Surgical site infection Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 45-year-old woman presents to the emergency department with a two-day history of fever and chills. The patient underwent an uncomplicated laparoscopic cholecystectomy for acute cholecystitis ten days ago. She reports pain at the incision site with purulent discharge and surrounding redness. Past medical history is significant for rheumatoid arthritis. Medications include methotrexate. The patient does not smoke or drink alcohol. BMI is 31 kg/m². Temperature is 38.9°C (102°F), blood pressure is 119/76 mmHg, pulse is 110/min, respiratory rate is 20/min, and oxygen saturation is 97% on room air. On physical examination, one of the surgical wounds is tender with purulent drainage, dehiscence, and surrounding erythema. A tender fluctuant mass is palpated. Laboratory evaluation is significant for leukocytosis with left shift and an elevated CRP. Which of the following is the best next step in management?

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Bed-side point of care ultrasound of the surgical site

IV antibiotics and surgical re-exploration

Topical antibiotic and observation

IV antibiotics and observation

Bed-side incision and drainage