IMRESPDX

IRAT Question 1 *

Antibiotic therapy for cellulitis:

is always initially IV along with elevation of affected area.

is patient specific and may be IV or PO.

should wait to be chosen based on BCx or skin cx results.

should be continued for 14 days.

should be continued for 5 days.

IRAT Question 2 *

Classic signs of necrotizing fasciitis are:

Crepitus

Extensive skin involvement with mild pain

Mild cellulitis with severe pain

Bullae

Fever

IRAT Question 3 *

You should suspect a hot, erythematous leg is not cellulitis/erysipelas if:

BCxs are negative

this is recurrent cellulitis

the erythema surrounds a venous stasis ulcer

both legs are involved

it is associated with shock

IRAT Question 4 *

Preemptive antimicrobial therapy following an animal bite wound should be:

given to all patients

given to immunocompromised patients

PO cephalexin x 3-5 days

administered for 7 days

administered IV

IRAT Question 5 *

The most important component in diagnosis of necrotizing fasciitis is:

Imaging findings consistent with the dx

Exploration of tissues in OR

Positive gram stain/cx from tissue demonstrating presence of bacteria

Labs demonstrating leukocytosis and elevated CK

Physical exam findings