Question: Which of the following is not a protective feature in the central nervous system?

1. presence of the blood-brain barrier

2. B. presence of resident microbiota

3. C. presence of microglial cells

4. D. none of the above (all are protective features found in the CNS)

5. Answer: B. presence of resident microbiota

6. Question: Among the following organisms which can cause meningitis, which can be acquired through ingestion (contaminated poultry, meat, soft cheeses)?

8. A. Steptococcus pneumoniae

9. B. Listeria monocytogenes

10. C. Haemophilus influenza

11. D. Neisseria menigitidis

12. E. Streptococcus agalactiae

13. Answer: B. Listeria monocytogenes

14. Question:

15. Answer: E. Most common cause of bacterial meningitis in adults

16. Question: An oxidase-positive, Gram-negative diplococcus that causes meningitis is _____.

18. A. Escherichia coli

19. B. Streptococcus pneumoniae

20. C. Haemophilus influenzae

21. D. Neisseria meningitidis

22. E. Listeria monocytogenes

23. Answer: D. Neisseria meningitidis

24. Question: Reye’s Syndrome is involvement of central nervous system symptoms after the interaction of a recent viral infection in a young person and ingestion of

26. A. penicillin.

27. B. alcohol.

28. C. acetaminophen.

29. D. salicylates (aspirin).

30. Answer: D. salicylates (aspirin).

31. Question: Which of the following is a fungal cause of meningitis?

33. A. Clostridium botulinum

34. B. Streptococcus agalactiae

35. C. Cryptococcus neoformans

36. D. Listeria monocytogenes

37. E. Haemophilus influenzae

38. Answer: C. Cryptococcus neoformans

39. Question: Indicate all the CNS infections for which vaccines exist.

41. A. Haemophilus influenza

42. B. Streptococcus pneumoniae

43. C. Neisseria meningitidis

44. D. Streptococcus agalactiae

45. E. Cryptococcus neoformans

46. Answer: A. Haemophilus influenza

47. B. Streptococcus pneumoniae

48. C. Neisseria meningitidis

49. Question: Which of the following is a sign/symptom of meningitis?

51. A. headache

52. B. nausea/vomiting

53. C. stiff-neck

54. D. fever

55. E. all of the above are symptoms of meningitis

56. Answer: E. all of the above are symptoms of meningitis

57. Question: The presence of Gram positive diplococci and PMNs in the CSF of a suspected meningitis patient is indicative of:

59. A. aseptic meningitis

60. B. Cryptococcus meningitis

61. C. Neisseria meningitis

62. D. Streptococcal meningitis

63. E. All of the above

64. Answer: D. Streptococcal meningitis

65. Question: Meningococcemia is:

67. A. Best treated with Penicillin G

68. B. Associated with vascular collapse, hemorrhage and petechiae

69. C. Started from a nasopharyngeal infection

70. D. Caused by a Gram negative diplococcus

71. E. All the above are correct

72. Answer: E. All the above are correct