Meningitis and Spinal TB Quiz

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Questions and Answers

Which group of individuals is considered more susceptible to meningitis?

  • Individuals with a healthy lifestyle
  • Infants, young children, and older adults (correct)
  • Teenagers and young adults
  • Middle-aged individuals with no history of illness

What is a common neurological deficit associated with spinal TB?

  • Hearing impairment
  • Loss of vision
  • Difficulty in swallowing
  • Loss of bowel and bladder control (correct)

What clinical manifestation may indicate meningitis in an infant?

  • Increased appetite
  • Bulging fontanelle (correct)
  • Stable heart rate
  • Normal temperature

What is the primary goal of care for a patient with TB of the spine?

<p>Eliminate the infection (A)</p>
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Kernig’s sign is indicative of meningitis when it presents as:

<p>Resistance to knee extension when the hip is flexed (C)</p>
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Which underlying medical condition increases the risk of meningitis?

<p>Sickle cell disease (C)</p>
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Which of the following is a recommended approach for managing pain in spinal TB?

<p>Use prescribed analgesics (A)</p>
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How should a patient with spinal TB be initially managed to ensure safety?

<p>Immobilize the entire spine (C)</p>
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What symptom is most commonly associated with increased sensitivity to light in meningitis patients?

<p>Photophobia (A)</p>
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What is an important aspect of long-term care for patients undergoing treatment for spinal TB?

<p>Regular follow-up visits (B)</p>
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Which of the following is NOT a risk factor for meningitis?

<p>Consuming a healthy diet (A)</p>
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What type of rash is often associated with meningococcal meningitis?

<p>Petechial or purpuric rash (B)</p>
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What type of spinal support device may be used for severe cases of spinal TB?

<p>Halo devices or orthotic braces (C)</p>
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Which of the following symptoms is least likely to present with meningitis?

<p>Increased thirst (D)</p>
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Why is it important to complete the full TB treatment regimen?

<p>To eliminate the infection and prevent relapse (D)</p>
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Which of the following is NOT a goal of care for TB of the spine?

<p>Increase medication resistance (A)</p>
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What type of meningitis is primarily caused by bacterial pathogens and is highly contagious?

<p>Bacterial meningitis (A)</p>
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Which type of meningitis generally resolves on its own within a week and is caused by viruses?

<p>Viral meningitis (D)</p>
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What is the primary cause of fungal meningitis?

<p>Fungi like Cryptococcus (B)</p>
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Which type of meningitis is typically caused by autoimmune diseases or certain medications?

<p>Non-infectious meningitis (D)</p>
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Which pathogen is NOT a common cause of bacterial meningitis?

<p>Candida (C)</p>
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What is a common risk factor for fungal meningitis?

<p>Immunocompromised state (C)</p>
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How is parasitic meningitis primarily acquired?

<p>Contaminated food or water (B)</p>
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What is a common outcome for patients with bacterial meningitis?

<p>Severe complications (D)</p>
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What is the appearance of cerebrospinal fluid (CSF) in bacterial meningitis?

<p>Cloudy (A)</p>
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Which of the following lab values is typically decreased in bacterial meningitis?

<p>Glucose levels (D)</p>
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What is an indication for conducting surgery on a patient with spinal TB?

<p>Spine instability due to kyphotic deformity (B)</p>
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What imaging studies should be performed before a lumbar puncture if there are signs of increased intracranial pressure?

<p>CT or MRI of the brain (A)</p>
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Which surgical procedure involves the removal of infected tissue and stabilization of the spine?

<p>Debridement (C)</p>
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What type of therapy can be used as a conservative management strategy for spinal TB?

<p>Complete bed rest (A)</p>
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Which test is considered the gold standard for diagnosing meningitis?

<p>CSF analysis via lumbar puncture (B)</p>
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Which of the following complications is associated with meningitis that can lead to chronic issues?

<p>Focal neurological deficits (B)</p>
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Which of the following is a nutritional intervention recommended for patients with TB?

