Unit 2: Meningitis and Encephalitis Flashcards

1
Q

L1: Which cause of viral meningitis does not have a targeted therapy?

A

WNV

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2
Q

L2: In bacterial meningitis CSF, WBCs are ______, glucose is _______, and there is a predominance of _______ in the CSF

A

increased; decreased; PMNs

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3
Q

L2: In bacterial meningitis, ______ may be useful in treatment of _______ cases when administered prior to or with the start of antibiotics

A

steroids; strep pneumoniae

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4
Q

L2: In viral meningitis CSF, WBCs are ______, glucose is _______, and there is a predominance of _______ in the CSF

A

increased; normal; lymphocytes

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5
Q

L2: Most common cause of bacterial meningitis in adults older than 35

A

Strep Pneumoniae

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6
Q

L2: Most common cause of bacterial meningitis in neonates

A

Group B strep

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7
Q

L2: Most common cause of bacterial meningitis in patients 2-23 months

A

Strep Pneumoniae

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8
Q

L2: Most common cause of bacterial meningitis in patietnts 2-35 years

A

Neisseria Meningitidis

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9
Q

L2: Most common viruses in viral encephalitis (2)

A

Arboviruses, HSV-1

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10
Q

L2: What cause of bacterial meningitis is more common in elderly patients than other adults?

A

Listeria

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11
Q

L2: What sign? Passive flexion of the neck causes flexion of the hips and knees

A

Brudzinski’s

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12
Q

L2: What sign? Supine patient: flex thigh to abdomen, passive extension of leg, patient resists extension due to pain

A

Kernig’s

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13
Q

L3: Classic Triad in Meningitis

A

Neck stiffness, headache, fever

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14
Q

L3: Diagnostic tests for viral meningitis

A

PCR, CSF IgM for WNV

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15
Q

L3: Most common viruses in viral meningitis (3)

A

Enteroviruses, HSV-2, Arboviruses (WNV)

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16
Q

L3: What is the treatment of bacterial meningitis in children or adults?

A

Vancomycin, ceftriaxone

17
Q

L3: What is the treatment of bacterial meningitis in elderly?

A

Vancomycin, ceftriaxone, ampicillin

18
Q

L3: What is the treatment of bacterial meningitis in immunocompromised patients?

A

Vancomycin, cefepime or meropenem, +/- ampicillin

19
Q

L3: What is the treatment of bacterial meningitis in neonates?

A

Ampicilin, cefotaxime or aminoglycoside

20
Q

L4: Clinical Features of viral encephalitis (5)

A

Headache, fever, altered consciousness, seizures, focal neurologic signs