This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Urology, Subject name: Surgery
[{'content': 'Most appropriate treatment for acute paranychia \nSelect and explain. \nA. Paial nail removal, B. Nail removal, C. Lifting of eponychium, D. Incision and drainage', 'role': 'user'}, {'content': 'Answer: A \nExplanation: .ACUTE PARONYCHIA * It is the most common hand infection. * It occurs in subcuticular area under the eponychium. * Minor injury to finger is the common cause. * Suppuration occurs very rapidly. * It tracks around the skin margin and spreads under the nail causing hang nail or floating nail. * Organisms are Staphylococcus aureus and Streptococcus pyogenes Treatment --* Pus is sent for culture and sensitivity. * Antibiotics like cloxacillin, amoxycillin. * Analgesics. * The pus is drained by making an incision over the eponychium. * If there is a floating nail, then the nail is dead and it has to be removed. Recovery is fast. ref:SRB&;s manual of surgery,ed 3,pg no 132 .', 'role': 'assistant'}]