MSN620 Quiz 3 - Skin and Soft tissue infections Questions
With Complete SOLUTIONS
How are cellulitis and furuncles caused? Correct Answer
contact with individuals with skin infections - most commonly
community-acquired MRSA
How do pustules heal in folliculitis? Correct Answer without
any scarring or follicle loss
How do you treat necrotizing fasciitis? Correct Answer - early
and aggressive surgical exploration and debridement
- broad-spectrum empiric antibiotics
How is cellulitis treated? Correct Answer - uncomplicated
cellulitis on an extremity: outpatient antibiotics like cephalexin,
dicloxacillin, or cloxacillin.
- fever, lymphadenopathy, or constitutional signs: IV oxacillin
with a plan to complete a 10-day course of oral antibiotics once
stable.
- severely ill: IV Vancomycin can be given to offer empiric
coverage of methicillin-resistant S. aureus.
- abscess: surgical drainage.
- orbital cellulitis: hospitalization and IV vancomycin and
cefotaxime are usually indicated
- preseptal cellulitis: empiric oral antibiotics include
trimethoprim-sulfamethoxazole or clindamycin, along with
amoxicillin, amoxicillin-clavulanic acid, or cefpodoxime
How is diagnosis of necrotizing fasciitis made? Correct Answer
exploratory surgery
, How is erysipelas treated? Correct Answer IV cefazolin or
ceftriaxone with a plan to complete a 5-14 day course of oral
antibiotics once the individual is stable
How is impetigo treated? Correct Answer - empiric treatment:
mupirocin, applied three times daily and retapamulin, applied
twice daily, both for five days
- oral therapy is given to those with numerous lesions: Usually a
7 day course of cephalexin or dicloxacillin is used.
T/F: all individuals with perioribital cellulitis require CT
imaging of the orbit, to assess the extent of the inflammation.
Correct Answer True
T/F: amputation may be needed for severe necrotizing fasciitis
Correct Answer true
T/F: most skin infections tend to be localized and around a
particular anatomical structure Correct Answer true
What additional symptoms can be seen in patients with bullous
impetigo? Correct Answer bullae
What additional symptoms can be seen in patients with
necrotizing fasciitis? Correct Answer crepitus with edema that
exceeds the rash border
What additional symptoms can be seen in patients with non-
bullous impetigo and cellulitis? Correct Answer adenopathy
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