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The following questions include a statement of assertion and a statement of reasoning. Determine whether the statements are true or false, and the correlation between them.
CNS Infection Test.
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Question 1 of 5
1. Question
Assertion: If a patient presents with fever, back pain and spinal tenderness, they should be investigated with an MRI
BECAUSE
Reason: this is a classic presentation for spinal epidural abscess and an MRI with gadolinium is the best investigation
CorrectIncorrect -
Question 2 of 5
2. Question
Assertion: When meningitis is suspected, dexamethasone is given immediately prior to starting antibiotics
BECAUSE
Reason: Steroids cause hyperglycaemia
CorrectIncorrect -
Question 3 of 5
3. Question
Assertion: If there is a non-blanching, purpuric rash with meningitis, the cause is certain to be neisseria meningitidisBECAUSE
Reason: neisseria meningitidis always causes a characteristic rash
CorrectIncorrect -
Question 4 of 5
4. Question
Assertion: For suspected meningitis, benzyl penicillin should be given if patients have had a recent hospitalisation, in addition to dexamethasone, ceftriaxone and aciclovir
BECAUSE
Reason: Listeria is intrinsically resistant to cephalosporins, therefore benzyl penicillin is needed as well
CorrectIncorrect -
Question 5 of 5
5. Question
Assertion: A drowsy patient with fever, headache and meningism should have an CT prior to an LP
BECAUSE
Reason: To diagnose a brain abscess you usually require a CT as well as an MRI
CorrectIncorrect
Assertion: If there is a non-blanching, purpuric rash with meningitis, the cause is certain to be neisseria meningitidis