41 MCQs in Surgery for NEET PG
A 42-year-old woman undergoes emergency appendicectomy for perforated appendicitis. On postoperative day 3, she develops fever and abdominal distension. Clinical examination reveals localized right lower quadrant tenderness and a palpable mass. Which investigation is most appropriate to confirm the diagnosis of postoperative intra-abdominal abscess?
A 52-year-old man undergoes elective open cholecystectomy for chronic cholecystitis. On postoperative day 5, he develops fever (38.5°C), wound erythema, and purulent discharge from the surgical incision. Which is the most common causative organism of this surgical site infection?
A 38-year-old woman develops a surgical site infection following an open appendectomy performed 4 days ago. Culture of wound fluid grows multiple organisms including gram-negative rods and anaerobes. Which is the most common organism isolated from SSIs of the lower gastrointestinal tract?
Regarding the classification and risk factors for surgical site infections (SSI), all of the following statements are correct EXCEPT:
A 68-year-old woman with diabetes mellitus type 2 undergoes emergency open appendectomy for perforated appendicitis. On postoperative day 5, she develops fever (39.2°C), tachycardia, and purulent, foul-smelling drainage from the surgical wound. Blood cultures are pending. What is the drug of choice for empiric treatment of this polymicrobial surgical site infection?
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