15059770
Descripción
Test por Matthew Coulson, actualizado hace más de 1 año
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Creado por Matthew Coulson
hace más de 5 años
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Pregunta 1
Pregunta
Bacterial meningitis' are known as [blank_start]pyogenic[blank_end] meningitis, whereas meninigitis caused by other organisms (e.g. viruses) is known as [blank_start]aseptic[blank_end] meningitis.
Respuesta
-
aseptic
-
pyogenic
-
suppurative
Pregunta 2
Pregunta
Suppurative meningitis simply refers to a meningitis whereby pus is involved. Which cell type is abundant in these cases of meningitis?
Respuesta
-
Neutrophils
-
Basophils
-
Eosinophils
Pregunta 3
Pregunta
Which of the following bacteria are most commonly associated with meningitis? (2 answers)
Respuesta
-
Streptococcus pneumoniae
-
Neisseria Meningitidis (Meningococcus)
-
Staphylococcus Aureus
-
Pseudomonas Aeruginosa
Pregunta 4
Pregunta
The standard treatment for a community acquired bacterial meningitis is a combination of which two drugs?
Respuesta
-
Ceftriaxone IV
-
Ciprofloxacin IV
-
Dexamethasone IV
-
Beclomethasone IV
Pregunta 5
Pregunta
However, if the bacterial meningitis is caused by Listeria, which drug should be given for 21 days as treatment?
Respuesta
-
Amoxicillin
-
Gentamicin
-
Metronidazole
-
Ceftriaxone alone
Pregunta 6
Pregunta
Which 3 investigations are routinely conducted in order to diagnose a viral meningitis?
Respuesta
-
CSF PCR
-
Salival PCR
-
Viral Stool Culture
-
Throat Swab
-
Blood test
-
CSF Culture
Pregunta 7
Pregunta
Encephalitis usually has a bacterial cause
Respuesta
- True
- False
Pregunta 8
Pregunta
The most common virus causing encephalitis is [blank_start]herpes simplex[blank_end] virus
Respuesta
-
herpes simplex
Pregunta 9
Pregunta
Which of the following symptoms tend to occur in encephalitis patient but not in meningitis patients? (2 answers)
Respuesta
-
Confusion
-
Seizures
-
Headache
-
Stiff neck
Pregunta 10
Pregunta
Migraine pain is due to [blank_start]vasodilation[blank_end] whereas headache pain is due to [blank_start]vasoconstriction[blank_end]
Respuesta
-
vasodilation
-
vasoconstriction
-
vasoconstriction
-
vasodilation
Pregunta 11
Pregunta
A non-blanching purpuric rash is indicative of which condition?
[blank_start]Meningitis[blank_end]
Respuesta
-
Meningitis
Pregunta 12
Pregunta
In ages 10-21, the most common cause of community acquired bacterial meningitis is...
Respuesta
-
Neisseria Meningitidis
-
Streptococcus Pneumonia
-
Listeria
Pregunta 13
Pregunta
In those over 21, the most common cause of community acquired bacterial meningitis is...
Respuesta
-
Neisseria Meningitidis
-
Streptococcus Pneumoniae
-
Listeria
Pregunta 14
Pregunta
In children, the most common cause of community acquired bacterial meningitis is...
Respuesta
-
Haemophilus Influenzae
-
Streptococcus Influenzae
-
Neisseria Meningitidis
-
E.coli
Pregunta 15
Pregunta
Streptococcus pneumoniae is a normal part of the microbiota of the ...
Respuesta
-
Oropharynx
-
Nasopharynx
-
Laryngopharynx
Pregunta 16
Pregunta
A woman with a fractured cribriform plate subsequently develops meningitis during her time in hospital. Which organism has most likely caused her meningitis?
(See explanation for why)
Respuesta
-
Streptococcus Pneumoniae
-
Neisseria Meningitidis
-
Listeria
-
Staphylococcus Aureus
Pregunta 17
Pregunta
Haemophilus Influenzae is a normal part of the microbiota of the ...
