Mcq on meningitis

Check out each question carefully and pick the best answer. You are offered one minute per question. Invest your time carefully! The nurse would plan to place the client in which position for the procedure? Prone, with a pillow under the abdomen. A client admitted to the hospital with a subarachnoid hemorrhage has complaints of severe headache, nuchal rigidity, and projectile vomiting. The nurse knows lumbar puncture LP would be contraindicated in this client in which of the following circumstances?

Which lobe could be dysfunctional? Occipital Frontal Temporal Parietal. A nurse is planning care for a child with acute bacterial meningitis.

Chapter 14: Multiple Choice Questions

Based on the mode of transmission of this infection, which of the following would be included in the plan of care? Maintain enteric precautions Maintain respiratory isolation precautions for at least 24 hours after the initiation of antibiotics Maintain neutropenic precautions No precautions are required as long as antibiotics have been started.

During the acute stage of meningitis, a 3-year-old child is restless and irritable. Which of the following would be most appropriate to institute? Performing treatments quickly Allowing the child to play in the bathtub Limiting conversation with the child Keeping extraneous noise to a minimum.

Ataxia and confusion Urinary incontinence Tonic-clonic seizure Sodium depletion. A client with subdural hematoma was given mannitol to decrease intracranial pressure ICP.

Meningitis - causes, symptoms, diagnosis, treatment, pathology

Which of the following results would best show the mannitol was effective? BUN and creatinine levels return to normal Pupils are 8 mm and nonreactive Systolic blood pressure remains at mm Hg Urine output increases.

When interviewing the parents of a 2-year-old child, a history of which of the following illnesses would lead the nurse to suspect pneumococcal meningitis? Septic arthritis Middle ear infection Bladder infection Fractured clavicle. A nurse is assisting with caloric testing of the oculovestibular reflex of an unconscious client. Cold water is injected into the left auditory canal.

The client exhibits eye conjugate movements toward the left followed by a rapid nystagmus toward the right. The nurse understands that this indicates the client has: A cerebral lesion An intact brainstem A temporal lesion Brain death. The nurse is evaluating the status of a client who had a craniotomy 3 days ago.

Escape the source of pain Decrease the perception of pain Tolerate the pain. The nurse is assessing a child diagnosed with a brain tumor. Which of the following signs and symptoms would the nurse expect the child to demonstrate? Select all that apply. Which of the following would lead the nurse to suspect that a child with meningitis has developed disseminated intravascular coagulation?

Edema Cyanosis Dyspnea on exertion Hemorrhagic skin rash. The nurse is assessing the motor function of an unconscious client. Sternal rub Pressure on the orbital rim Nail bed pressure Squeezing the sternocleidomastoid muscle.Treatment with Natural Herbal Cure. Vaginal Infections.

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Vaginal Discharge. Itching Of the Private Part. Breast Infection.

Infectious Diseases MCQ

Discharge from Breast. Lower Abdominal Pain. No Periods or Periods Suddenly Stop. Women Sexual Problems. Chronic Disease. Pain during Sex inside the Pelvis.

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Pain during Urination. Parkinson disease. Zero sperm count. Quick Ejaculation. Premature Ejaculation. Joint Pain. Weak Erection. Discharge from Penis. Heart Disease. Male Infertility and Female Infertility. Take Action Now.You must have javascript enabled to view this website. Please change your browser preferences to enable javascript, and reload this page. Log In Instructors may log in here to access additional teaching material for this site. Username: Password: Forgot your password?

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Send mail as: TA email: Other email: "Floating" navigation? Drawer speed:. Notes What is this? Add a note 1. By definition, meningitis is an infection of the. All the following are capsulated microorganisms except.

The most important laboratory tests needed to diagnose bacterial meningitis are. Penicillin resistance has been seen in. The pneumococcal vaccine that can be used for patients over 65 years of age is known as. Appropriate initial empirical therapy for H. The microorganism specific to meningitis cases in newborns is. Which of the following lists of medications achieves therapeutic concentrations in the CNS with or without inflammation?

