Update ) Differential
Diagnosis in Adult-Gerontology
Primary Care | Review Questions &
Answers | Grade A | 100% Correct –
Chamberlain
Question:
Common Pathogens for Dog/Cat bites
Answer:
Pasteurella multocida, Capnocytophaga canimorsus, Staphylococcus aureus,
Streptococcus spp., anaerobes
Question:
First-Line Antibiotic for Dog/Cat bites
Answer:
Amoxicillin-clavulanate (Augmentin)
,Question:
Common Pathogens for Human bites
Answer:
Eikenella corrodens, Staph, Strep, anaerobes
Question:
First-Line Antibiotic for Human bites
Answer:
Amoxicillin-clavulanate
Question:
Others associated with bites
Answer:
Rabies (saliva exposure), Bartonella henselae (cat scratch)
Question:
Wound Care
Answer:
Copious irrigation (normal saline), debride necrotic tissue, tetanus and rabies
prophylaxis when appropriate, avoid primary closure on hand wounds or
punctures
,Question:
Priority Assessments for Lower Back Pain
Answer:
Rule out red flags: trauma, malignancy, infection, neuro deficits
Question:
Assess neuro function
Answer:
Motor, sensory, reflexes, gait
Question:
Check bowel/bladder function
Answer:
Urinary retention → cauda equina
Question:
ROM testing
Answer:
Flexion/extension limits
, Question:
Key for rapid neuro progression
Answer:
Urgent MRI and neurosurgical consult
Question:
Initial Care for Lacerations
Answer:
Control bleeding → direct pressure, cleanse with saline or mild antiseptic (no
hydrogen peroxide on tissue), debride devitalized tissue, evaluate depth,
tendon/nerve/vascular involvement, tetanus prophylaxis update
Question:
Closure for Lacerations
Answer:
Primary closure within 6-12 hrs if clean, delayed closure if contaminated or
infected, use sterile strips or tissue adhesive for minor wounds