N3 - CNS Inf. I (Cieza)

Question 1

Most common cause of bacterial meningitis

Answer 1

S. pneumoniae

Question 2

Second most common cause of meningitis

Answer 2

N. meningitidis

Question 3

bacterial meningitis cytokines

Answer 3

IL1, IL6, TNF

Question 4

Diagnosis bacterial meningitis

Answer 4

CSF analysis

Question 5

hyperintense T2 MRI signal in basal ganglia

Answer 5

pneumococcal meningitis

Question 6

Spread of meningitis

Answer 6

hematogenous

Question 7

Penetrating head wound

Answer 7

S. aureus

Question 8

Damaged skin

Answer 8

S. aureus

Question 9

infected shunt

Answer 9

S. epidermidis

Question 10

Neurosurgical procedure

Answer 10

Gram -

Klebsiella

Acinetobacter

E. coli

Question 11

When should imaging be preformed before LP

Answer 11

New onset seizures

Immunocompromised

Altered mental status

Space-occupying lesions i.e. pailledema

Question 12

Recent neurosurgery - pathogen?

Answer 12

Pseudomonas

Question 13

Which drug should be added to antimicrobials in treatment of suspected meningitis?

Answer 13

Dexamethasone

Question 14

persistent leakage of CSF through skull base causes

Answer 14

Recurrent meningitis

Question 15

purpura fulminanas

Answer 15

acute meningococcemia

Question 16

lymphocytic pleocytosis

normal glucose concentraion

Answer 16

viral meningitis

Question 17

suspected meningitis - immediate therapy

Answer 17

Vanco

3rd or 4th gen cephalosporin

dexamethasone

acyclovir - leading viral ddx

doxycycline - during tick seasons

Question 18

common causes in children and adults

Answer 18

N. meningitidis

S. pneumoniae

S. aureus

Question 19

Common cause in infants and elderly

Answer 19

Listeria

S. aureus

Question 20

Symptoms absent in viral meningitis

Answer 20

Altered consciousness

seizures

neurologic signs or abnormal neuroimaging

Question 21

Viral meningitis agents

Answer 21

Enterovirus

HSV-2

HIV

Question 22

most common cause of pyogenic brain abscess

Answer 22

Streptococci

• S. milleri and S. viridans

Question 23

Encephalitis

Answer 23

Rabies

Herpes - Herpatic encephalitis

Question 24

Viral encephalitis - frontal & temporal lobe

Answer 24

Herpes simplex

Question 25

Viral encephalitis - Anterior horn cells

Answer 25

West nile

Question 26

Viral encephalitis - coritcal areas

Answer 26

La Crosse

Question 27

Viral encephalitis - substantia nigra, pons, thalamus, cerebellum

Answer 27

St. Louis

Question 28

Viral encephalitis - basal ganglia, thalamus, brainstem

Answer 28

Eastern Equine

Question 29

Most common cause of epidural abscesses

Answer 29

s. aureus

Question 30

brain parasite from central america seizures

Answer 30

Neurocysticercosis (NCC)

Question 31

Most common cause of epilepsy worldwide

Answer 31

Neurocysticercosis