Tuberculous meningitis is often identified by. The most common form of fungal meningitis in the United States is. The use of dexamethasone in meningitis has been questioned due to the.All questions are given in a single page and correct answers, rationales or explanations if any are immediately shown after you have selected an answer. You can also copy this exam and make a print out. A client admitted to the hospital with a subarachnoid hemorrhage has complaints of severe headache, nuchal rigidity, and projectile vomiting.

The nurse knows lumbar puncture LP would be contraindicated in this client in which of the following circumstances? Vomiting continues 2. Intracranial pressure ICP is increased 3. The client needs mechanical ventilation 4. Blood is anticipated in the cerebrospinal fluid CSF.

A client with a subdural hematoma becomes restless and confused, with dilation of the ipsilateral pupil. The physician orders mannitol for which of the following reasons? To reduce intraocular pressure 2. To prevent acute tubular necrosis 3.

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To promote osmotic diuresis to decrease ICP 4. To draw water into the vascular system to increase blood pressure. A client with subdural hematoma was given mannitol to decrease intracranial pressure ICP.

Which of the following results would best show the mannitol was effective? Urine output increases 2. Pupils are 8 mm and nonreactive 3. Systolic blood pressure remains at mm Hg 4. BUN and creatinine levels return to normal. Ataxia and confusion 2. Sodium depletion 3. Tonic-clonic seizure 4.These types of functions are known as. This is known as:. These functions are normally associated with which area of the brain?

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Dementia is one which is characterised by which of the following:. Which of the following is a specific cause that has been identified? Which Part of the brain does this refer to? The infectious agent in vCJD is thought to be which of the following? Deficits in this collection of integrated skills involves which kind of training:. A treatment used with aphasic patients required to communicate without gesturing or pointing is known as:. One such technique is the use of:.

Limb apraxia is a common symptom of left hemisphere damage and consists of a deficit in performing gestures to verbal command or imitation. One form of rehabilitation training for limb apraxia is:.

mcq on meningitis

This is knwn as:. Multiple Choice Questions Your browser does not support Javascript. You should still be able to navigate through these materials but selftest questions will not work. These types of functions are known as a Directive functions b Executive functions c Management functions d Slave functions Correct! Executive Functioning: Processes that are involved in planning and attentional control Incorrect. This is known as: a anterograde amnesia b retrograde amnesia c postevent amnesia d antenatal amnesia Correct!

Anterograde amnesia: Memory loss for information acquired after the onset of amnesia. This is known as: a Retrograde memory dysfunction b Postevent memory dysfunction c Anterograde memory dysfunction. Anterograde memory dysfunction: Memory loss for information acquired after the onset of amnesia.

Aphasia: A speech disorder resulting in difficulties producing or comprehending speech. Fluent aphasia: The production of incoherent, jumbled speech Incorrect.CASE A year-old college student is your next patient in the emergency room.

When you walk into the room, he is lying on the examination table, on his side, with his arm covering his eyes.

mcq on meningitis

The light in the room is off. You look at his chart and see that the nurse recorded his temperature as When you gently ask how he has been feeling, he says that for the past 3 days he has had fever, body aches, and a progressively worsening headache.

The light hurts his eyes and he is nauseated, but he has not vomited. He has had some rhinorrhea, but no diarrhea, cough, or nasal congestion. He has no known ill contacts. On examination, he has no skin rash, but his pupils are difficult to assess because of photophobia.

Ears and oropharynx are normal. Heart, lung, and abdomen examinations are normal. Neurologic examination reveals no focal neurologic deficits, but passive flexion of his neck worsens his headache, and he is unable to touch his chin to his chest. Summary: A year-old college student presents with a 3-day history of fever, headache, myalgias, and nausea. He has no respiratory or gastrointestinal symptoms, but now has developed photophobia. He is febrile to His physical examination is generally unremarkable with a nonfocal neurologic examination but some neck stiffness, suggesting meningeal irritation.

He has no skin lesions as might be seen in meningococcemia. Diagnostic test to confirm diagnosis: Lumbar puncture LP for evaluation of the cerebrospinal fluid CSFpossibly preceded by a computed tomographic CT scan of the head.