Respuesta
-
Nasal cavity
-
Large Intestine
-
Stomach
-
Throat
Pregunta 18
Respuesta
-
Streptococcus Pneumoniae
-
Neisseria Meningitidis
-
Listeria
-
Staphylococcus Aureus
Pregunta 19
Respuesta
-
Streptococcus Pneumoniae
-
Neisseria Meningitidis
-
Listeria
-
Staphylococcus Aureus
Pregunta 20
Pregunta
Streptococcus Pneumoniae are gram [blank_start]positive[blank_end] cocci that are arranged [blank_start]in pairs[blank_end]
Respuesta
-
positive
-
negative
-
in pairs
-
in threes
-
as single, unbound cocci
Pregunta 21
Pregunta
Neisseria Meningitidis are [blank_start]intracellular[blank_end] gram [blank_start]negative[blank_end] [blank_start]cocci[blank_end].
Respuesta
-
intracellular
-
extracellular
-
negative
-
positive
-
cocci
-
bacilli
Pregunta 22
Pregunta
A 35 year old man presents with a fever, altered consciousness and a stiff neck. What is the most likely diagnosis from the options below?
Respuesta
-
Meningitis
-
Encephalitis
-
Hydrocephalus
Pregunta 23
Pregunta
Haemophilus Influenzae are
Respuesta
-
gram negative coccobacilli
-
gram positive coccobacilli
-
gram negative cocci
-
gram positive cocci
Pregunta 24
Pregunta
Another way to differentiate bacterial meningitis from aseptic meningitis via the CSF is by looking at the WBC count.
Pyogenic Meningitis shows a [blank_start]high WBC count[blank_end]
Aseptic Meningitis shows a [blank_start]low WBC count[blank_end]
Respuesta
-
high WBC count
-
low WBC count
Pregunta 25
Pregunta
Bradycardia, Systolic Hypertension and irregular, decreased respirations are the three constituents of [blank_start]Cushing's[blank_end] triad
Respuesta
-
Cushing's
Pregunta 26
Pregunta
All adult patients with suspected meningitis (expect those with clear contraindications) should undergo which investigative procedure?
Respuesta
-
Lumbar Puncture
-
Stool Culture
-
Throat Swab
-
CT scan of the head
Pregunta 27
Pregunta
Give steroids to all patients with suspected [blank_start]bacterial meningitis[blank_end] before or with the first dose of antibiotics then every 6 hours for 4 days.
Respuesta
-
pyogenic meningitis
-
aseptic meningitis
-
encephalitis
Pregunta 28
Pregunta
All new cases of Meningitis must be reported directly to Public Health.
Respuesta
- True
- False
Pregunta 29
Pregunta
The contact prophylaxis regimen for those exposed to an individual with meningitis is 500mg [blank_start]ciprofloxacin[blank_end] orally as a single dose for all adults and children over 12.
Respuesta
-
ciprofloxacin
-
ceftriaxone
-
co-amoxiclav
Pregunta 30
Pregunta
Typical CSF Findings:
Viral Meningitis - Protein levels [blank_start]normal[blank_end], glucose level [blank_start]normal[blank_end]
Bacterial Meningitis - Protein levels [blank_start]high[blank_end], glucose level [blank_start]low[blank_end]
Respuesta
-
normal
-
high
-
low
-
normal
-
high
-
low
-
high
-
normal
-
low
-
low
-
high
-
normal
Pregunta 31
Pregunta
The normal level of glucose in the CSF is around ...
Respuesta
-
60-70% of blood glucose concentration
-
80-90% of blood glucose concentration
-
120-130% of blood glucose concentration
-
140-150% of blood glucose concentration
Pregunta 32
Pregunta
In terms of CSF:
High concentration of Polymorphs (Neutrophils, etc) = [blank_start]Pyogenic Meningitis[blank_end]
High concentration of Lymphocytes (B & T cells) = [blank_start]Aseptic Meningitis[blank_end]
Respuesta
-
Pyogenic Meningitis
-
Aseptic Meningitis
Pregunta 33
Pregunta
Which of the following describes the normal range values of a CSF sample?
