PAEA Surgery End Of Rotation (EOR) Practice Exam

What is the effective treatment for cellulitis?

1. Vancomycin

2. Penicillins or first generation cephalosporins

3. Topical antifungals

4. Oral corticosteroids

The correct answer is: Penicillins or first generation cephalosporins

The effective treatment for cellulitis primarily involves the use of penicillins or first-generation cephalosporins, which target the common pathogens associated with this skin infection, particularly Streptococcus and Staphylococcus aureus. These antibiotics are effective because they work to eradicate the bacteria responsible for the infection, thereby addressing the underlying cause of cellulitis. Penicillins are well-established as first-line treatments due to their activity against these organisms, while first-generation cephalosporins provide a similar spectrum of activity with enhanced pharmacokinetics that can be beneficial in certain cases. Prompt and appropriate antibiotic therapy is crucial in managing cellulitis, as the condition can progress rapidly if not treated effectively. Topical antifungals and oral corticosteroids are not appropriate treatments for cellulitis. Topical antifungals are designed for fungal infections and would not address the bacterial nature of cellulitis. Oral corticosteroids, while they might be used to manage inflammation in certain conditions, do not have a role in treating infections like cellulitis and could potentially worsen the infection by suppressing the immune response. Additionally, the use of vancomycin would generally be reserved for more resistant infections or in scenarios where methicillin-resistant Staphylococcus aureus