Meningitis

Question 1

Common bacterial etiologies

SNL

Answer 1

Streptococcus pneumonia
Neisseria Meningitides
Listeria monocytogenes

Question 2

Common viral etiologies

Answer 2

Enterovirus
Herpes
West Nile virus

Question 3

Classic triad of acute bacterial meningitis

Answer 3

Fever
Nuchal rigidity
Change in mental status

Question 4

What is associated with neisseria meninitidis

Answer 4

Rash

Question 5

Meningitis vs encephalitis

Cerebral function usually remains normal

Answer 5

Meningitis

Question 6

Meningitis vs encephalitis 
Can lead to altered mental status
Motor and sensory deficits
Altered behavior
Speech or movement disorder
Speech changes

Answer 6

Encephalitis

Question 7

Lumbar puncture test should be delayed if the following occur

Answer 7

Intracranial pressure
Papilledema
Focal neurological deficit
Abnormal level of consciousness

Question 8

Drug of choice

Answer 8

Ceftriaxone ( rocephin)

2g IV q12hr

Question 9

Drug used to decrease acute inflammation

Answer 9

Dexamethasone

0.15mg/kg IV q6hr

Question 10

If aseptic meningitis due to GSV I’d suspected, empiric therapy with

Answer 10

Acyclovir IV

Question 11

Prophylaxis treatment

Answer 11

Exposed crew
Ciprofloxacin
500 mg PO