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General Surgery · Wound care
Sample itemWhich wound finding is most consistent with a surgical-site infection after an operation?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Increasing erythema, warmth, pain, and purulent discharge
Surgical-site infection commonly presents with increasing local inflammatory signs, purulent drainage, fever, or wound separation; assessment should consider need for drainage, culture, antimicrobial therapy, and source control.
Option by option
A. Improved mobility with physiotherapy
Improving mobility does not indicate local wound sepsis.
B. Transient hunger after anaesthesia
Hunger is not a diagnostic sign of a wound infection.
C. A clean dry scar with fading bruising
A dry healing scar and resolving bruising are expected recovery signs.
D. Increasing erythema, warmth, pain, and purulent discharge (correct)
Correct: worsening inflammation with pus is typical of wound infection.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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