<p>Protein-rich diet (A)</p>
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What role does physical therapy play in the management of spinal TB?

<p>Maintenance of range of motion and strength (D)</p>
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What immediate goal is essential in the management of a patient with meningitis?

<p>Stabilize vital signs and ensure adequate perfusion (B)</p>
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Which alternative therapy may help manage pain and improve quality of life for spinal TB patients?

<p>Acupuncture (A)</p>
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Which of the following is NOT a short-term goal in the management of meningitis?

<p>Restore neurological function (D)</p>
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What type of white blood cells are typically elevated in bacterial meningitis?

<p>Neutrophils (D)</p>
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In the context of TB surgery, what is a corpectomy?

<p>Removal of a portion of the vertebra (D)</p>
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Which of the following statements about strengthening exercises is true in spinal TB management?

<p>They help strengthen the muscles surrounding the spine (D)</p>
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What is the primary purpose of administering dexamethasone in patients with S. pneumonia meningitis?

<p>To reduce inflammation and prevent complications (A)</p>
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Which intervention should be performed if the Glasgow Coma Scale indicates a decline in the motor response?

<p>Inform the on-duty doctor immediately (C)</p>
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In managing a patient with elevated intracranial pressure, which medication would be appropriate as prescribed?

<p>Mannitol (B)</p>
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What is a critical step to take before performing a lumbar puncture on a patient?

<p>Measure random blood sugar (B)</p>
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What is the recommended action if a patient shows signs of having seizures?

<p>Apply side rails for safety (B)</p>
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Which drugs are indicated for fungal meningitis caused by Cryptococcus neoformans?

<p>Amphotericin B and Flucytosine (B)</p>
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What should be monitored to assess the effectiveness of a nasogastric tube feeding in unconscious patients?

<p>Intake and output (B)</p>
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What is a primary medication for antiviral therapy specific to Herpes simplex virus?

<p>Acyclovir (D)</p>
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Flashcards

Debridement (TB Spine)

Surgical removal of infected tissue and bone in the spine.

Spinal Stabilization (TB Spine)

Surgical procedures to stabilize the spine, such as spinal fusion or instrumentation.

Corpectomy (TB Spine)

Surgical removal of a portion of the vertebra.

Late-onset Paraplegia

A serious complication of TB spine that can result in paralysis.

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Meninges

The protective membranes that cover the brain and spinal cord.

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Meningitis

Inflammation of the meninges, causing potential brain damage.

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Bed Rest (TB Spine)

Complete bed rest to reduce pain and prevent further damage in TB spine.

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Bracing (TB Spine)

A brace or orthosis to stabilize the spine and reduce pain in TB spine.

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Abscess Formation in TB of the Spine

Pus-filled sacs that can form around the spine due to TB infection. They may require drainage.

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Neurological Deficits in TB of the Spine

Damage to nerves caused by TB of the spine. Symptoms can include numbness, tingling, and loss of bowel or bladder control.

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Eliminating Tuberculosis Infection

The primary aim of TB of the spine treatment is to completely eradicate the infection.

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Preventing Complications in TB of the Spine

Preventing long-term complications like spinal deformities, nerve damage, and abscess formation through early treatment and regular monitoring.

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Restoring Mobility and Function After TB of the Spine

Using physical therapy and supportive devices to help the patient regain strength and movement after TB of the spine treatment.

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Managing Pain and Symptoms in TB of the Spine

Managing pain and other symptoms associated with TB of the spine to improve comfort and daily functioning.

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Supporting Long-Term Health in TB of the Spine

Ensuring follow-up visits, good nutrition, and self-care practices to support the patient's long-term health after TB of the spine treatment.

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Administering Anti-Tubercular Medications

Administering anti-TB medications like rifampicin, isoniazid, pyrazinamide, and ethambutol on time and at the correct dosage.

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What is meningitis?

