MSRA: Meningitis + Encephalitis

Question 1

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What is the most common organism in encephalitis?

Answer 1

Herpes Simplex Virus

Question 2

What are the CT head findings in encephalitis?

Answer 2

Cerebral oedema which may be described as hypodensity

Question 3

What is the management of encephalitis?

Answer 3

IV Aciclovir should be started in all cases of suspected encephalitis

Question 4

What organism causes meningitis in children less than 3 months old?

Answer 4

Group B Strep

Question 5

What organism causes meningitis in children 3 months to 6 years?

Answer 5

Neisseria, HIB

Question 6

What organism causes meningitis in children older than 6 years?

Answer 6

Neisseria

Question 7

What is the primary care management of suspected bacterial meningitis?

Answer 7

IM BenPen

Less than 1 year = 300mg
1-9 years = 600mg
10 years + = 1200mg

Question 8

Which antibiotics are given to children less than 3 months?

Answer 8

IV Amoxicillin + IV Cefotaxime

Question 9

Which antibiotics are given to patients aged between 3 months and 50 years?

Answer 9

IV Cefotaxime

Question 10

Which antibiotics are given to patients over the age of 50?

Answer 10

IV Amoxicillin + IV Cefotaxime

Question 11

Which antibiotic is used for prophylaxis in close contacts?

Answer 11

Oral Ciprofloxacin