Respuesta
-
Red Blood Cells <5mm3 White Blood Cells <5mm3 Protein 150-450mg/L Glucose 60-70% of blood glucose
-
Red Blood Cells <5mm3 White Blood Cells <12mm3 Protein 150-450mg/L Glucose 60-70% of blood glucose
-
Red Blood Cells <5mm3 White Blood Cells <12mm3 Protein 250-500mg/L Glucose 60-70% of blood glucose
-
Red Blood Cells <15mm3 White Blood Cells <5mm3 Protein 150-450mg/L Glucose 120-130% of blood glucose
-
Red Blood Cells <15mm3 White Blood Cells <5mm3 Protein 250-500mg/L Glucose 60-70% of blood glucose
Pregunta 34
Pregunta
The most common cause of viral meningitis is [blank_start]enteroviruses[blank_end] and this typically affects children. [blank_start]Herpes simplex virus[blank_end] on the other hand is less common and typically causes viral meningitis in adolescents and adults.
Respuesta
-
enteroviruses
-
herpes simplex virus
-
Herpes simplex virus
-
Enteroviruses
Pregunta 35
Pregunta
[blank_start]Herpes Simplex Virus[blank_end] is the most common cause of Encephalitis and has an overall [blank_start]worse[blank_end] prognosis than viral meningitis
Respuesta
-
Herpes Simplex Virus
-
Enteroviruses
-
worse
-
better
Pregunta 36
Pregunta
The occurrence of which type of meningitis is an indication for HIV testing of a patient?
Respuesta
-
Pyogenic Meningitis
-
Aseptic Meningitis
Pregunta 37
Pregunta
Typically, viral meningitis has to be treated conservatively due to lack of treatment options for most of the causative organisms. Despite this however, viral meningitis caused by which virus can be treated by antivirals?
Respuesta
-
Herpes Simplex Virus
-
Enteroviruses
-
Epstein Barr Virus
Pregunta 38
Pregunta
Name the antiviral typically given to patients suffering from Herpes Simplex Virus Meningitis.
[blank_start]Aciclovir[blank_end]
Respuesta
-
Aciclovir
Pregunta 39
Pregunta
After draining any pus, the treatment of a brain abscess should be via which two of the following medications?
Respuesta
-
Ceftriaxone
-
Metronidazole
-
Ciprofloxacin
-
Dexamethasone
-
Gentamicin
-
Amoxicillin
Pregunta 40
Pregunta
Fungal meningitis typically concerns which organism?
Respuesta
-
Cryptococcus Grattii
-
Cryptococcus Neoformans
-
Cryptococcus Albicans
-
Cryptococcus Tremellaceae
Pregunta 41
Pregunta
Cryptococcus Meningitis typically occurs in patients with ...
Respuesta
-
HIV/AIDS
-
Crohn's Disease
-
Addison's Disease
-
Cushing's Disease
-
Wilson's Disease
-
Ulcerative Colitis
Pregunta 42
Pregunta
Treatment of Viral Meningitis by causative organism:
Human Enterovirus: [blank_start]Supportive Treatment Only[blank_end]
Herpes Simplex/Zoster: [blank_start]Aciclovir[blank_end]
Cytomegalovirus: [blank_start]Ganciclovir[blank_end]
Respuesta
-
Supportive Treatment Only
-
Aciclovir
-
Ganciclovir
-
Aciclovir
-
Supportive Treatment Only
-
Ganciclovir
-
Ganciclovir
-
Supportive Treatment Only
-
Aciclovir
Pregunta 43
Pregunta
If there is a delay in getting a patient with suspected bacterial meningitis to hospital, it is routine practice to give emergency treatment in the form of intramuscular Benzylpenicillin or Ceftriaxone
Respuesta
- True
- False
Pregunta 44
Pregunta
Whilst the CSF is being checked for the causative organism of the Meningitis, empirical treatment should be given in the form of which two drugs?
Respuesta
-
Ceftriaxone
-
Vancomycin
-
Amoxicillin
-
Gentamicin
-
Metronidazole
-
Ciprofloxacin
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