WBR1096: Difference between revisions
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Created page with "{{WBRQuestion |QuestionAuthor=Chetan Lokhande |ExamType=USMLE Step 3 |MainCategory=Emergency Room |SubCategory=Neurology |MainCategory=Emergency Room |SubCategory=Neurology |M..." |
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|QuestionAuthor=Chetan Lokhande | |QuestionAuthor=Chetan Lokhande | ||
|ExamType=USMLE Step 3 | |ExamType=USMLE Step 3 | ||
|SubCategory=Neurology | |SubCategory=Neurology | ||
|SubCategory=Neurology | |SubCategory=Neurology | ||
|SubCategory=Neurology | |SubCategory=Neurology | ||
|SubCategory=Neurology | |SubCategory=Neurology | ||
|SubCategory=Neurology | |SubCategory=Neurology | ||
|SubCategory=Neurology | |SubCategory=Neurology | ||
|SubCategory=Neurology | |SubCategory=Neurology | ||
|SubCategory=Neurology | |SubCategory=Neurology | ||
|Prompt=An 11-month-old previously healthy African American female from Haiti comes to Emergency room(ER) with generalized tonic clonic seizures with 1-day history of lethargy, fever and altered mental status. Enroute to hospital, emergency medical team intubated her and gave a dose of diazepam, with no remission. In the ER 1 more dose of diazepam was given and patient was transferred to ICU for further management, where vitals were within normal limits. Overnight EEG showed a pattern of status epileptics. The patient was medically paralyzed and put on a ventilator. Complete blood count, Chem 10 and CT scan all are within normal limits. She was given a dose of quinine for malaria, but stopped due to negative thick and thin smear. A Lumbar puncture was done which revealed: | |Prompt=An 11-month-old previously healthy African American female from Haiti comes to Emergency room(ER) with generalized tonic clonic seizures with 1-day history of lethargy, fever and altered mental status. Enroute to hospital, emergency medical team intubated her and gave a dose of diazepam, with no remission. In the ER 1 more dose of diazepam was given and patient was transferred to ICU for further management, where vitals were within normal limits. Overnight EEG showed a pattern of status epileptics. The patient was medically paralyzed and put on a ventilator. Complete blood count, Chem 10 and CT scan all are within normal limits. She was given a dose of quinine for malaria, but stopped due to negative thick and thin smear. A Lumbar puncture was done which revealed: | ||
CSF Glucose 60 mg/dl | CSF Glucose 60 mg/dl <br> | ||
CSF protein 90 mg/dl | CSF protein 90 mg/dl <br> | ||
CSF WBC 70 cell/ml | CSF WBC 70 cell/ml <br> | ||
Culture negative for any organism | Culture negative for any organism <br> | ||
Opening pressure normal | Opening pressure normal <br> | ||
What is the most common cause? | What is the most common cause? | ||
|AnswerA=HSV-1 | |AnswerA=HSV-1 | ||
|AnswerB=Cerebral Malaria | |AnswerB=Cerebral Malaria | ||
|AnswerC=Tubercular meningitis | |AnswerC=Tubercular meningitis | ||
|AnswerD=Meningococcal meningitis | |AnswerD=Meningococcal meningitis | ||
|AnswerE=Neurocysticercosis | |AnswerE=Neurocysticercosis | ||
|Approved=Yes | |Approved=Yes | ||
}} | }} | ||
Revision as of 02:24, 4 February 2014
| Author | PageAuthor::Chetan Lokhande |
|---|---|
| Exam Type | ExamType::USMLE Step 3 |
| Main Category | |
| Sub Category | SubCategory::Neurology |
| Prompt | [[Prompt::An 11-month-old previously healthy African American female from Haiti comes to Emergency room(ER) with generalized tonic clonic seizures with 1-day history of lethargy, fever and altered mental status. Enroute to hospital, emergency medical team intubated her and gave a dose of diazepam, with no remission. In the ER 1 more dose of diazepam was given and patient was transferred to ICU for further management, where vitals were within normal limits. Overnight EEG showed a pattern of status epileptics. The patient was medically paralyzed and put on a ventilator. Complete blood count, Chem 10 and CT scan all are within normal limits. She was given a dose of quinine for malaria, but stopped due to negative thick and thin smear. A Lumbar puncture was done which revealed:
CSF Glucose 60 mg/dl What is the most common cause?]] |
| Answer A | AnswerA::HSV-1 |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB::Cerebral Malaria |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC::Tubercular meningitis |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD::Meningococcal meningitis |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE::Neurocysticercosis |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer:: |
| Explanation | [[Explanation:: Educational Objective: |
| Approved | Approved::Yes |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |