ABOS Part I Comprehensive Review - Batch 76

Question 1

A 58-year-old female presents with a 3-month history of progressive swelling, tenderness, and intermittent purulent discharge from the proximal and lateral nail folds of her right index finger. She works as a dishwasher and reports frequent hand imme

Accepted Answer

C. Candida albicans colonization; prolonged moisture exposure

Question 2

A 32-year-old carpenter presents with an acute, painful, fluctuant swelling along the lateral nail fold of his left thumb, consistent with an acute paronychia with abscess formation. During incision and drainage, the surgeon makes a longitudinal inci

Accepted Answer

D. Dorsal digital nerve

Question 3

A 28-year-old healthcare worker presents with a painful, erythematous, and swollen right index fingertip. On examination, there are multiple clear vesicles clustered around the nail fold, some with a 'dewdrop on a rose petal' appearance. The patient

Accepted Answer

C. Warm soaks and elevation, with consideration for antiviral medication

Question 4

A 40-year-old diabetic patient presents with a severe acute paronychia involving both lateral nail folds and tracking proximally beneath the eponychium, forming a 'horseshoe' abscess. The surgeon plans for incision and drainage. Which of the followin

Accepted Answer

B. Bilateral longitudinal incisions along the lateral nail folds combined with gentle eponychial elevation using a Freer elevator

Question 5

A 22-year-old male presents to the emergency department 3 days after sustaining a minor cut to his right middle finger, which has since become progressively painful, swollen, and erythematous. He now reports exquisite pain on passive extension of the

Accepted Answer

C. Flexor tenosynovitis

Question 6

A 65-year-old male with a history of hypertension and coronary artery disease requires incision and drainage for a subungual abscess of his right ring finger. The surgeon plans to use a digital block for anesthesia. Which of the following local anest

Accepted Answer

C. 1% Lidocaine without epinephrine

Question 7

A 35-year-old patient presents with an acute paronychia of the left index finger. The infection appears to have originated from a hangnail that disrupted the protective seal around the nail. Which specific anatomical structure, when compromised, most

Accepted Answer

D. Cuticle

Question 8

A 19-year-old college student presents with a 24-hour history of localized erythema, mild swelling, and tenderness along the lateral nail fold of his right ring finger after aggressively picking a hangnail. There is no visible pustule or fluctuance.

Accepted Answer

C. Warm soaks, elevation, and oral antibiotics targeting Staphylococcus aureus

Question 9

A 50-year-old patient underwent incision and drainage for a severe, neglected acute paronychia that had tracked proximally and distally, requiring partial nail avulsion and extensive debridement. Six months post-operatively, the patient complains of

Accepted Answer

D. Nail matrix (germinal matrix)

Question 10

A 70-year-old male with poorly controlled diabetes presents with a chronic paronychia of his great toe, which has been present for several months. He has significant pain, erythema, and swelling, and plain radiographs show cortical irregularity and p

Accepted Answer

C. Plain radiographs (X-rays)

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Key Takeaway