythematous, with minimal purulent discharge. Patient is afebrile, WBC count 7000, HR 70/min. What is the appropriate treatment?
A. Incision and drainage
B. Debridement of wound
C. Give antibiotics
D. Request for wound culture and IV antibiotics
C. Give antibiotics
Surveillance for the devt of SSI should be conducted or may occur for a period of ??? days after the operative procedure. A. 30 B. 10 C. 20 D. 7
A. 30
Which of the following is true regarding primary peritonitis?
A. More common in px with ascites, in px having peritoneal dialysis
B. PE reveals soft non-tender abdomen
C. Require surgical intervention
D. Microbes usually polymicrobial
A. More common in px with ascites, in px having peritoneal dialysis
A 45 y/o male, diabetic, consulted at the ER because of the pain of left leg associated with erythema of 1-week duration. The appropriate treatment is? A. Incision and drainage B. IV antibiotic against gram + bacteria C. Debridement + IV antibiotics D. Oral and topical antibiotics
D. Oral and topical antibiotics
55 y/o male had a history pain and erythema on the left gluteal area 5cm in size. He took antibiotic for 5 days but the lesion progresses hence sought consultation. The appropriate management of this skin infection is
A. IV antibiotics against gram – and anaerobes
B. Wound debridement and broad spectrum IV antibiotic
C. Wound debridement only
D. IV antibiotics against gram + bacteria
B. Wound debridement and broad spectrum IV antibiotic
Which of the ff statements is true regarding postoperative nosocomial infection?
A. Most px who develop intravascular catheter infection are symptomatic
B. It is related to prolonged use of indwelling tubes and catheters for the purpose of urinary drainage, ventilation, and venous access
C. CAP has worse prognosis than nosocomial pneumonia
D. Post-operative UTI is treated with antibiotic against gram + bacteria
B. It is related to prolonged use of indwelling tubes and catheters for the purpose of urinary drainage, ventilation, and venous access
