Arab Board Orthopedic Surgery Final Practice Questions - Arab Board Of Health Specializations Orthopedic Surgery Final Written Examination Exam

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A 32-year-old male sustains an open Gustilo-Anderson Type IIIB tibial shaft fracture in a motorcycle collision. What is the most appropriate initial intravenous antibiotic regimen and timing of administration?

First-generation cephalosporin alone started within 12 hours of admission First-generation cephalosporin combined with an aminoglycoside (or third-generation cephalosporin) started immediately within 1-3 hours Vancomycin alone started after operative debridement cultures are obtained Oral fluoroquinolone started once the patient is hemodynamically stabilized

Correct Answer:

First-generation cephalosporin combined with an aminoglycoside (or third-generation cephalosporin) started immediately within 1-3 hours

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