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Paronychia – Acute (ALL)
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1. Which symptom is most characteristic of acute paronychia?
*
Red, swollen nail fold
Numbness
Scaling of the palms
Dry, cracked skin
2. When are antibiotics indicated in acute paronychia?
*
No signs of infection
Presence of pus or spreading infection
Dry skin
Thick nails
3. Which patient group is more prone to recurrent paronychia?
*
Elderly men
Infants
People with diabetes
Teenagers
4. What is the usual location of pain in acute paronychia?
*
Wrist
Elbow
Along the nail fold
Palm
5. Which sign differentiates acute from chronic paronychia?
*
Gradual thickening of nail
Nail discolouration
Sudden onset and presence of pus
Flaky skin
6. What should be avoided during an active episode of acute paronychia?
*
Drying the hands
Loose gloves
Nail trimming
Handwashing
7. Which topical treatment is NOT typically used in acute paronychia?
*
Topical antibiotic
Topical steroid
Warm soaks
Antifungal cream
8. Which of the following should prompt surgical drainage?
*
Mild swelling
Fluctuant abscess
Redness only
Thickened nail plate
9. Which investigation is rarely needed in acute paronychia unless recurrent or severe?
*
Skin biopsy
X-ray
MRI
Swab for culture
10. What is a common predisposing factor for acute paronychia?
*
Nail biting
Cold weather
Wearing gloves
Excessive exercise
11. What is the typical duration of warm water soaks recommended for acute paronychia?
*
All night
Hourly
10–15 minutes, 3–4 times daily
Once a week
12. Which is a common fungal cause in chronic paronychia rather than acute?
*
Aspergillus
Trichophyton
Microsporum
Candida albicans
13. What systemic symptom would prompt consideration of more aggressive treatment for paronychia?
*
Dandruff
Sneezing
Dry lips
Fever
14. Which antibiotic is commonly used for bacterial paronychia?
*
Clindamycin
Flucloxacillin
Doxycycline
Metronidazole
15. Which occupation is more at risk of developing acute paronychia?
*
Dishwasher
Taxi driver
Teacher
Accountant
16. What is the first-line treatment for uncomplicated acute paronychia?
*
Topical steroids
Warm soaks
Antifungal cream
Surgical excision
17. What is acute paronychia?
*
Infection of the nail fold
Infection of the tonsils
Injury to the nail bed
Inflammation of the eyelid
18. Which complication can arise from untreated paronychia?
*
Vision changes
Nail loss
Hearing loss
Hair loss
19. How can recurrence of paronychia best be prevented?
*
Apply corticosteroids daily
Cover nails with tape
Antibiotic prophylaxis
Avoid nail trauma
20. What is the most common causative organism of acute paronychia?
*
Staphylococcus aureus
Pseudomonas aeruginosa
Candida albicans
Streptococcus pyogenes