Infectious syndromes: Brain infection

Question 1

Suppurative infection in the potential space between inner skull table and dura

A. Cranial epidural abscess
B. Subdural empyema
C. Brain abscess
D. Suppurative intracranial thrombophlebitis

Answer 1

A. Cranial epidural abscess

Question 3

What is the most common symptom in patients with a brain abscess?

A. Fever
B. Focal neurological deficit
C. Headache
D. Neck pain

Answer 3

C. Headache

Question 4

Most common localizing sign of a frontal lobe abscess

A. Disturbance of language
B. Hemiparesis
C. Upper homonymous quadrantopia
D. Nystagmus

Answer 4

B. Hemiparesis

A. Disturbance of language - temporal
B. Hemiparesis
C. Upper homonymous quadrantopia - temporal
D. Nystagmus- cerebrellar

Question 5

When diagnosing a patient with early cerebritis, which of the following should you request?

A. CT scan
B. Skull APL
C. MRI
D. Lumbar puncture

Answer 5

C. MRI

Question 6

Empirical treatment of community acquired brain abscess in an immunocompetent patient includes

A. Cefotaxime and Metronidazole
B. Ceftriaxone
C. Ceftriaxone and Metronidazole
D. Cefepime and Vancomycin

Answer 6

3rd or 4th generation cephalosporin

+ Metronidazole

Question 7

Which of the following should not be done in patients with Brain abscess

A. 6-8 weeks of Parenteral antibiotics therapy
B. 3 months prophylactic anticonvulsants
C. Glucocorticoids
D. Aspiration and draining of brain abscess

Answer 7

C.

Question 8

Most common parasitic disease of the CNS worldwide
A. Loa loa filariasis
B. Primary amoebic meningoencephalitis (PAM)
C. Toxoplasmosis
D. Neurocysticercosis

Answer 8

D. Neurocystocercosis

Question 9

Most common manifestation of Neurocystocercosis
A. Headache
B. Generalized seizures
C. Partial seizures
D. Focal neurologic deficit

Answer 9

C.

New onset partial seizures

Question 10

Treatment for Neurocysticercosis
A. Albendazole for 7 days
B. Praziquantel for 14 days
C. Prednisone
D. Metronidazole for 7 days

Answer 10

C. Prednisone

Thx:
A. Albendazole for 8 days
B. Praziquantel for 15 days
C. Prednisone

Question 11

Treatment for Primary Toxoplasma infection of the CNS include the ff except
A. Sulfadiazine
B. Prednisone
C. Pyrimethamine
D. Folinic acid

Answer 11

B

Sulfadiazine+ Folinic acid +Pyrimethamine

Question 12

Most common predisposing condition in developing a Subdural empyema

A. Otitis media
B. Otitis externa
C. Sinusitis
D. Gingivitis

Answer 12

C. Sinusitis

Question 13

Focal suppurative infection in the brains parenchyma

A. Cranial epidural abscess
B. Subdural empyema
C. Brain abscess
D. Suppurative intracranial thrombophlebitis

Answer 13

Brain abscess

Question 14

Collection of pus between the dura and arachnoid membranes

A. Cranial epidural abscess
B. Subdural empyema
C. Brain abscess
D. Suppurative intracranial thrombophlebitis

Answer 14

B. Subdural empyema

Question 15

Which of the following is true in management of subdural empyemas
A. Subdural empyema is not a medical emergency
B. Patients should have elective neurosurgical evacuation of the empyema within 3 days
C. Treatment includes cefotaxime + vancomycin + metronidazole
D. Treatment should be continued a minimum Of 2 weeks

Answer 15

C.

A. Subdural empyema is a medical emergency
B. Patients should have emergent evacuation of the empyema
C. Treatment includes cefotaxime + vancomycin + metronidazole
D. Treatment should be continued a minimum Of 3-4 weeks

Question 16

Septic venous thrombosis of cortical veins and sinuses

A. Cranial epidural abscess
B. Subdural empyema
C. Brain abscess
D. Suppurative intracranial thrombophlebitis

Answer 16

D.