mcq thread of today - stefan78

[ArchivalUser]

A 43-year-old female former nurse comes to the clinic complaining of a rash around a healing laceration on her left dorsal forearm. She reports that she cut her forearm with a knife while removing it from her dishwasher 5 days ago. The cut was not deep and she did not seek medical attention. She has been cleaning it with hydrogen peroxide and applying neomycin ointment, followed by wrapping it in a bandage twice a day. Yesterday evening during the dressing change she noted some pruritus and erythema in the area of the wound; this morning she was alarmed to find the area extremely itchy and with a "horrible rash." She denies fevers or chills and states that besides the situation with her wrist, she feels well. Looking at her chart and speaking with her you find her only medication is lisinopril for hypertension. She has no other medical problems of which she is aware. Physical examination of the left forearm reveals a shallow, healing, 2.5 cm long laceration. Extending approximately 2 cm from the wound in each direction is erythema and minute vesicles filled with clear fluid. There is no lymphadenopathy and her temperature is normal. The most appropriate management is to

A. prescribe acyclovir ointment


B. prescribe acyclovir tablets


C. prescribe cephalexin tablets


D. prescribe hydrocortisone ointment


E. recommend bacitracin ointment