MCQ QUESTION !
Which of the following is not part of the empirical treatment of bacterial meningitis
A) IV Ceftriaxone
B) IV Dexamethasone
C) IV Hydrocortisone
D) IV Ampicillin
E) IV Cefotaxime
skip to main |
skip to sidebar
CLICK to view SAMPLE.......Price(excluding postage)- US$30 for overseas, RM50 for Malaysian. Please email me if you are interested : thienthienlim@gmail.com
PACING THE PACES book for SALE
CLICK to view SAMPLE.......Price(excluding postage)- US$30 for overseas, RM50 for Malaysian. Please email me if you are interested : thienthienlim@gmail.com
Thank you for your donations
Labels
- Neurology (31)
- Skin (17)
- General (15)
- Cardiology (13)
- Haematology (5)
- Rheumatology (5)
- Endocrine (4)
- Respiratory (4)
- Dermatology (3)
- Eye (3)
- Abdomen (2)
- Communication (2)
- Gastroenterology (2)
- History (1)
- Infectious disease (1)
- Nephrology (1)
Internal Medicine
VIsitors to the Jedi Zone
10 comments:
C) Hydrocortisone ?
C) Hydrocortisone.
i would say c qua hydrocortisone as i thought first line would be cephalosporins and thus both 3rd generation a and e would be correct. and for IV ampicillin if it is listeria meningitis. dexamethasone sometimes is used for tuberculous meningitis.
The answer is correct but not exactly explained when dexa should be used.
Question 2 :
When is IV Dexamethasone used in meningitis ?
Dexamethasone is used to suppress inflammatory process to prevent adhesion of meninges which later on might cause hydrocephalus?
Dexamethasone is recommended for adults with proven or suspected H.influenza or S.pneumoniae meningitis.Studies has shown decreased mortality in adults with bacterial meningitis treated with dexamethasone before or with the first dose of antibiotics.
Dexamethasone decreases neurological complications in children and infants with H.influenza meningitis.
ampicillin
hydrocortisone
in such child streptococcus is common so recommended to give ceftrixone and dexamethasone even before the first dose of antibiotics, ampicillin may be appropriate in neoborn or geriatrics
hydrocortisone is given for suspected Waterhouse-Friderichsen syndrome
http://www.merckmanuals.com/professional/neurologic_disorders/meningitis/acute_bacterial_meningitis.html#v1041380
Post a Comment