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 54-year-old woman undergoes a total abdominal hysterectomy with bilateral salpingo-oophorectomy for ovarian cancer. Past medical history includes diabetes mellitus type 2 and dyslipidemia. On postoperative day 2, the patient develops severe pain at the surgical site with associated fever and fatigue. Temperature is 39.2°C (102.6°F), blood pressure is 97/69 mmHg, pulse is 112/min, respiratory rate is 18/min, oxygen saturation is 97% on room air. Examination of the wound reveals purulent, cloudy-gray discharge from the wound and palpable crepitus of the surrounding skin. Serum blood glucose is 350 mg/dL. IV Wound and blood cultures are sent and IV fluids are started. Which of the following is the best next step in management?

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Administer IV antibiotics and schedule urgent surgical re-exploration and debridement

Administer IV antibiotics and transfer to the intensive care unit for monitoring

Administer IV antibiotics and perform bed-side incision and drainage

Order consult for image-guided percutaneous drainage

Obtain a CT scan of the abdomen and pelvis