WorksheetsME 527 SSTI
Total questions: 10
Worksheet time: 3mins
A 6-year-old child presents with honey-colored crusts around the mouth area. The lesions developed over the past week after a minor scratch. What is the most appropriate first-line treatment?
Oral flucloxacillin
Hydrogen peroxide 1% cream
Oral erythromycin
Mupirocin 2% cream
Oral clarithromycin
A 45-year-old diabetic patient presents with a painful, deep inflammatory nodule on the neck that has formed a mass with multiple drainage points. What is the most appropriate immediate management?
Oral flucloxacillin only
Warm compresses only
Incision and drainage
Topical antibiotics
Wait for spontaneous drainage
A 35-year-old woman presents with a rapidly spreading erythematous area on her leg with a clear line of demarcation and raised margins. She has fever and chills. What is the most likely diagnosis?
Cellulitis
Erysipelas
Impetigo
Folliculitis
Necrotizing fasciitis
A patient with recurrent boils tests positive for staphylococcal nasal carriage. What is the first-line treatment for decolonization?
Mupirocin nasal ointment TDS for 5 days
Naseptin® cream QDS for 10 days
Oral flucloxacillin
Chlorhexidine body wash
Topical fusidic acid
A breastfeeding mother presents with a swollen, painful breast and fever. She has attempted conservative measures for 24 hours without improvement. What is the most appropriate antibiotic treatment?
Erythromycin for 7 days
Flucloxacillin for 10-14 days
Amoxicillin for 7 days
Clarithromycin for 5 days
Cephalexin for 7 days
A patient presents with severe constant pain, skin necrosis, systemic toxicity, and rapidly spreading infection despite appropriate antibiotic therapy. What is the primary management strategy?
Increase antibiotic dose
Add another antibiotic
Surgical debridement
Conservative management
Switch antibiotic class
A 60-year-old man with a prosthetic knee joint presents with joint pain and inflammation but is not systemically unwell. What is the most appropriate initial management?
Empiric antibiotics immediately
Urgent referral to orthopedic surgeon
NSAIDs and rest
Joint aspiration in primary care
Wait and watch approach
A 12-year-old presents with acute onset of high fever, severe pain, and swelling over a long bone. Blood cultures are pending. What is the most likely causative organism?
Streptococcus pyogenes
Staphylococcus aureus
Escherichia coli
Pseudomonas aeruginosa
Haemophilus influenzae
A patient presents with a leg ulcer that shows redness extending beyond the ulcer margins, increased warmth, and new onset of pain. What is the most appropriate conclusion?
Normal colonization
Clinical infection requiring antibiotics
Normal healing process
Venous insufficiency
Chronic inflammation
A patient with septic arthritis requires antibiotic therapy but has a penicillin allergy. What is the most appropriate antibiotic choice?
Vancomycin
Clindamycin
Cefotaxime
Tetracycline
Gentamicin
