APPLIED PHARMACOLOGY · PRIMARIES SURGERY
Surgical antibiotic prophylaxis — elective cholecystectomy
8 decision points
~16 min
Difficulty 3/5
Primaries
Setting
The theatre pharmacist asks the resident to justify the surgical antibiotic prophylaxis on today's elective list.
Patient
Mrs A, 46-year-old, BMI 32, elective laparoscopic cholecystectomy for symptomatic gallstones. No diabetes, no penicillin allergy, no MRSA colonisation, no biliary obstruction.
Reference stack
Bailey & Love 28e Ch 5 · Katzung 15e · WHO 2018 SSI prevention · SIGN 104
You'll be asked to decide what happens next at each step. There's no timer — take your time. The correct answer + evidence-anchored rationale is revealed after each choice.