The Headache

The Headache!

The Headache The Headache!

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Question 1 of 3

1. Question
What is the most likely cause of this patient’s symptoms?
- Viral meningitis
- Viral encephalitis
- Tuberculous meningitis
- Pneumococcal meningitis
- Streptococcal brain abscess
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Question 2 of 3

2. Question
When performing a lumbar puncture, which of the following is most likely to reduce the risk of post-dural puncture headache?
- Selecting a larger spinal needle size
- Advising 8-hours of supine bedrest after the procedure
- Performing the procedure with the patient sitting upright and leaning forwards
- Administering prophylactic oral caffeine
- Insertion of spinal needle with the bevel parallel to the long axis of the spine
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Question 3 of 3

3. Question
The patient tells you that his father was recently treated for tuberculosis (TB).

Which of the following cerebrospinal spinal fluid (CSF) findings is most consistent with tuberculous meningitis?
- Clear fluid with 4×106/L white cells and 0.3g/L protein
- Clear fluid with 500×106/L white cells, predominantly lymphocytes, and 0.6g/L protein
- Turbid fluid with 4000×106/L white cells, predominantly neutrophils, and 1.5g/L protein
- Turbid fluid with 4000×106/L white cells, predominantly lymphocytes, and 2.5g/L protein
- Blood-stained fluid with 4×1,000,000/L white cells
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