A 43-year-old male complaining of severe headache and fever, exam shows neck stiffness. CSF analysis shows WBC 100(70% lymphocytes), high protein 150 and normal glucose. What is the appropriate treatment?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: C. Acyclovir
CSF with a modest lymphocytic pleocytosis, raised protein and normal glucose is the viral pattern (bacterial meningitis gives very high neutrophils and low glucose). The course summary lists IV acyclovir for viral CNS infection, given empirically while HSV PCR is awaited. Ceftriaxone + vancomycin (± dexamethasone) is the bacterial regimen and is not indicated by this CSF; dexamethasone has no role with acyclovir here.
ليش كل خيار صح أو غلط
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A
ليش غلط
Ceftriaxone + vancomycin is the bacterial regimen; bacterial CSF shows hundreds to thousands of neutrophils, while this CSF is lymphocyte-predominant (70%) with normal glucose.
✓ 3- CNS infections Y4C.pdf · p. 9 -
B
ليش غلط
Ceftriaxone, vancomycin and dexamethasone is the bacterial meningitis regimen (neutrophils, low glucose). This CSF has lymphocytes and normal glucose, which fits viral meningitis.
✓ CNS infection.pdf · p. 2 -
C
ليش صح
Lymphocytes with normal glucose is the viral CSF pattern, and the course summary treats viral CNS infection with IV acyclovir.
✓ CNS infection.pdf · p. 2 -
D
ليش غلط
Acyclovir is the right drug for the viral pattern, but dexamethasone is listed only with the bacterial regimen (S. pneumoniae, H. influenzae) and TB, not with viral treatment.
✓ CNS infection.pdf · p. 2
- المصدر
- CNS infection.pdf · p. 2
3- CNS infections Y4C.pdf · p. 8 - المحاضرة
- CNS Infections · Neurology · Module C
- ظهر في
- MED42 Compre C · MED41 ♂ EOM C · MED41 ♀ EOM C