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

[ArchivalUser]

D.hydrocortisone

[ArchivalUser]

hmmm i dnt knw this 1 but i jus wana guess it to be ccc

[ArchivalUser]

D...?

[ArchivalUser]

probably allergic to hydrogen peroxide.....so guess D.

[ArchivalUser]

D. prescribe hydrocortisone ointment

[ArchivalUser]

A 29-year-old woman comes to the clinic complaining of thumb pain. She tells you that she sustained a fracture of the distal radius from a cycling accident 6 weeks ago. At that time a comminuted dorsally displaced fracture of the distal radius was diagnosed by x-ray of the wrist and a cast was applied. The cast was removed last week and the patient resumed normal activity as a schoolteacher. The pain has gradually gotten worse, and radiates from the base of the thumb through the palm. Physical examination reveals pain of the anatomic œsnuff box". There is normal sensation and motion of the hand. Pain increases slightly with hand or wrist motion, but the grip is strong. There is a normal radial pulse. Repeat wrist x-ray reveals a healed Colles fracture and an incidental note is made of sclerosis of the scaphoid (navicular) bone. The most appropriate next step in the management of this patient is to

A. order a repeat x-ray of the hand


B. perform compartment measurements to evaluate for compartment syndrome


C. perform diagnostic arthrocentesis of the first carpometacarpal joint


D. perform Tinel and Phalen tests to evaluate for carpal tunnel syndrome


E. request an urgent orthopedic surgery consult to evaluate for avascular necrosis

[ArchivalUser]

eee

[ArchivalUser]

e...

[ArchivalUser]

EEE
stongdoc .. when is ur exam