MC QUESTIONS:
Antibiotics/ Infx Management
1. Lots of MRSA questions?
a. MRSA DRUGS:
2. What drugs cause C Diff?
a. Clinda
3. How to treat nail puncture wound with invasion of toe cortex?
a. 1st gen ceph x 72 hrs, or LT IV abx 4-6 wks?
4. Little kid got bit by his sister. What is the drug of choice?
a. IDSA recs: PO Augmentin (amoxicillin/clavulanate) or IV Unasyn
(ampicillin/sulbactam)
5. MRSA in the nares how do treat it? Vanc, cef, mupirocin?
a. Mupirocin topical is abx of choice
6. 2cm open wound what antibiotic would you give? → ancef, and gentamicin
7. Nail puncture wound to toe?
a. Which generation cef do you use
b. First generation vs. second generation
c. With or without gentamicin
8. Heel wound with Gas on XR. What is first step in management
a. Wound culture
b. Surgical I&D
c. Antibiotic
d. Consult vascular
9. Management of open fracture
a. Time to injury, tetanus, surgical lavage, culture, abx, possible ex fix, delayed
primary closure
Z plasty
10. Z Plasty orientation of arms relative to scar contracture, degree of arms and how much
length gain,
a. 60 deg = >75% gain of length
11. Z plasty with angles of 45 degrees will cause? Z plasty with 30 degrees will cause?
a. Necrosis of tips ( real answer from pocket pod is impair blood flow)
b. Difficulty reapproximating flaps
c. Hematoma/seroma
Antibiotics/ Infx Management
1. Lots of MRSA questions?
a. MRSA DRUGS:
2. What drugs cause C Diff?
a. Clinda
3. How to treat nail puncture wound with invasion of toe cortex?
a. 1st gen ceph x 72 hrs, or LT IV abx 4-6 wks?
4. Little kid got bit by his sister. What is the drug of choice?
a. IDSA recs: PO Augmentin (amoxicillin/clavulanate) or IV Unasyn
(ampicillin/sulbactam)
5. MRSA in the nares how do treat it? Vanc, cef, mupirocin?
a. Mupirocin topical is abx of choice
6. 2cm open wound what antibiotic would you give? → ancef, and gentamicin
7. Nail puncture wound to toe?
a. Which generation cef do you use
b. First generation vs. second generation
c. With or without gentamicin
8. Heel wound with Gas on XR. What is first step in management
a. Wound culture
b. Surgical I&D
c. Antibiotic
d. Consult vascular
9. Management of open fracture
a. Time to injury, tetanus, surgical lavage, culture, abx, possible ex fix, delayed
primary closure
Z plasty
10. Z Plasty orientation of arms relative to scar contracture, degree of arms and how much
length gain,
a. 60 deg = >75% gain of length
11. Z plasty with angles of 45 degrees will cause? Z plasty with 30 degrees will cause?
a. Necrosis of tips ( real answer from pocket pod is impair blood flow)
b. Difficulty reapproximating flaps
c. Hematoma/seroma
