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ME 527 SSTI

Total questions: 10

Worksheet time: 3mins

Name
Class
Date
1.

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?

a)

Oral flucloxacillin

b)

Hydrogen peroxide 1% cream

c)

Oral erythromycin

d)

Mupirocin 2% cream

e)

Oral clarithromycin

2.

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?

a)

Oral flucloxacillin only

b)

Warm compresses only

c)

Incision and drainage

d)

Topical antibiotics

e)

Wait for spontaneous drainage

3.

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?

a)

Cellulitis

b)

Erysipelas

c)

Impetigo

d)

Folliculitis

e)

Necrotizing fasciitis

4.

A patient with recurrent boils tests positive for staphylococcal nasal carriage. What is the first-line treatment for decolonization?

a)

Mupirocin nasal ointment TDS for 5 days

b)

Naseptin® cream QDS for 10 days

c)

Oral flucloxacillin

d)

Chlorhexidine body wash

e)

Topical fusidic acid

5.

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?

a)

Erythromycin for 7 days

b)

Flucloxacillin for 10-14 days

c)

Amoxicillin for 7 days

d)

Clarithromycin for 5 days

e)

Cephalexin for 7 days

6.

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?

a)

Increase antibiotic dose

b)

Add another antibiotic

c)

Surgical debridement

d)

Conservative management

e)

Switch antibiotic class

7.

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?

a)

Empiric antibiotics immediately

b)

Urgent referral to orthopedic surgeon

c)

NSAIDs and rest

d)

Joint aspiration in primary care

e)

Wait and watch approach

8.

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?

a)

Streptococcus pyogenes

b)

Staphylococcus aureus

c)

Escherichia coli

d)

Pseudomonas aeruginosa

e)

Haemophilus influenzae

9.

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?

a)

Normal colonization

b)

Clinical infection requiring antibiotics

c)

Normal healing process

d)

Venous insufficiency

e)

Chronic inflammation

10.

A patient with septic arthritis requires antibiotic therapy but has a penicillin allergy. What is the most appropriate antibiotic choice?

a)

Vancomycin

b)

Clindamycin

c)

Cefotaxime

d)

Tetracycline

e)

Gentamicin