q3 - 2confused2bdoctor

[ArchivalUser]

41 yr. old woman with a history of intravenous drug abuse presents with a 1 day history of severe headache and high fever. On physical examination her temperature is 39 C. She has marked nuchal rigidity. A serologic assay for Streptococcus pneumoniae antigen is positive. Which of the following funduscopic examination findings is most likely to be present in this woman?
A Deepening of the optic cup with excavation
B Arteriolar narrowing
C Neovascularization of the optic nerve
D An elevation and swelling of the optic nerve
E Flame-shaped hemorrhages

[ArchivalUser]

D.?

[ArchivalUser]

D.

[ArchivalUser]

Yes its D..This patient has findings suggestive of an acute bacterial meningitis that can lead to cerebral edema and increased intracranial pressure manifested as papilledema on funduscopic examination

[ArchivalUser]

none of the above
s pneumo causes meningitis without encephalitis

[ArchivalUser]

who said something about encephalitis?