1 CNS Infection TutoringAlaina Darby

2 RS is a 2 week old WF who is suspected to have meningitisRS is a 2 week old WF who is suspected to have meningitis. Which pathogen is most likely? S. pneumonia N. meningitidis L. monocytogenes H. influenza C

3 HF is a 45 year old WM with a history of smokingHF is a 45 year old WM with a history of smoking. He is suspected to have meningitis. Which pathogen is most likely? S. pneumonia N. meningitidis L. monocytogenes H. influenza B

4 NT is a 16 month old WF who had a ventriculoperitoneal shunt is suspected to have meningitis. Which pathogen is most likely? S. pneumonia N. meningitidis L. monocytogenes H. influenza A

5 MT would at the least risk of developing meningitis with which of the following infections?Sinus infection Pneumonia Otitis media Pharyngitis B

6 Which of the following patients has the least risk of death from meningitis?5 yo with S. aureus infection 5 yo with S. pneumo infection 5 mo with H. flu infection 5 mo with N. meningitidis infection A

7 Which of the following patients is most likely to have neurological deficits from meningitis?5 yo with S. aureus infection 5 yo with S. pneumo infection 5 mo with H. flu infection 5 mo with N. meningitidis infection B

8 Which of the following patients is most likely to have hearing loss from meningitis?5 yo with S. aureus infection 5 yo with S. pneumo infection 5 mo with H. flu infection 5 mo with N. meningitidis infection B or C

9 RS is a 2 week old WF who is suspected to have meningitisRS is a 2 week old WF who is suspected to have meningitis. Which of the following symptoms is most likely to be absent? Poor feeding Elevated temperature Irritability Rash B

10 BR has had a rash and N/V lasting for 10 daysBR has had a rash and N/V lasting for 10 days. Which pathogen is most likely? N. meningitidis S. pneumonia T. pallidium H. flu C

11 After 8 days of symptoms and a CSF that shows 800 WBCs with 125 mg/dL protein and 35 mg/dL glucose. What type of infection could this be? Subacute bacterial Subacute viral Chronic bacterial Chronic viral D

12 After 5 days of symptoms and a CSF that shows 4,000 WBCs with 125 mg/dL protein and 35 mg/dL glucose. What type of infection could this be? Subacute bacterial Subacute viral Chronic bacterial Chronic viral A

13 After 5 days of symptoms and a CSF that shows 4,000 WBCs with 125 mg/dL protein and 35 mg/dL glucose. What test would be best to confirm if it is bacterial? PCR PCT CIE CRP B

14 Which of the following is the most likely cause of bacterial meningitis?N. meningitidis S. pneumonia T. pallidium H. flu B

15 Which of the following medications has low protein binding and low molecular weight?Metronidazole Ciprofloxacin Vancomycin Gentamycin A

16 Which of the following would be most likely to be administered through an Ommaya reservoir?Metronidazole Ciprofloxacin Vancomycin Gentamycin A

17 TR is 77 yo and presents with meningitis symptomsTR is 77 yo and presents with meningitis symptoms. What would be appropriate treatment? Vanc + ceftriaxone Ceftriaxone + ampicillin Vanc +ampicillin Vanc + ceftriaxone + ampicillin D

18 JD is 2 weeks old and presents with meningitis symptomsJD is 2 weeks old and presents with meningitis symptoms. What would be appropriate treatment? Vanc + ceftriaxone Ceftriaxone + ampicillin Vanc +ampicillin Vanc + ceftriaxone + ampicillin B

19 TR is 6 yo and presents with meningitis symptomsTR is 6 yo and presents with meningitis symptoms. What would be appropriate treatment? Vanc + ceftriaxone Ceftriaxone + ampicillin Vanc +ampicillin Vanc + ceftriaxone + ampicillin A

20 JN is a 6 week old WF who just underwent neurosurgeryJN is a 6 week old WF who just underwent neurosurgery. She has developed meningitis that cultures GNRs. How should it be treated? Vanc + ceftriaxone Ceftriaxone + gentamycin Ampicillin + gentamycin Penicillin G B

21 BD has meningitis that cultures N. meningitisBD has meningitis that cultures N. meningitis. What is the least likely presentation or complication? Seizure Rash Deafness Amputation A

22 BD has meningitis that cultures N. meningitis. How should he be treated?Ceftriaxone x 7 days Ceftriaxone x 14 days Penicillin G x 7 days Penicillin G x 14 days C

23 BD has meningitis that cultures H. flu and is beta-lactamase positiveBD has meningitis that cultures H. flu and is beta-lactamase positive. How should he be treated? Ceftriaxone x 7 days Ceftriaxone x 14 days Penicillin G x 7 days Penicillin G x 14 days A

24 Which patient should be given dexamethasone?4 week old with H. flu 2 month old with N. meningitis 4 week old with L. monocytogenes 2 month old with S. pneumo D

25 RS is a 22 yo WF who is pregnant and was seated next to someone who was found to have N. meningitis on an overseas flight. How should you prophylax? Rifampin Ceftriaxone Ciprofloxacin No prophylaxis necessary B