40. Choice C is the correct answer. This is a paronychia which is an accumulation of purulent material around the nail apparatus. This needs incision and drainage for definitive treatment. Skin biopsy is not indicated. Warm soaks would help but not provide definitive treatment. Topical bactroban may help but will not provide definitive treatment. The patient after incision and drainage should be on cephalexin and bactrim or doxycycline pending cultures.
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