Surgical infections
General Surgery · Topic 6
Source: NMC CBME Curriculum 2024 · Volume III · General Surgery · Topic 6 · combined PDF page 404
Practice questions
- A patient develops an infection involving an organ manipulated during an abdominal operation. Which description best fits the scope of surgical-site infection in the supplied review?
- Which example is classified in the supplied review as a surgical infection at a site remote from the operation?
- Which patient characteristic was identified among the commonly reported patient-specific risk factors for postoperative SSI in spine surgery?
- A spine-surgery review found conflicting evidence about the association of certain perioperative factors with SSI. Which factor was specifically described as having inconsistent findings?
- Which skin-antisepsis measure was identified as a protective factor in the spine-surgery systematic review?
- Which approach best reflects the risk-reduction strategy described in the spine-surgery systematic review?
- In a meta-analysis of quality-improvement interventions in low- and middle-income-country surgical settings, what was the reported relative risk of hospital-acquired infection with multimodal bundled interventions?
- In the same meta-analysis, the WHO Safe Surgery Checklist was associated with which relative risk of surgical-site infection?
- The WHO Safe Surgery Checklist was associated with a relative risk of mortality of:
- In the meta-analysis of quality-improvement interventions, antimicrobial-stewardship interventions were associated with which outcome?
- How should the hand-hygiene intervention estimate for hospital-acquired infection in the meta-analysis be interpreted?
- A hospital committee wants to improve SSI prevention beyond issuing written recommendations. Which structured approach is specifically advocated in the supplied SSI review?
- A patient is being monitored for possible infection after abdominal surgery. According to the biomarker systematic review, which time window for postoperative CRP levels showed predictive value across several surgical specialties?
- Why should a single universal biomarker cutoff not be assumed for diagnosing postoperative infection from the supplied systematic review?
- For spinal surgery, which diagnostic performance for CRP was reported as the highest accuracy in the biomarker systematic review?
- Which biomarker was reported as useful for guiding management in patients with adhesion-related small-bowel obstruction in the postoperative infection review?
- What diagnostic performance for the neutrophil-to-lymphocyte ratio was described in the postoperative biomarker review?
- Which statement best describes the range of abdominal SSI depth in the supplied review?
- In a reported rural-hospital series of Haemophilus parainfluenzae surgical infections, which description best characterizes its role in intra-abdominal infection?
- The three intra-abdominal H. parainfluenzae infections in the reported institutional series were successfully managed with which approach?
- In the rural-hospital H. parainfluenzae series, what proportion of isolates tested negative for beta-lactamase production?
- A patient develops infection after surgery for a distal-radius fracture. Across the procedures in the systematic review, what was the reported overall infection proportion?
- Which infection subtype accounted for the largest share of infections after distal-radius fracture surgery in the systematic review?
- In the distal-radius fracture surgery review, approximately what proportion of reported infections were superficial SSIs?
- Which fixation method had the lowest reported infection rate in the distal-radius fracture systematic review?
- A superficial infection occurs after distal-radius fracture fixation, without evidence of deep involvement. Which management approach is consistent with the range reported in the systematic review?
- A severe deep infection after distal-radius fixation requires operative treatment. Which management combination was reported for severe cases in the systematic review?
- A review of surgical systems in low- and middle-income countries evaluated quality-improvement interventions. Which outcome was the primary outcome of that systematic review and meta-analysis?
- Which organism was most frequently isolated when microbiological confirmation was reported in studies of infection after distal-radius fracture surgery?