Meningitis Children

8 Questions | Total Attempts: 222

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Meningitis Children

Meningitis, encephalitis in clinical paediatric practice


Questions and Answers
  • 1. 
    • A. 

      An absence of bacteria on gram film excludes bacterial meningitis

    • B. 

      A normal white cell count and a normal glucose exclude meningitis

    • C. 

      A predominance of neutrophils indicates bacterial infection

    • D. 

      Febrile children without meningitis can have up to 48% neutrophils and a low glucose in their CSF

    • E. 

      You should correct the white cell count according to how many red cells you see, otherwise a blood stained tap will have an artificially high count

  • 2. 
    • A. 

      Erratic breathing pattern

    • B. 

      Petechial rash (but with normal platelets and coagulation)

    • C. 

      Hypertension

    • D. 

      Double vision

    • E. 

      Impaired conscious level

  • 3. 
    Regarding investigations in meningitis:  (Tick the one correct answer):
    • A. 

      CT scanning is a good way of excluding raised intracranial pressure

    • B. 

      Antibiotics prior to LP make it difficult to diagnose bacterial meningitis

    • C. 

      Blood cultures are not very useful in meningitis

    • D. 

      Latex antigen tests are helpful when culture/microscopy are negative

    • E. 

      Coning can happen in meningitis without lumbar puncture

  • 4. 
    • A. 

      He should have an LP to exclude meningitis

    • B. 

      Seizures can cause CSF abnormalities even if there is no CNS infection

    • C. 

      Partial, multiple or prolonged (over 30 mins) seizures make the diagnosis of febrile convulsion less likely

    • D. 

      Classic meningism may not be detected in infants with meningitis

  • 5. 
    In a child with meningitis, the following are reliable indicators of a bacterial rather than a viral cause: (tick all that apply)
    • A. 

      CSF Protein = 1

    • B. 

      CSF Glucose = 2.5

    • C. 

      Blood WBC = 25

    • D. 

      CRP = 50

  • 6. 
    A child presents with fever, progressive deterioration in conscious level, and partial seizures. Regarding investigations for encephalitis, the following are true:
    • A. 

      EEG is abnormal in more than 80%

    • B. 

      EEG abnormalities are seen particularly in the temporal lobes

    • C. 

      MRI is the best imaging technique

    • D. 

      Normal CSF and negative PCR excludes HSV encephalitis

  • 7. 
    In HSV encephalitis the following are true:
    • A. 

      A history of previous cold sores makes HSV unlikely

    • B. 

      With aciclovir, mortality is less than 10%

    • C. 

      Aphasia and focal neurological signs are common

    • D. 

      Long term complications are common in survivors

  • 8. 
    • A. 

      Varicella zoster virus; encephalitis can occur without chickenpox rash

    • B. 

      Enterovirus; cause winter epidemics

    • C. 

      Mumps and measles; if unimmunized

    • D. 

      West Nile Virus is an important cause of encephalitis in Florida

    • E. 

      Acute disseminated encephalomyelitis (ADEM) is distinguised by spinal cord signs and multiple focal white matter abnormalities