Neurology infections

Question 1

Meningitis usually occurs where in the brain

Answer 1

subarachnoid space

Question 2

Fever, neck stiffness, kernigs sign, brudinskis sign, nausea, vomitting, photosensitivity, mental status changes, rash

Answer 2

symptoms of meningitis

Question 3

most common causitive agent of meningitis

Answer 3

Strep pnuemo

Question 4

what age group is more susceptible to meningeal infections from group B strep or E. coli

Answer 4

Newborns

Question 5

removal of which lymph organ is associated with higher risk of meningitis

Answer 5

Splenectomy

Question 6

patients from1 to 50 years old get meningitis infections from which three pathogens

Answer 6

Strep pnuemo
Neisseria meningitidis
Haemophilus influenza

Question 7

Older than 50 years of ages what is a pathogen besides strep pnuemo that could cause meningitis

Answer 7

listeria monocytogenes

Question 8

Which pathogen has the highest mortality

Answer 8

Streo pnuemo

Question 9

what pathogens are carried in the vaginal tract as normal flora that can be passed from mother to child in child birth. and ca be tested for at week 35-37 of pregnancy

Answer 9

group B strep (strep agalactiae, beta hemolytic)

Question 10

you have a 3 year old unvaccinated patient that presesnts with meningitis symptoms. Aside from strep pnuemo what other pathogen should you consider treating for?

Answer 10

H. Flu

Question 11

Rifampin is a prophylactic treatment for contact with which pathogen that causes meningitis?

Answer 11

H. flu type B

Question 12

you have a 20 year old patient who has a meningeal infection. Aside from strep pnuemo you know that ______________ could be another pathogen that most often effects this age group. (type B,C,Y common in US)

Answer 12

Neisseria meningitides

Question 13

Cipro is a prophylactic medication that was probably given to some students at Rutgers university after an outbreak of this pathogen that caused numerous cases of meningitis?

Answer 13

Neisseria Meningitides

Question 14

This pathogen does not have any associated prophylactic medications that can be given to known contacts of those that had meningeal infection of this pathogen

Answer 14

Strep pneumoniae

Question 15

A pregnant patient that loves brie cheese and fresh rocky ford melons is at risk of developing meningitis from that pathogen

Answer 15

Listeria monocytogenes.

present in soft cheese, unpasteurized milk, and contaminated food plants. recent outbreak in rocky ford colorado

Question 16

what anitbiotic is effective at treating Listeria

Answer 16

Ampicillin - it can penetrate the blood brain barrier

Question 17

An aseptic meningitis refers to……

Answer 17

an infection of viral origin. Sometimes caused by West Nile and herpes simplex

Question 18

Flaccid paralysis is a unique finding of which pathogen that causes meningitis

Answer 18

West nile virus

Question 19

to have a dx of menigitis what labs need to be done

Answer 19

CSF analysis, blood cultures, CBC, CMP, coagulation studies

Question 20

Neisseria meningitides is treat by what abx?

Answer 20

ceftriaxone

Question 21

Strep pnuemo is treated by which abx

Answer 21

vanco

Question 22

Haemophilus Influenza is treated by which antibiotic

Answer 22

ceftriaxone

Question 23

WBC: >500
WBC with diff: >75% neutrophils
protein : markedly elevated
Glucose: low <40 mg/dl

Answer 23

Bacterial meningitis findings in CSF

Question 24

WBC: 10-200
WBC with diff: >75% lymphocytes
protein (in csf): may be mildly elevated
Glucose: normal >40 mg/dl

Answer 24

viral meningitis findings in CSF

Question 25

What are the vaccines for meningocococcal meningitis

Answer 25

menomune, menactra, menveo- for types ACY

Trumemba, Bexsero—- for type B

Question 26

What are the vaccines for strep pnuemo

Answer 26

Pnuemovax, prevnar

Question 27

A patient presents with new onset seizures in the last 8 hours. He also has a headache, gait disturbance, and dizziness.
He reports that he eats pork products daily. What could be the cause of his symptoms

Answer 27

Neurocystercircosis, caused by the Taenia solium eggs - pork tape worm

Question 28

Neurocystercircosis can be chronic in which case you have to control the seizures, but it could be in active parasite phase, what medication is used to treat the active parasite?

Answer 28

Albendazole