Meningitis Mastery

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A_med quiz on bacterial meningitis basics.

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Quader Ahmed Jalili

India

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Meningitis Mastery


Froggy Jumps Meningitis MasteryOnline version A_med quiz on bacterial meningitis basics. by Quader Ahmed Jalili 1 Which organism is the most common cause of acute bacterial meningitis in adults? a Neisseria meningitidis b Streptococcus pneumoniae c Haemophilus influenzae 2 Neonatal meningitis is most commonly caused by which pathogen? a E. coli b Group B Streptococcus (S. agalactiae) c Listeria monocytogenes 3 Which sign is classic for meningitis? a Hyperesthesia b Nuchal rigidity c Bradycardia 4 CSF in bacterial meningitis typically shows: a Elevated protein and neutrophilic pleocytosis b Normal glucose and no cells c Low protein and lymphocytic predominance 5 Empirical therapy for adults with suspected pyogenic meningitis includes: a Amoxicillin alone b Cefotaxime or Ceftriaxone + Vancomycin c Azithromycin + Cefalexin 6 Which organism is a common cause of meningitis in the elderly? a Listeria monocytogenes b Neisseria gonorrhoeae c Streptococcus pyogenes 7 Which vaccine targets major meningococcal serogroups? a Live attenuated vaccine b Toxoid vaccine c Conjugate capsular vaccine 8 Meningitis caused by Neisseria meningitidis is primarily spread by: a Fecal-oral route b Droplet inhalation c Blood transfusion 9 CSF might show high opening pressure in: a Tuberculous meningitis b Viral meningitis c Pyogenic meningitis 10 The Waterhouse-Friderichsen syndrome is associated with: a Meningococcemia b Lyme neuroborreliosis c Tuberculous meningitis 11 Listeria meningitis treatment of choice is: a Ceftriaxone alone b Vancomycin alone c Ampicillin + gentamicin 12 In chronic meningitis, a common cause is: a Staphylococcus aureus b Pseudomonas aeruginosa c Mycobacterium tuberculosis 13 Tuberculous meningitis often shows CSF with: a High protein and low glucose b Low protein and high glucose c Normal protein and glucose 14 Which lab test helps rapidly identify meningococcal serogroups? a Multiplex PCR b Serology no longer used c Gram stain only 15 Vancomycin is added empirically to cover: a Streptococcus pneumoniae and resistant strains b Listeria monocytogenes only c Neisseria meningitidis only 16 Meningitis with a non-blanching petechial rash suggests: a Meningococcemia b Tuberculous meningitis c Lyme meningitis 17 Which CSF finding is least typical of bacterial meningitis? a Low protein b Elevated protein c Neutrophilic pleocytosis 18 First-line therapy for suspected neonatal meningitis includes: a Ampicillin + gentamicin b Ceftriaxone monotherapy c Azithromycin + amoxicillin 19 Which organism is associated with post-neurosurgical meningitis? a Listeria monocytogenes b Neisseria meningitidis c Staphylococcus aureus 20 PCR-based tests in meningitis commonly target: a RBC genes only b tRNA genes only c lytA, ply, ctrA, bexA genes 21 Haemophilus influenzae meningitis is most risky in: a Children under 2 years b Adults over 60 c Newborns only 22 Meningitis imaging may show: a Ischemic stroke only b Hydrocephalus and basal cistern enhancement c Skull fracture 23 Which bacteria is a leading cause of meningitis in adults over 20? a Streptococcus pneumoniae b Escherichia coli c Group A Streptococcus 24 Chemoprophylaxis for close contacts of meningococcal cases commonly uses: a Azithromycin b Amoxicillin c Ceftriaxone 25 Stool or urine antigen tests help diagnose meningitis caused by: a Listeria monocytogenes b Neisseria meningitidis c Streptococcus pneumoniae 26 A common cause of neonate meningitis apart from GBS is: a S. aureus b E. coli c N. meningitidis 27 Which CSF finding is typically decreased in bacterial meningitis? a Protein b White cells c Glucose 28 Immunization with polysaccharide vaccines targets: a Listeria serotypes b Streptococcus pneumoniae serotypes c Meningococcal serogroups A, C, Y, W-135 29 Which organism causes Lyme meningitis? a Mycobacterium tuberculosis b Borrelia burgdorferi c Treponema pallidum 30 Which statement is true about chronic meningitis? a Only viruses cause it b All cases resolve without treatment c TB and fungi are common causes 31 N. meningitidis virulence is largely due to: a Toxin A b Flagella c Capsular polysaccharide 32 Which test should CSF be kept at 37°C if culture is delayed? a Incubated at 37°C b Put on ice c Freezer storage 33 Which antibiotic is specifically avoided in listeriosis due to in vivo inactivity? a Ampicillin b Gentamicin c Cephalosporins 34 Which organ system is primarily invaded in meningitis? a Respiratory tract only b Central nervous system leptomeninges c Gastrointestinal tract only 35 Listeria monocytogenes is notable for: a Being acid-fast b Being gram-positive cocci only c Surviving refrigeration

Meningitis Mastery

Froggy Jumps

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Meningitis MasteryOnline version

by Quader Ahmed Jalili

Which organism is the most common cause of acute bacterial meningitis in adults?

Neonatal meningitis is most commonly caused by which pathogen?

Which sign is classic for meningitis?

CSF in bacterial meningitis typically shows:

Empirical therapy for adults with suspected pyogenic meningitis includes:

Which organism is a common cause of meningitis in the elderly?

Which vaccine targets major meningococcal serogroups?

Meningitis caused by Neisseria meningitidis is primarily spread by:

CSF might show high opening pressure in:

The Waterhouse-Friderichsen syndrome is associated with:

Listeria meningitis treatment of choice is:

In chronic meningitis, a common cause is:

Tuberculous meningitis often shows CSF with:

Which lab test helps rapidly identify meningococcal serogroups?

Vancomycin is added empirically to cover:

Meningitis with a non-blanching petechial rash suggests:

Which CSF finding is least typical of bacterial meningitis?

First-line therapy for suspected neonatal meningitis includes:

Which organism is associated with post-neurosurgical meningitis?

PCR-based tests in meningitis commonly target:

Haemophilus influenzae meningitis is most risky in:

Meningitis imaging may show:

Which bacteria is a leading cause of meningitis in adults over 20?

Chemoprophylaxis for close contacts of meningococcal cases commonly uses:

Stool or urine antigen tests help diagnose meningitis caused by:

A common cause of neonate meningitis apart from GBS is:

Which CSF finding is typically decreased in bacterial meningitis?

Immunization with polysaccharide vaccines targets:

Which organism causes Lyme meningitis?

Which statement is true about chronic meningitis?

N. meningitidis virulence is largely due to:

Which test should CSF be kept at 37°C if culture is delayed?

Which antibiotic is specifically avoided in listeriosis due to in vivo inactivity?

Which organ system is primarily invaded in meningitis?

Listeria monocytogenes is notable for: