Meningitis

Question 1

Name the top 3 MCC of meningitis in the newborn.

Answer 1

Group B streptococci
E. Coli
Listeria

Question 2

MCC of meningitis in 6 months to 6 years?

Answer 2

N. Meningitidis

Question 3

How does N. Meningitidis enter into the brain?

Answer 3

Enters via nasopharynx=>blood=>Brain

Question 4

MCC of meningitis in Teens?

Answer 4

N. Meningitidis

Question 5

For adults, MCC of Meningitis?

Answer 5

S. Pneumoniae

Question 6

MCC of viral meningitis?

Answer 6

Enteroviruses (esp. coxsackievirus)

Question 7

MCC of HIV meningitis?

Answer 7

Cryptococcus

Question 8

MCC of unimmunized children?

Answer 8

H. Influ

Question 9

What has reduced greatly with introduction of conjugate H. Influ vaccine?

Answer 9

H. Influ Meningitis

Question 10

Stick Needle in between where?

Answer 10

L3-L5

Question 11

For bacterial, CSF would show?

Answer 11

Low Sugar
High Protein
Increased PMNs

Question 12

For Fungal, CSF would show?

Answer 12

Low Sugar
High Protein
Increased Lymphocytes

Question 13

For Viral, CSF would show?

Answer 13

All are normal except increased Lymphocytes

Question 14

Complications of meninigitis is most likely seen in?

Answer 14

Bacterial meningitis

Question 15

What are these complications?

Answer 15

Herniation, Hydrocephalus, hearing loss

Question 16

Treatment of Meningitis?

Answer 16

Ceftriaxone, vancomycin and add ampillcin if listeria is present

Question 17

L3-L5 is at the level of

Answer 17

Cauda equina

Question 18

Neisseria meningitidis can lead to wide spread?

Answer 18

DIC, Petechial rash, Adrenal Hemorrhage

Question 19

Meningitis vaccine cover all capsules except?

Answer 19

B

Question 20

Does Meningitidis ferment just glucose?

Answer 20

No, Maltose and Glucose

Question 21

Two main virulence factor of Meningitidis?

Answer 21

IgA protease
Capsular

NessierCIA

Question 22

HIV patient with headache and fever?

Answer 22

Cryptococcus

Question 23

Cryptococcus is most commonly found in?

Answer 23

pigeon poop

Question 24

Virulence factor of Cryptococcus?

Answer 24

Thick Polysaccharide capsule (repeating antigen)

Question 25

Budding yeast with thick capsule?

Answer 25

Cryptococcus

Sarcophagus

Question 26

Where does Cryptococcus first affect?

Answer 26

Lungs

Coughing

Question 27

What do you see in an x-ray with Cryptococcus?

Answer 27

SOAP Bubble lesions

SOAP BUBBLE on mummy

Question 28

Two tests to get Cryptococcus?

Answer 28

Latex Agglutinins (Latex gloves)
India Ink (Milwaukee Bucks)

Question 29

Tx of Cryptococcus?

Answer 29

Amphotericin B+Flucytosine

Question 30

Collection of students/Army recruits?

Answer 30

Nessieria Meningiditis

Question 31

Kidney Bean-Shaped Gram neg. Cocci?

Answer 31

Nessieria Meningiditis

Question 32

What in Nessieria Meningitidis causes death?

Answer 32

LOS outer membrane lipooligosaccharide

Question 33

MCC of bacterial meningitis?

Answer 33

S. pneumoniae

Question 34

Narrow Zone of ß-Hemolysis?

Answer 34

Listeria Monocytogenes

Question 35

Listeria Monocytogenes description?

Answer 35

Tumbling motility

Question 36

Does Listeria grow well in Cold Temperatures?

Answer 36

Yes

Question 37

In what way does Listeria get into the body?

Answer 37

Cheese, unpasteurized milk

Question 38

Tx of Meningitis?

Answer 38

Ceftriaxone (think Meningitidis) and ampicillin

Question 39

Why do you add ampicillin to the Tx?

Answer 39

For Listeria