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Infectious Disease > Acute Bacterial Meningitis > Flashcards

Acute Bacterial Meningitis Flashcards

1
Q

Marisol is a 5 yo female diagnosed with bacterial meningitis. Which of the following pathogens is not the cause of her meiningitis? (select all that apply)

A. Streptococcus pneumoniae

B. Neisseria meningitidis

C. Streptococcus agalactiae

D. Haemophilus influenzae

A

C, D

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2
Q

Daphne is a 4 week old female diagnosed with meningitits. Which of the following pathogens caused her meningitis?

A. Streptococcus pneumoniae

B. Neisseria meningitidis

C. Escherichia Coli

D. Haemophilus influenzae

A

C. E. Coli

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3
Q

Daniel is a 62 yo male admitted to the hospital for meningitis. Which of the following pathogens is the cause of his menintitis?

A. Streptococcus agalactiae

B. E. Coli

C. Klebsiella spp

D. Listeria monocytogenes

A

D. Listeria Monocytogenes

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4
Q

Aislinn is a 4 month old ratchet female that likes to talk on the phone. She is “ diagnosed with meningitis” (knock on wood). Which of the following could be the cause of her meningitis?

A. Streptococcus Pneumonia, Neisseria meningitidis

B. Streptococcus Pneumonia, Neirsseria miningitidis, streptococcus agalactiae

C. Listeria monoctytogenes, E. Coli, Haemophilus influenzae

D. Streptococcus pneumonia, neisseria meningitidis, klebsiella app

A

B

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5
Q

If a patient is diagnosed with bacterial meningitis caused by Haemophilus influenzae. How old is the patient?

A. < 1 month

B. 1-23 Months

C. 2-50 Years

D. > 50 Years

A

B. 1-23

That is the only age group with Haemophilus influenzae

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6
Q

A patient is diagnosed with bacterial meningitis due to klebsiella spp. how old is the patient?

A. < 1 month

B. 1-23 months

C. 2-50 years

D. > 50 years

A

A. < 1 Month

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7
Q

Amy is a 3 month old female diagnosed with bacterial meningitis. Which of the following options is the most appropriate empiric therapy for Amy?

A. ampicillin and cefotaxime

B. vancomycin and cefotaxime

C. Vancomycin and ampicillin

D. Vancomycin and cefotaxime and ampicillin

A

B. Vancomycin and Cefotaxime

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8
Q

Brad is a 36 yo male diagnosed with bacterial meningitis. Which Empiric therapy do you recommend?

A. ampicillin and cefotaxime

B. ampicillin and gentamicin

C. vancomycin, ceftriaxone, ampicillin

D. Vancomycin, Ceftriaxone

A

D. Vancomycin, Ceftriaxone

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9
Q

Paul is a 56 yo drag queen, he got meningitis and had to drop out of the show. Which empiric therapy do you recommend?

A. Ampicillin and Vancomycin

B. Ampicillin and Ceftriaxone

C. Vancomycin and Ceftriaxone

D. Vancomcyin, Ceftriaxone, and Ampicillin

A

D. Vancomycin, Ceftriaxone, and Ampicillin

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10
Q

Which of the following is true regard dexamethasone?

A. Beneftis Children with Streptococcus Pneumoniae

B. Decrease Inflammation with dexamethasone

C. Decrease Cerebral Edema with dexamethasone

D. Decrease Neuronal Injury with dexamethasone

E. Benefits adults with Neisseria meningitidis

A

B, C, D

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11
Q

Amy’s cultures come back and her gram stain say its gram positive in pairs and chains. What Microorganism could it be?

A. Neisseria meningitidis

B. Haemophilus influenzae

C. Streptococcus agalactiae

D. Streptococcus pneumoniae

A

D. Streptococcus pneumoniae

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12
Q

Which of the following matches is incorrect?

A. Listeria monocytogenes: gram positive rods

B. Streptococcus agalactiae: gram positive in pairs and chains

C. Streptococcus pneumoniae: gram positive rods

D. Neisseria meningitidis: gram negative cocci

A

C. Streptococcus pneumoniae: gram positive rods

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13
Q

Which of the following pathogens is gram negative rods?

