Skin & Soft Tissue

Best initial management of a simple skin abscess in a healthy adult without systemic signs?

Empiric outpatient antibiotic for purulent cellulitis (suspected MRSA) after I&D in an otherwise healthy patient?

Nonpurulent cellulitis with systemic signs in a diabetic. Best empiric therapy?

Early hallmark suggesting necrotizing soft tissue infection (NSTI)?

First priority when NSTI is suspected?

Polymicrobial (Type I) NSTI risk scenario?

Type II NSTI is most commonly caused by:

Best adjunct antibiotic pair for GAS necrotizing fasciitis?

Clostridial myonecrosis (“gas gangrene”)—key therapy?

Vibrio vulnificus wound infection after seawater exposure. Best empiric regimen?

Aeromonas hydrophila infection after freshwater laceration. Preferred empiric option?

Diabetic foot ulcer with suspected osteomyelitis. Best diagnostic pathway?

Management of proven diabetic foot osteomyelitis with exposed bone and necrosis?

Dog bite to the hand (puncture wounds), no gross devitalization. Best management?

Human “fight bite” over MCP joint. Next step?

Cat bite cellulitis evolving rapidly. Key organism and drug?

Hidradenitis suppurativa (HS) Hurley stage II–III refractory to meds. Best surgical strategy?

Acute pilonidal abscess treatment?

Pressure injury (sacral) stage IV with exposed bone. Cornerstones of care?

Surgical site infection (SSI) prevention measure with strongest evidence?

Clean elective excision of a lipoma on trunk. Antibiotic prophylaxis?

Suspicious deep soft tissue mass ≥5 cm in thigh. Best next step?

Definitive management principle for extremity soft tissue sarcoma (STS) >5 cm, high grade:

Lipoma vs well-differentiated liposarcoma—feature suggesting malignancy?

Desmoid (aggressive fibromatosis) current first-line approach for asymptomatic stable disease?

Merkel cell carcinoma (MCC) key management?

Basal cell carcinoma (low-risk) standard margin?

Cutaneous squamous cell carcinoma (cSCC) high-risk features prompting wider margins/RT?

Melanoma—indication for sentinel lymph node biopsy (SLNB)?

Recommended wide excision margins for melanoma by thickness?

Post-excision surveillance for stage II melanoma includes:

Erysipelas vs cellulitis: which is true of erysipelas?

Flexor tenosynovitis of the hand hallmark and action?

Paronychia management (acute) with fluctuance?

Felon (pulp space abscess) treatment?

Ecthyma gangrenosum classic association and therapy?

Spider (brown recluse) bite with necrotic ulcer—initial approach?

Lymphedema first-line management?

Hidradenitis suppurativa acute flare with single fluctuant lesion. Best immediate step?

Indications to abandon LRINEC score in suspected NSTI?

Ruptured epidermal inclusion (sebaceous) cyst with erythema/tenderness but no fluctuance. Best initial management?

Negative-pressure wound therapy (NPWT) absolute/relative contraindication?

Split-thickness vs full-thickness skin graft—advantage of split-thickness?

Phases of normal wound healing in order:

Systemic factor most strongly associated with impaired wound healing and SSI?

Erythematous rapidly expanding perineal infection with crepitus in a diabetic. Key surgical principle?

Fournier’s gangrene with fecal contamination of debrided perineum. Helpful adjunct?

Imaging sign most suggestive of NSTI on CT (if patient stable enough)?

Rabies post-exposure prophylaxis after unprovoked stray dog bite with unknown status (not available for observation)?

Black widow (Latrodectus) bite presentation and treatment in severe systemic symptoms?

Pit viper (North American crotalid) envenomation with progressive swelling and coagulopathy. Best therapy?

Pyoderma gangrenosum suspected (rapidly enlarging painful ulcer with undermined violaceous borders, pathergy, IBD history). Key management principle?

Marjolin ulcer refers to:

Dermatofibrosarcoma protuberans (DFSP) hallmark and treatment?

Extremity soft tissue sarcoma—timing of radiotherapy that reduces wound complications?

Clean vs clean-contaminated wound classification—example of clean-contaminated?

Suture removal timing for face vs trunk?

Diabetic foot ulcer off-loading mainstay?

Mycobacterium marinum (“fish tank granuloma”) after aquarium exposure—empiric therapy?

Keloid scar first-line therapy?