Neurology — Flashcards

Flashcard 451: Vaccination against meningococcus groups A, C, W, Y is given _____

Answer: at 14 years old (school Year 9)

Flashcard 452: Initial antibiotics for Listeria monocytogenes meningitis is _____

Answer: IV amoxicillin + gentamicin

Flashcard 453: _____ is a condition that involves inflammation of the leptomeninges caused by fungi

Answer: Fungal meningitis

Flashcard 454: What is the diagnostic investigation for bacterial meningitis? _____

Answer: LP → CSF findings

Flashcard 455: Use _____ to aid decision making about management in herniated discs / sciatica

Answer: STarT back risk assessment tool

Flashcard 456: For viral meningitis a CSF-_____ is gold-standard for identifying the underlying organism

Answer: PCR

Flashcard 457: _____ meningitis CSF appears turbid

Answer: Bacterial

Flashcard 458: What is the diagnostic investigation for fungal meningitis? _____

Answer: LP → CSF findings

Flashcard 459: _____ meningitis is associated with CSF findings: lymphocyte predominance (or sometimes mixed) ↑ protein ↓ glucose

Answer: Fungal

Flashcard 460: Initial antibiotics for meningococcal meningitis are _____ (3rd-gen cephalosporins).

Answer: ceftriaxone or cefotaxime

Extra: In clinical practice, Ceftriaxone or Cefotaxime are preferred for initial management. Benzylpenicillin is used for confirmed penicillin-sensitive Neisseria meningitidis or as a pre-hospital dose if meningitis is suspected and a hospital is distant.