Changes

choice3="Low dose short course antibiotics"  

choice3="Low dose short course antibiotics"  

correctchoice="2"  

correctchoice="2"  

feedback2="'''Correct!''' Opening up and debriding the wound will increase oxygen in the environment (Clostridium is an anaerobe). This in conjunction with high doses of IV penicillin to treat the infection, plus high doses of tetanus antitoxin to try and bind toxin not yet bound to neuromuscular junctions is an appropriate approach to treatment of tetanus in the early stages of infection. [[Clostridium species#Clostridium tetani|WikiVet Article: Tetanus]]"  

feedback2="'''Correct!''' Opening up and debriding the wound will increase oxygen in the environment (Clostridium is an anaerobe). This in conjunction with high doses of IV penicillin to treat the infection, plus high doses of tetanus antitoxin to try and bind toxin not yet bound to neuromuscular junctions is an appropriate approach to treatment of tetanus in the early stages of infection. [[Clostridium tetani|WikiVet Article: Tetanus]]"  

feedback1="'''Incorrect.''' At the early stage of infection the patient will not yet be exhibiting tetanic spasms which would require sedation and muscle relaxants. The correct answer is wound debridement, IV antibiotics and tetanus antitoxin injections. Opening up and debriding the wound will increase oxygen in the environment (Clostridium is an anaerobe). This in conjunction with high doses of IV penicillin to treat the infection, plus high doses of tetanus antitoxin to try and bind toxin not yet bound to neuromuscular junctions is an appropriate approach to treatment of tetanus in the early stages of infection. Link to WikiVet: Tetanus"  

feedback1="'''Incorrect.''' At the early stage of infection the patient will not yet be exhibiting tetanic spasms which would require sedation and muscle relaxants. The correct answer is wound debridement, IV antibiotics and tetanus antitoxin injections. Opening up and debriding the wound will increase oxygen in the environment (Clostridium is an anaerobe). This in conjunction with high doses of IV penicillin to treat the infection, plus high doses of tetanus antitoxin to try and bind toxin not yet bound to neuromuscular junctions is an appropriate approach to treatment of tetanus in the early stages of infection. Link to WikiVet: Tetanus"  

feedback4="'''Incorrect.''' The pathogenesis of tetanus is associated with penetration and germination of spores in a wound where there is an anaerobic environment. Bandaging the wound would exacerbate this by creating the optimum anaerobic environment for Clostridium. The correct answer is wound debridement, IV antibiotics and tetanus antitoxin injections. Opening up and debriding the wound will increase oxygen in the environment (Clostridium is an anaerobe). This in conjunction with high doses of IV penicillin to treat the infection, plus high doses of tetanus antitoxin to try and bind toxin not yet bound to neuromuscular junctions is an appropriate approach to treatment of tetanus in the early stages of infection. Link to WikiVet: Tetanus"  

feedback4="'''Incorrect.''' The pathogenesis of tetanus is associated with penetration and germination of spores in a wound where there is an anaerobic environment. Bandaging the wound would exacerbate this by creating the optimum anaerobic environment for Clostridium. The correct answer is wound debridement, IV antibiotics and tetanus antitoxin injections. Opening up and debriding the wound will increase oxygen in the environment (Clostridium is an anaerobe). This in conjunction with high doses of IV penicillin to treat the infection, plus high doses of tetanus antitoxin to try and bind toxin not yet bound to neuromuscular junctions is an appropriate approach to treatment of tetanus in the early stages of infection. Link to WikiVet: Tetanus"