Abscesses in the ED

Exam Summary

0 of 3 Questions completed

Questions:

You have already completed the exam before. Hence you can not start it again.

Exam is loading…

You must sign in or sign up to start the exam.

You must first complete the following:

Results

Exam complete. Results are being recorded.

Results

You have reached 0 of 0 point(s), (0)

Enter your course reflection:

Enter your course outcomes:

Current
Review
Answered
Correct
Incorrect

Question 1 of 3

1. Question
Hamid asks you to lance his abscess, so then he can go home.

Image 1: Abscess ready for I&D ¹

What is your best course of action?
- Iv antibiotics, IV fluids, measure lactate, blood cultures, surgical referral.
- Iv antibiotics, IV fluids, measure lactate, blood cultures, and drain the abscess.
- Incise the abscess and give single dose iv antibiotics, then discharge with daily outpatient antibiotic therapy (OPAT).
- Incise the abscess and discharge on oral antibiotics.
- Arrange an ultrasound scan of the abscess and if it is uncomplicated then incise it and discharge on oral antibiotics.
Correct

Incorrect
Question 2 of 3

2. Question
Hamid also has a swelling on his finger.

Image 2. Advanced paronychia²

He asks how you would drain it.
- No drainage is required – will resolve with oral antibiotics alone.
- Hot soaks, then separate the cuticle from the underlying nail, exposing the potential space that is filled with pus by pushing gently against the nail edge.
- Digital nerve block, then remove the nail to release all of the infection.
- Refer to the hand surgeons for drainage in theatre.
- Antibiotics for 7 days, then incision and drainage if required.
Correct

Incorrect
Question 3 of 3

3. Question
Hamid’s blood glucose is 11.0. He asks whether he needs any further treatment for this.
- Further information/investigation is needed to determine whether he has type one or type two Diabetes, and management dictated by that.
- He should be admitted for fixed rate insulin and diabetologist review.
- He should be told to stop eating sugar and see his GP.
- The GP can recheck the sugar in a few weeks and see if it has settled.
- A urinalysis should be checked and if there is glucose in the urine, treatment commenced.
Correct

Incorrect

Abscesses in the ED

Exam Summary

Information

Results

Results

Categories

1. Question

Image 1: Abscess ready for I&D ¹

2. Question

3. Question

Abscesses in the ED

Abscesses in the ED

Exam Summary

Information

Results

Results

Categories

1. Question

Image 1: Abscess ready for I&D 1

2. Question

3. Question

Image 1: Abscess ready for I&D ¹