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28 Cards in this Set
- Front
- Back
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The CSF is located between the ______ and the ___________ |
Pia matter and the Arachanoid |
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Meningitis is an inflammatory disease of the ________________ |
Leptomeninges |
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Bacterial meningitis can come from 2 sources: |
1) Community-acquired 2) Healthcare-associated post neuro-surgical |
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Bacterial meningitis, community acquired, less than 1 month old, 3 main pathogens |
GEL: 1) Group B strep 2) E-Coli 3) Listeria |
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Bacterial meningitis, community acquired, 1 month - 3 months old, 1 main pathogen |
Strep. pneumonia |
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Which Ab targets Strep. pneumonia in the context of bacterial meningitis? |
Vancomycin |
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Which Ab targets Listeria in the context of bacterial meningitis |
Penicillin |
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In which age group is listeria NOT included as a potential pathogen to cause bacterial meningitis? |
23 months - 50 years old |
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In which age group is Strep. pneumo NOT included as a potential pathogen to cause bacterial meningitis? |
0-1 month old (neonates) |
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3 risk factors for bacterial meningitis caused by Neisseria |
1) Terminal complement deficiency 2) Functional or anatomic asplenia 3) Household exposure to an infected person |
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Accounts for less than 5% of meningitis cases (bacterial) |
H. Influenzae |
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Accounts for 2%-8% of bacterial meningitis cases |
Listeria |
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Iron is a growth factor for which type of bacteria |
Listeria |
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Most common cause of bacterial meningitis in neonates |
Group B strep AKA agalactiae |
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Isolated from vaginal or rectal cultures in 15%-35% of asymptomatic pregnant women |
Group B strep |
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Healthcare associated meningitis is mostly caused by |
Pseudomonas aeruginosa |
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____________ accounts for 85%-95% of viral meningitis |
Enterovirus (echovirus and coxsackievirus) |
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Triad of symptoms in Adult meningitis |
Fever, headache, neck stiffness |
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In the context of bacterial meningitis, a rash suggests the presence of _______________ bacteria |
Neisseria meningitis |
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IV dexamethasone is recommended for meningitis caused by: (2) |
1) H. Influenzae (decreases hearing loss) 2) Strep. pneumoniae (lowers mortality and also protects against hearing loss) |
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Public health implications in meningitis are associated with: 3 pathogens |
1) Neisseria 2) H. Influenza 3) Listeria |
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Encephalitis is an inflammatory process of the brain ____________ |
Parenchyma |
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T or F, there is altered mental status in encephalitis |
TRUE. Not the case in meningitis |
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Main cause of encephalitis |
Viral, HSV 1 |
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T or F, nuchal rigidity is absent in encephalitis |
TRUE |
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Which lab diagnostic test has the most sensitivity in diagnosing encephalitis? |
PCR |
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What specific finding on the MRI and EEG are found in Herpex simplex encephalitis? |
Temporal lobe involvement (increased intensity in that area) |
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Starting an empiric therapy consisting of ____________ as soon as possible in encephalitis will decrease mortality and morbidity significantly. |
Acyclovir |
