American Board of Internal Medicine (ABIM) Certification Practice Exam

Which of the following is NOT an indication for hospitalization after a dog bite?

1. Infected hand bites

2. Minor cuts and abrasions

3. Nerve or tendon injuries

4. Severe infections

The correct answer is: Minor cuts and abrasions

Hospitalization after a dog bite is typically warranted based on the severity of the injury and the potential for complications. Minor cuts and abrasions, which are superficial injuries, generally do not require hospitalization since they can usually be managed with outpatient care, including wound cleaning, dressing, and possibly a course of antibiotics. In contrast, infected hand bites, nerve or tendon injuries, and severe infections present more significant concerns. Infected hand bites, for instance, often require more intensive treatment and monitoring to prevent further complications. Nerve or tendon injuries may necessitate surgical intervention or specialized care, justifying the need for hospitalization. Severe infections, which could lead to systemic issues, also require close monitoring and possibly intravenous antibiotics, indicating a need for hospital admission. Thus, the correct answer identifies minor cuts and abrasions as an injury that does not warrant admission, as these can typically be treated effectively in an outpatient setting.