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Kaplan Qbank USMLE



Author4 Posts
  #1

A 20 year old previously healthy male has recently been inducted into the army. Several weeks into basic training, he experiences a severe headache for an entire day. He had been healthy prior to this, noting only a mild sore throat the prior day. He goes to the base physician, who records vital signs of T 39.2 C, P 90, R 22, and BP 110/70 mm Hg. A lumbar puncture is performed and examination of the cerebrospinal fluid shows 2 RBC's, 34,000 WBC's, glucose of 20 mg/dl (serum 75 mg/dL), and protein of 105 mg/dl. Which of the following additional laboratory tests would be the most helpful in reaching a diagnosis:

A Cryptococcal antigen

B Acid fast stain

C India ink

D Serology for Herpes simplex

E Gram stain

  #2

e) gram stain
bacterial meningitis

  #3

yes gram stain

bacterial meningitis........increased protein,low glucose,presence of WBC'S IN CSF.

  #4

grin grin







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