Surgical Management of Necrotizing Fasciitis Quiz
28 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the typical timeframe for the onset of the drug hypersensitivity syndrome after exposure to a culprit medication?

  • 2 to 6 days
  • Less than 2 weeks
  • More than 2 weeks
  • 2 to 6 weeks (correct)

Which of the following systemic symptoms is not commonly associated with drug hypersensitivity syndrome?

  • Fever
  • Hypertension (correct)
  • Lymphadenopathy
  • Rigors

What is one of the most common drug categories responsible for causing drug hypersensitivity syndrome?

  • NSAIDs
  • Anticonvulsants (correct)
  • Corticosteroids
  • Antibiotics

Which skin manifestation affects 80% of drug hypersensitivity syndrome cases?

<p>Erythroderma (A)</p> Signup and view all the answers

Why may symptoms continue for weeks or even months despite discontinuing the culprit drug in drug hypersensitivity syndrome?

<p>The drug has a long half-life in the body. (A)</p> Signup and view all the answers

What is an important point about the correlation between the severity of the skin rash and internal organ involvement in drug hypersensitivity syndrome?

<p>There is no correlation between them. (B)</p> Signup and view all the answers

What is the most likely diagnosis for the patient's condition based on the information provided?

<p>Cellulitis (C)</p> Signup and view all the answers

What is the most appropriate initial antibiotic treatment for this patient?

<p>Ampicillin-sulbactam (D)</p> Signup and view all the answers

Why is the CT scan result important in this case?

<p>It rules out the presence of an abscess or venous thrombosis. (B)</p> Signup and view all the answers

How does the patient's history of intravenous drug use affect the management of this infection?

<p>It necessitates evaluation for potential underlying substance abuse disorders. (A)</p> Signup and view all the answers

What is the significance of the patient's elevated white blood cell (WBC) count?

<p>It indicates the presence of a systemic infection. (C)</p> Signup and view all the answers

What is the significance of the patient's temperature of 39.5°C (103°F)?

<p>It suggests the need for hospitalization and intravenous antibiotic therapy. (C)</p> Signup and view all the answers

What is the recommended approach for managing necrotic tissues during surgery?

<p>Extensive, wide debridement of all necrotic tissues (A)</p> Signup and view all the answers

Which of the following statements about erythrodermic psoriasis is true?

<p>It can disrupt the body's ability to control temperature (B)</p> Signup and view all the answers

What is the recommended treatment for the wounds after debridement?

<p>Leave the wounds open and pack with wet gauze (A)</p> Signup and view all the answers

Which of the following conditions is described as a rare and potentially life-threatening form of psoriasis?

<p>Generalized pustular psoriasis (A)</p> Signup and view all the answers

What is a potential trigger for erythrodermic psoriasis?

<p>Suddenly stopping psoriasis medications (C)</p> Signup and view all the answers

What is necessary for the management of wounds after debridement?

<p>Daily dressing changes (D)</p> Signup and view all the answers

What are some symptoms of pustular psoriasis?

<p>Fever, chills, and pain (A)</p> Signup and view all the answers

How is erythrodermic psoriasis usually treated initially?

<p>Topical moisturizers and steroids (D)</p> Signup and view all the answers

Which of the following is NOT a possible trigger for pustular psoriasis?

<p>Eating spicy food (D)</p> Signup and view all the answers

Why should oral steroids be avoided in treating psoriasis?

<p>They can worsen the psoriasis flare (C)</p> Signup and view all the answers

What kind of medication is usually started to control psoriasis quickly?

<p>Systemic medication taken orally or by injection (A)</p> Signup and view all the answers

According to the information provided, what is the most appropriate initial management for this patient?

<p>Perform bedside ultrasound to evaluate for an abscess and establish IV access (C)</p> Signup and view all the answers

Which of the following statements is true regarding the differential diagnosis for this patient?

<p>A septic hip or necrotizing soft tissue infection should also be considered (D)</p> Signup and view all the answers

Which imaging modality is recommended for confirming the diagnosis and guiding drainage?

<p>Bedside ultrasound (A)</p> Signup and view all the answers

Based on the information provided, what is the most likely reason for recommending IV antibiotics and admission for this patient?

<p>Both the patient's HIV status and the suspected deep abscess location (C)</p> Signup and view all the answers

Which of the following statements is true regarding the management of this patient's condition?

<p>Establishing IV access is recommended in anticipation of a drainage procedure (B)</p> Signup and view all the answers

More Like This

Use Quizgecko on...
Browser
Browser