Passive flexion of the neck causes flexion of hips & knees indicates
ক
ক) Neck rigidity
খ
খ) Brudzinsky’s sign
গ
গ) Kernig’s sign
ঘ
ঘ) Auspitz sign
ব্যাখ্যা
This is a sign of meningitis.
৪.
Which organism causes neonatal meningitis?
ক
ক) Haemophilus influenzae
খ
খ) Neisseria meningitides
গ
গ) Escherichia coli
ঘ
ঘ) H. influenza
৫.
Investigation of choice for meningitis?
ক
ক) CBC
খ
খ) CSF study
গ
গ) CT
ঘ
ঘ) MRI
ব্যাখ্যা
Explanation: Lumbar puncture is mandatory unless there are contraindications in a patient of meningitis
৬.
Which is a CSF finding in oartially treated ABM?
ক
Red cell count (× 106/L)-High
খ
Protein- Decreased
গ
Microbiology- Greater chance of growth
ঘ
Colour-Cloudy
৭.
Most common cause of viral meningitis is-
ক
Enterovirus
খ
Herpes simplex virus
গ
Cytomegalovirus
ঘ
Epstein–Barr virus
ব্যাখ্যা
Viruses are the most common cause of meningitis, usually resulting in a benign and self-limiting illness requiring no specific therapy. It is much less serious than bacterial meningitis unless there is associated encephalitis. A number of viruses can cause meningitis (see Box 28.59), the most common being enteroviruses. Where specific immunisation is not employed, the mumps virus is a common cause.
৮.
Color of CSF in viral meningitis
ক
ক) Cloudy
খ
খ) Clear
গ
গ) Blood stained
ঘ
ঘ) Straw colored
৯.
Which one causes meningitis in pre-school child?
ক
ক) E coli
খ
খ) Haemophilus influenza
গ
গ) Proteus
ঘ
ঘ) Group B streptococci
১০.
How many stage of severity grading in meningitis?
ক
3
খ
4
গ
5
ঘ
6
১১.
Most common virus for meningitis?
ক
ক) HSV-1
খ
খ) HSV-2
গ
গ) Enterovirus
ঘ
ঘ) VZV
ব্যাখ্যা
Davidson 23rd; P-1118
১২.
A 78 year old patient has come to OPD with depressed consciousness . LP was performed. Which of the following is correct CSF finding of this patient?
ক
Cell Count- Normal
খ
Glucose- Raised
গ
Pressure- Normal
ঘ
Protein- Raised
১৩.
Which one is the most common cause of meningitis?
ক
ক) Viruses
খ
খ) Bacteria
গ
গ) Fungus
ঘ
ঘ) Protozoa
ব্যাখ্যা
Explanation: Viruses are the most common cause of meningitis, usually resulting in a benign and self-limiting illness requiring no specific therapy. It is much less serious than bacterial meningitis unless there is associated encephalitis. A number of viruses can cause meningitis, the most common being enteroviruses
১৪.
Most common cause of bacterial meningitis in older child & adult
ক
ক) Escherichia
খ
খ) Listeria
গ
গ) Hemophilus
ঘ
ঘ) Neisseria
১৫.
Presenting feature of meningitis includes..
ক
ক) Headache
খ
খ) Fever
গ
গ) Neck stiffness
ঘ
ঘ) All above
ব্যাখ্যা
Explanation: Headache, drowsiness, fever and neck stiffness are the usual presenting features. In severe bacterial meningitis the patient may be comatose, later developing focal neurological signs
১৬.
Which is not a symptom of aseptic meningitis?
ক
Headache
খ
Jaundice
গ
Photophobia
ঘ
Conjunctivitis
১৭.
Most common cause of bacterial meningitis in neonate
ক
ক) Escherichia
খ
খ) Listeria
গ
গ) Hemophilus
ঘ
ঘ) Neisseria
১৮.
Most common pathogen of meningitis?
ক
ক) Virus
খ
খ) Bacteria
গ
গ) Fungus
ঘ
ঘ) Parasite
ব্যাখ্যা
Davidson 23rd; P-1118
১৯.
Fever with Severe headache and photophobia, neck stiffness usually suggestive of which of the following?
ক
ক) Tuberculosis
খ
খ) Infective endocarditis
গ
গ) Meningitis
ঘ
ঘ) Enteric fever
ব্যাখ্যা
Explanation: Fever with Severe headache and photophobia, neck stiffnss usually suggestive of meningitis
২০.
Before lumber puncture which investigation should be done?
ক
ক) CT
খ
খ) MRI
গ
গ) Fundoscopy
ঘ
ঘ) CBC
ব্যাখ্যা
Before doing lumbar puncture, fundoscopy should be done to see papilloedema to exclude raised intracranial pressure.
২১.
There are ------------- stages in severity of tubercular meningitis?
ক
3
খ
4
গ
2
ঘ
5
২২.
High neutrophil count in CSF is diagnostic for which of the following?