Easy case but important concepts:) - zkadhem

[ArchivalUser]

A 19-year-old male college student presents to the emergency department with headache, malaise, and chills. His friends say he hasn™t been quite right all day, but that he went to classes. He is lying on the exam table in mild distress from headache with a temperature of 38.5° C, stiff neck (meningismus), and petechial rash on his lower extremities. What is the most important next step in the management of this patient?
A) Head CT.
B) Lumbar puncture.
C) Antibiotics.
D) Chest radiograph.
E) Promethazine and hydroxyzine for migraine pain.

[ArchivalUser]

If this patient were HIV positive, what would be the most prudent approach to further evaluation
of his symptoms?
A) Lumbar puncture after antibiotics.
B) Lumbar puncture after antibiotics and head CT.
C) Head CT after lumbar puncture and antibiotics.
D) None of the above is correct. Treat with antibiotics based on symptoms

Based on the clinical picture in this HIVnegative patient, what is the most likely organism?
A) N. meningitidis
B) S. pneumococcus
C) L. monocytogenes
D) H. influenzae
E) E. coli

[ArchivalUser]

cccccc
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[ArchivalUser]

agree with nimishkum.

hey nimishkum,

i've seen ur replies in many other questions, u seem to be very well prepared for the exam..gl

[ArchivalUser]

thanks buddy

[ArchivalUser]

yeah C B A

[ArchivalUser]

yes ur right guys