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Dermatology · Infections: herpetic whitlow
Sample itemA dental nurse develops a painful, swollen fingertip with grouped clear vesicles on an erythematous base and no pus on aspiration. What should be avoided?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Incision and drainage
Herpetic whitlow is HSV infection of the finger and mimics bacterial felon. Surgical incision spreads virus and is avoided, while oral acyclovir or valacyclovir shortens the course. Clinicians need glove use and covering to prevent transmission.
Option by option
A. Covering the lesion
Covering lesions limits spread.
B. Oral acyclovir
Oral acyclovir is the treatment.
C. Hand hygiene
Hand hygiene reduces spread.
D. Incision and drainage (correct)
Correct. Incision and drainage should be avoided in herpetic whitlow.
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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