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Tuberculous meningitis: Quiz

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Question 1: The treatment of TB meningitis is ________, rifampicin, pyrazinamide and ethambutol for two months, followed by isoniazid and rifampicin alone for a further ten months.
VancomycinCefaclorIsoniazidCycloserine

Question 2: Cg+ S. aureus (Staphylococcal scalded skin syndrome, ________, MRSA)
ErysipelasDiphtheriaToxic shock syndromeAnthrax

Question 3: Diagnosis of TB meningitis is made by analysing CSF collected by ________.
SurgeryNervous systemNeurosurgeryLumbar puncture

Question 4: A, bacitracin susceptible: S. pyogenes (Scarlet fever, Erysipelas, ________, Streptococcal pharyngitis)
Subacute bacterial endocarditisRheumatic feverTuberculous pericarditisMyocarditis

Question 5: ________ of the meninges is the cardinal feature and the inflammation is concentrated towards the base of the brain.
CorynebacteriumMycobacterium tuberculosisClostridium difficileMycobacterium leprae

Question 6: [6] A few patients may require immunomodulatory agents such as ________.
LeflunomideThalidomideMethotrexateLenalidomide

Question 7: ________ occurs as a complication in about a third of patients with TB meningitis and will require a ventricular shunt.
SyringomyeliaCentral nervous system cystHydrocephalusPorencephaly

Question 8: It is rare and unusual for TB of the spine to cause TB of the ________, but isolated cases have been described.
NeuronGrey matterWhite matterCentral nervous system

Question 9: Confusion is a late feature and ________ bears a poor prognosis.
ICD-10 Chapter XVIII: Symptoms, signs and abnormal clinical and laboratory findingsAmnesiaPersistent vegetative stateComa

Question 10: Tuberculous meningitis is ________ infection of the meninges—the system of membranes which envelops the central nervous system.
CorynebacteriumClostridium difficileMycobacterium lepraeMycobacterium tuberculosis







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