WBR1095
| Author | PageAuthor::Chetan Lokhande |
|---|---|
| Exam Type | ExamType::USMLE Step 3 |
| Main Category | MainCategory::Emergency Room |
| Sub Category | SubCategory::Head and Neck, 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. CBC, 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. What is the next step in the management of this patient?]] |
| Answer A | AnswerA::Start antiepileptic medications. |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB::Start broad-spectrum antibiotics. |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC::Start steroids. |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD::Start with antiviral and antimalarial treatment together. |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE::Order a Lumbar Puncture. |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer:: |
| Explanation | [[Explanation:: Educational Objective: |
| Approved | Approved::Yes |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |