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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 1/Question#8 (reveal difficulty score)
A 62-year-old man comes for evaluation prior ...
Parenteral cefazolin ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: surgery repeat

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submitted by โˆ—step_prep(148)
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  • Current guidelines recommend cefazolin or cefuroxime administered within 60 minutes of skin incision as prophylaxis during hip or knee arthroplasty and should be discontinued within 24 hours
  • Key idea: Antibiotic prophylaxis to prevent surgical site infections are given in certain procedures, most commonly major/long surgeries

https://www.aafp.org/afp/2011/0301/p585.html

https://step-prep.org

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azibird  "When Is Vancomycin Considered the Agent of Choice for Prophylaxis? Routine use of vancomycin for surgical site infection prophylaxis is not recommended for any type of surgery. However, vancomycin may be considered for patients with a beta-lactam allergy and in institutions with high rates of methicillin-resistant S. aureus (MRSA) or an increase in surgical site infections caused by MRSA or coagulase-negative staphylococci, particularly following prosthetic joint or cardiothoracic surgeries." - from your link +



 +2  upvote downvote
submitted by arnoldchiari(2)
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Orthopedic, neurological, cardiac, and vascular cases are all "clean" wounds that require abx prophylaxis with cefazolin first line. Alternatives include vancomycin and clindamycin

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bluebul  ^this is why every surgery ever starts with the surgeon asking the gas attending for 2g of Ancef. +2



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