Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map

Self-Assessment Questions

General Surgery

Surgical Site Infections: Review Questions

Kamal M.F. Itani, MD, FACS

Dr. Itani is professor of surgery, Boston University, Boston, MA.

Choose the single best answer for each question.

1. All of the following are principles of antibiotic prophylaxis to prevent surgical site infection EXCEPT
  1. Administer intravenous (IV) antibiotics within 1 hour of incision time
  2. Select an antibiotic with a spectrum of activity against pathogens likely to be encountered during surgery
  3. Discontinue antibiotics 48 hours postoperatively
  4. Intraoperatively re-dose cephalosporin prophylactic antibiotics every 2 half-lives for long procedures
Click here to compare your answer.

2. All of the following are factors known to be associated with an increased risk for surgical site infection EXCEPT

  1. Hypothermia during surgery
  2. Poorly controlled blood glucose in the perioperative period
  3. Skin shaving
  4. Positive pressure airflow in the operating room
  5. Colonization with Staphylococcus aureus
Click here to compare your answer.

3. The use of vancomycin for surgical prophylaxis should be reserved for the following patients EXCEPT

  1. Patients with significant penicillin allergy
  2. Patients with known methicillin-resistant S. aureus (MRSA) colonization
  3. Patients on dialysis
  4. Patients who have had surgical procedures involving implantation of prosthetic materials or devices
  5. Patients in long-term care facilities
Click here to compare your answer.

4. All of the following can improve the rate of surgical site infection in the colorectal surgical patient EXCEPT
  1. IV antibiotic administration preoperatively
  2. Oral antibiotic bowel preparation
  3. Prophylactic antibiotics in the postoperative period
  4. Targeting Escherichia coli and Bacteroides fragilis with prophylactic antibiotics
  5. Thorough and complete mechanical bowel preparation
Click here to compare your answer.

5. Patients with nasal carriage of S. aureus have an increased risk of surgical site infection by that organism. All of the following statements regarding preoperative treatment of these patients with mupirocin ointment are true EXCEPT

  1. Mupirocin reduces the risk for S. aureus surgical site infection
  2. Mupirocin reduces the risk for S. aureus nosocomial infection overall
  3. Mupirocin cannot prevent infections that originate from colonizing strains transmitted from health care workers
  4. Staphylococcus strains become resistant against mupirocin
Click here to compare your answer.

Self-Assessment Questions Main Page Top

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj