WBR1097
| Author | PageAuthor::Chetan Lokhande |
|---|---|
| Exam Type | ExamType::USMLE Step 3 |
| Main Category | MainCategory::Emergency Room |
| Sub Category | SubCategory::Infectious Disease, 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 A CSF antibody test revealed positive for HSV-1. What is the best treatment for this patient?]] |
| Answer A | AnswerA::Ganciclovir plus acyclovir for 2 weeks. |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB::Acyclovir for 4 weeks. |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC::Acyclovir for 1 week. |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD::Acyclovir plus ganciclovir for 4 weeks. |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE::Acyclovir for 6 months. |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer:: |
| Explanation | [[Explanation:: Educational Objective: |
| Approved | Approved::Yes |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |