NEET PG DENTAL EXAM

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BRAIN

CRANIAL NERVES

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient is experiencing a high fever, stiff neck, drowsiness, and intense headaches. A spinal tap showed bacteria and white blood cells in the cerebrospinal fluid (CSF). This individual most likely has
A
Alzheimer disease
B
Parkinson disease
C
meningitis
D
a stroke
E
hydrocephalus
Explanation: 

Detailed explanation-1: -Neck stiffness is the most important sign of meningitis. When the neck is flexed, the inflamed nerve roots and meninges of the cervical region get stretched. This causes protective muscle spasm manifesting as neck stiffness.

Detailed explanation-2: -A CSF:blood glucose level of < 50% suggests possible meningitis. A CSF glucose level of ≤ 18 mg/dL or a CSF:blood glucose ratio of < 0.23 strongly suggests bacterial meningitis. However, changes in CSF glucose may lag 30 to 120 minutes behind changes in blood glucose.

Detailed explanation-3: -Painful, stiff neck with limited range of motion. Headaches. High fever. Feeling confused or sleepy. Bruising easily all over the body. A rash on the skin. Sensitivity to light.

There is 1 question to complete.
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