A. Neisseria meningitidis

B. Haemophilus influenzae

C. Aerobic gram negative bacilli

D. Listeria monocytogenes

A

C. aerobic gram negative bacilli

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14
Q

Which of the following pathogens is gram negative cocci?

A. Streptococcus pneumoniae

B. Haemophilus influenzae

C. Listeria monocytogenes

D. Neisseria menigitidis

A

D. Neisseria meningitidis

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15
Q

How long should Listeria monocytogenes be treated?

A. 7 Days

B. 10 Days

C. 14 Days

D. 21 Days

A

A. 7 Days

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16
Q

How long should Haemophilus influenzae be treated?

A. 7 Days

B. 10 Days

C. 14 Days

D. 21 Days

A

A. 7 Days

17
Q

Courteny is a 6 week old in the NICU, today is Dr. Scratch and Sniff’s first day in the NICU. He comes up to you and asks how long he should treat Courteny’s bacterial meningitis that is caused by gram positive in pairs and chains?

A. 7 Days

B. 10

C. 14 Days

D. 21 Days

A

C. 14 Days

gram positive in pairs and chains can be either streptococcus pneumoniae agalactiae. Since this is a 6 week old, the most common pathogen to cause bacterial meningitis in a 6 week old is Streptococcus agalactiae therefore the answer is C

18
Q

Jeanette’s Grandma is a 66 yo female who loves to each chocolate and forgot to pass on the chocolate eating genes to jeanette. She is diagnosed with bacterial meningitis caused by a gram positive rod. How long should Jeanette’s grandmother be treated?

A. 7 Days

B. 10 Days

C. 14 Days

D. 21 Days

A

D. 21 Days

Gram positive rods are caused by listeria monocytogenes, which have to be treated for 21 days or more

19
Q

Leslie Grace is a 23 yo female who presents to the ER with a subjective fever and neck stiffness. Her family reports that since last night she has complained of severe headache, vomiting, and difficulty moving her neck. She has no sick contacts or recent travel.

PMH: None

FH: Non-Contributory

SH: No Tobacco; occasional alcohol

Medications: Birth Control

Allergies: Penicillin (anaphylaxis)

VS: BP 117/ 90mmHg; HR: 125bpm, RR: 34 T: 103.1 F wt: 123 lb Ht 5’2

Physical Exam: Neck Stiffness,+kernig’s, +Brudzinski’s

Neuro: A&O x 0

Skin: no skin lesions

Labs: Na 132, K 3.9, Cl 98, Glucose 64, WBC 38.1, INR 1.2, AST 19, ALT 22, Albumin 4.5, Total Bilirubin

How many Signs and Symptoms Does Leslie have?

A. None

B. 6

C. 8

D. 10

A

C. 8

Fever

Neck Stiffness; + Brudzinski and Kernig

vomiting

headache

HR 125

RR 34

Confusion

Low Glucose

20
Q

Dr. Scratch and Sniff suspects bacterial meningitis so he orders some blood cultures. What else should Dr. Scratch and Sniff order.

A. CT Head Scan

B. Lumbar Puncture

C. CT Head Scan and a Lumbar Puncture

D. None

A

B. Lumbar Puncture

The patient is not immunocompromised, have CNS Diseases, paillilaedema, or new seizures. She can get a blood culture and a lumbar puncture

21
Q

Dr. Scratch and Sniff Calls you all worried because he suspects Leslie has bacterial meningitis. He calls you to ask for a recommendation. Which empiric therapy do you recommend?

A. Ampicillin and Vancomycin

B. Vancomycin and Ceftriaxone

C. Vancomycin, Ceftriaxone, and Ampicillin

D. None of these

A

D. None of these, the patient has penicillin allergy that caused anaphylaxis.

22
Q

Leslie Grace’s gram CSF Results come back….

Dr. Scratch and Sniff should initiated Dexamethasone, True or False

A

False

The gram Staining states gram negative cocci, which can be neisseria meningitidis. you only give dexamethasone to people with streptococcus pneumoniae

23
Q

How long should Leslie Grace be treated if the bacterial meningitis is caused by the Neisseria meningitidis?

A. 7 days

B. 10 days

C. 14 days

D. 21 day

A

A. 7 days

Infectious Disease (8 decks)

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