| Hint | Answer | % Correct |
|---|---|---|
| "A non-blanching rash is always present in an infant or child with bacterial meningitis." True or false? | False | 94%
|
| In BM-infected CSF samples, will there be high or low: protein? | High | 76%
|
| White cells? | High | 76%
|
| Glucose? | Low | 71%
|
| Microscopy, cultures and sensitivity / MC&S | 59%
| |
| What is the key investigation for a diagnosis of BM? | Isolation of pathogen from CSF sample / Lumbar puncture | 47%
|
| What type of imaging may be used to look for contraindications to the LP? | CT | 41%
|
| What is the Route of Administration for this drug? | IV / intravenous | 41%
|
| What type of white cell is the most common in an infected CSF sample from a patient with BM? | Neutrophils | 41%
|
| Streptococcus pneumoniae / pneumococcus | 41%
| |
| "A doctor may wait to prescribe antibiotics until after a blood culture and LP have been taken." Is this true? | Yes | 41%
|
| What antibiotic is usually given to children >3 months old for a bacterial meningitis infection? | Ceftriaxone | 35%
|
| Glucose (and serum glucose) | 35%
| |
| What are the most common organisms which cause meningitis? | Neisseria meningitidis | 35%
|
| Topical antibiotics are prescribed to patients with infections where? | Skin | 35%
|
| Ampicillin | 29%
| |
| CSF that is contaminated with BM pathogens will have what appearance? | Cloudy | 29%
|
| Give four symptoms of bacterial meningitis (not age-specific) | Neck stiffness | 29%
|
| Protein | 29%
| |
| CSF samples are sent for what tests? | Cell count and differential | 24%
|
| Escherichia coli / E. coli | 24%
| |
| Haemophilus influenzae | 24%
| |
| What other type of medication is given alongside antibiotics to help prevent complications from meningitis? | Steroids | 24%
|
| Viral PCR | 24%
| |
| Which other antibiotics may be given alongside this (i.e. as a dual therapy) to protect against listeria? | Amoxicillin | 18%
|
| Blood culture | 18%
| |
| Ear | 18%
| |
| Eye | 18%
| |
| Group B streptococcus / GBS | 18%
| |
| Listeria monocytogenes | 18%
| |
| Coagulation / Coag | 12%
| |
| Convulsive status epilepticus | 12%
| |
| What is the main potential complication of bacterial meningitis? | Hearing loss / deafness | 12%
|
| What other complications can be caused by this disease? | Seizures / epilepsy | 12%
|
| What antibiotic is usually given to babies <3 months old for a bacterial meningitis infection? | Cefotaxime | 6%
|
| Cognitive impairment / learning disability | 6%
| |
| CRP / c-reactive protein | 6%
| |
| Antibiotics should not be administered intra-muscularly to patients with what type of disorders? | Bleeding | 0%
|
| Apart from a FBC, U&E and LFTs, what other blood and biochemical tests may be ordered for a patient with suspected BM? | Bone profile | 0%
|
| Brudzinski's test | 0%
| |
| Bulging fontanelle | 0%
| |
| Cerebral palsy | 0%
| |
| Decreased level of consciousness | 0%
| |
| Name the special tests which look for meningeal irritation. | Kernig's test | 0%
|
| Memory loss | 0%
| |
| Respiratory viral screen / nasopharyngeal swab | 0%
| |
| What other bedside tests might be performed on a patient with suspected BM? | Throat swab | 0%
|
| VBG / venous blood gas | 0%
|