Meningitis is inflammation of the meninges, the membranes surrounding the brain and spinal cord.

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What is viral meningitis?

The most common type of meningitis, often caused by viruses like enteroviruses or herpes simplex.

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What is bacterial meningitis?

A serious and potentially life-threatening type of meningitis caused by bacteria like Neisseria meningitidis or Streptococcus pneumoniae.

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What is fungal meningitis?

Meningitis caused by fungi like Cryptococcus or Candida, commonly found in people with weakened immune systems.

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What is parasitic meningitis?

A rare type of meningitis caused by parasites like Naegleria fowleri or Angiostrongylus cantonensis, usually acquired from contaminated water or food.

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What is non-infectious meningitis?

Meningitis caused by autoimmune diseases, cancers, head injuries, or certain drugs. It is not contagious.

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How can meningitis spread?

Meningitis can spread through respiratory droplets, close contact, fecal-oral routes, respiratory secretions, or contaminated surfaces.

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What are potential complications of meningitis?

Complications of meningitis can include hearing loss, brain damage, seizures, and even death.

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Neck Stiffness (Nuchal Rigidity)

It's like a stiff neck, but way more serious. You can't bend your neck without pain.

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Photophobia

Extreme sensitivity to light, making it painful to be in bright environments. Think of the sun being too intense on a sunburn.

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Altered Mental Status

This means your brain isn't functioning normally. You might feel confused, drowsy, or have trouble thinking clearly.

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Seizures

These are sudden, uncontrolled electrical bursts in the brain, which can cause convulsions or loss of consciousness.

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High-Risk Groups: Infants

Infants are more susceptible to meningitis, making them more vulnerable to brain infections.

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High-Risk Groups: Older Adults

Older adults are also more vulnerable to meningitis because their immune system isn't as strong as it used to be.

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S. pneumoniae Meningitis

A severe form of meningitis caused by the bacteria Streptococcus pneumoniae. It can lead to serious complications if untreated.

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Amphotericin B

A type of antifungal medication used to treat fungal meningitis caused by Cryptococcus neoformans. It works by killing the fungus.

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Acyclovir

A type of antiviral medication used to treat meningitis caused by Herpes simplex virus (HSV) or Varicella-Zoster virus (VZV). It works by stopping the virus from replicating.

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Dexamethasone

A type of medication used to reduce inflammation and prevent complications like hearing loss in bacterial meningitis. It's important to use it early in the treatment.

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Mannitol

A medication used to reduce high intracranial pressure in meningitis. It helps to remove excess fluid from the brain.

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Phenytoin

A medication used to treat seizures in meningitis. It prevents the brain from having abnormal electrical activity.

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Hypertonic Saline

A type of medication used to reduce high intracranial pressure in meningitis. It's a type of saline solution that draws water out of the brain.

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Lumbar Puncture (CSF Analysis)

A procedure that involves extracting cerebrospinal fluid (CSF) from the spinal canal using a needle. It is a crucial diagnostic test for meningitis, allowing for analysis of the fluid to identify the cause of the infection.

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Cloudy CSF Appearance

A cloudiness in the CSF, often indicative of a bacterial infection causing meningitis.

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Elevated White Blood Cell Count

An increase in the number of white blood cells in the CSF, especially neutrophils (polymorphs), suggesting a bacterial infection. Conversely, an increase in lymphocytes often points towards viral or fungal meningitis.

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Increased CSF Protein Levels

Elevated protein levels in the CSF can signal inflammation associated with bacterial or fungal meningitis.

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Decreased CSF Glucose Levels

Lowered CSF glucose levels are often observed in bacterial and fungal meningitis, while viral meningitis usually shows normal glucose levels.

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Serological Tests for Meningitis

A test using antibodies to detect specific pathogens like Cryptococcus in the CSF.

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Rapid Antigen Tests for Meningitis

A type of test that can rapidly identify the cause of bacterial meningitis by detecting specific bacterial antigens in CSF or urine.

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