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General Surgery · Perioperative care: erysipelas
Sample itemA woman has a sharply demarcated, raised, shiny red plaque on the cheek with fever and a palpable edge. Which organism is typical?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Streptococcus pyogenes
Erysipelas is a superficial dermal infection with a raised, sharply demarcated edge, usually due to group A beta-haemolytic streptococci, and responds to penicillin.
Option by option
A. Clostridium perfringens
Clostridium causes gas gangrene with crepitus.
B. Staphylococcus epidermidis
Skin commensal staphylococci rarely cause erysipelas.
C. Pseudomonas aeruginosa
Pseudomonas is a hospital or burn wound organism.
D. Streptococcus pyogenes (correct)
Correct. Group A streptococcus is the usual cause.
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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