NCLEX 24 practice questions: Neuro – ICP, LOC, meningitis

Considerations This year-old college student has headache, nausea, photophobia, fever, and neck pain and stiffness—all suggestive of meningitis, which could be bacterial or viral. In a patient without focal neurologic signs and a normal level of consciousness, CT scan may be unnecessary prior to performing an LP.

If he had a purpuric skin rash, one would be suspicious of Neisseriameningitis, and appropriate antibiotics should be administered immediately. Dosing of antibiotics in suspected meningococcal infection should not await the performance of any diagnostic test because progression of the disease is rapid, and mortality and morbidity are extremely high even when antibiotics are given in a timely manner.

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On fundoscopic examination, the optic disc margin appears hazy. Bacterial meningitis is the most common pus-forming intracranial infection, with an incidence of 2. The microbiology of the disease has changed somewhat since the introduction of the Haemophilus influenzae type B vaccine in the s. Now Streptococcus pneumoniaeis the most common bacterial isolate, with Neisseria meningitidisa close second.

Resistance to penicillin and some cephalosporins is now of great concern in the treatment of S pneumoniae. Bacteria usually seed the meninges hematogenously after colonizing and invading the nasal or oropharyngeal mucosa.

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Occasionally, bacteria directly invade the intracranial space from a site of abscess formation in the middle ear or sinuses. The gravity and rapidity of progression of disease depend upon both host defense and organism virulence characteristics. For example, patients with defects in the complement cascade are more susceptible to invasive meningococcal disease. Patients with CSF rhinorrhea caused by trauma or postsurgical changes may also be more susceptible to bacterial invasion. Staphylococcus aureusandStaphylococcus epidermidisare common causes of meningitis in patients following neurologic proceduressuch as placement ofventriculoperitoneal shunts.

The brisk host inflammatory response in the subarachnoid space may cause edema, vasculitis, and coagulation of vessels, leading to severe neurologic complications including seizures, increased intracranial pressure, and stroke. Acute bacterial meningitis can progress over hours to days. Typical symptoms include fever, neck stiffness, and headache.CASE A year-old college student is your next patient in the emergency room.

When you walk into the room, he is lying on the examination table, on his side, with his arm covering his eyes. The light in the room is off. You look at his chart and see that the nurse recorded his temperature as When you gently ask how he has been feeling, he says that for the past 3 days he has had fever, body aches, and a progressively worsening headache. The light hurts his eyes and he is nauseated, but he has not vomited.

He has had some rhinorrhea, but no diarrhea, cough, or nasal congestion. He has no known ill contacts. On examination, he has no skin rash, but his pupils are difficult to assess because of photophobia.

Ears and oropharynx are normal. Heart, lung, and abdomen examinations are normal. Neurologic examination reveals no focal neurologic deficits, but passive flexion of his neck worsens his headache, and he is unable to touch his chin to his chest. Summary: A year-old college student presents with a 3-day history of fever, headache, myalgias, and nausea. He has no respiratory or gastrointestinal symptoms, but now has developed photophobia.

mcq on meningitis

He is febrile to His physical examination is generally unremarkable with a nonfocal neurologic examination but some neck stiffness, suggesting meningeal irritation. He has no skin lesions as might be seen in meningococcemia.

Block 13 CNS Infections MCQ's

Diagnostic test to confirm diagnosis: Lumbar puncture LP for evaluation of the cerebrospinal fluid CSFpossibly preceded by a computed tomographic CT scan of the head. Considerations This year-old college student has headache, nausea, photophobia, fever, and neck pain and stiffness—all suggestive of meningitis, which could be bacterial or viral.

In a patient without focal neurologic signs and a normal level of consciousness, CT scan may be unnecessary prior to performing an LP. If he had a purpuric skin rash, one would be suspicious of Neisseriameningitis, and appropriate antibiotics should be administered immediately. Dosing of antibiotics in suspected meningococcal infection should not await the performance of any diagnostic test because progression of the disease is rapid, and mortality and morbidity are extremely high even when antibiotics are given in a timely manner.

On fundoscopic examination, the optic disc margin appears hazy. Bacterial meningitis is the most common pus-forming intracranial infection, with an incidence of 2. The microbiology of the disease has changed somewhat since the introduction of the Haemophilus influenzae type B vaccine in the s.


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