WBR0005
| Author | PageAuthor:: |
|---|---|
| Exam Type | ExamType:: |
| Main Category | |
| Sub Category | SubCategory::Microbiology |
| Prompt | [[Prompt::A 13-year-old boy is brought to the emergency room for a laceration to his forearm while playing "tag" in a park. He states that he cut himself on a broken bottle when he fell and is otherwise in too much pain to answer history questions. His father quickly arrives at the hospital and tells you that they have just moved to the area from out of state and his medical records are unavailable. Although he states he doesn't know his son's immunization history, he does deny any known allergies. His physical exam shows a 6-cm open, linear laceration through the dermis and into the subcutaneous fat layer of the left dorsal forearm. His bleeding has slowed to some extent with direct pressure to the wound, and the distal neurovascular status remains unimpaired. You use 1% lidocaine without epinephrine to provide local anesthesia and then explore the wound during debridement. No tendon injury seems apparent and you decide to complete primary closure of the wound. What is the next step in management of this patient?]] |
| Answer A | AnswerA:: |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB:: |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC:: |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD:: |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE:: |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer:: |
| Explanation | [[Explanation::This patient has a wound classifiable as "dirty" and also has no certain history of completion of tetanus primary immunization series. Thus, he must be assumed to have not had prior adequate tetanus immunization and should be given both tetanus immunoglobulin and the primary series. Educational Objective: |
| Approved | Approved:: |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |