What is the usual cause of death in rabies?
Respiratory failure.
What is the main involvement in paralytic rabies?
Spinal cord involvement.
1/132
p.22
Rabies and Its Clinical Stages

What is the usual cause of death in rabies?

Respiratory failure.

p.22
Rabies and Its Clinical Stages

What is the main involvement in paralytic rabies?

Spinal cord involvement.

p.14
Brain Abscess: Causes and Management

What are common bacterial agents causing brain abscess?

Staphylococcus aureus, beta-hemolytic streptococci, Streptococcus viridans, anaerobic bacteria, and Enterobacteria.

p.19
Chronic Meningitis and Pathogens

What occurs in Phase III of Tuberculosis?

Progressive drowsiness and coma, focal neurological signs.

p.2
CNS Infections Overview

What is encephalitis?

An inflammation of the brain itself, usually caused by a viral infection.

p.8
Aetiology of Meningitis

Which inflammatory diseases can cause meningitis?

Sarcoidosis and Systemic Lupus Erythematosus (SLE).

p.13
Viral Meningitis Characteristics

How is viral meningitis typically treated?

Symptomatically

p.24
CNS Infections Overview

What is Cerebral Malaria?

Cerebral Malaria is a severe neurological complication of infection with Plasmodium falciparum, characterized by coma and seizures.

p.6
Meningitis Types and Definitions

What is meningitis?

Inflammation of the meninges.

p.19
Chronic Meningitis and Pathogens

What are the signs in Phase II of Tuberculosis?

Signs of meningeal irritation.

p.9
Clinical Features of Meningitis

Which groups are more likely to present with atypical features of meningitis?

Elderly, children, immunodeficient patients, and those with subacute meningitis.

p.26
Clinical Features of Meningitis

What are the subcategories of progressive loss of consciousness (LOC)?

With neurological signs and without neurological signs.

p.8
Aetiology of Meningitis

How can trauma lead to meningitis?

Trauma can cause meningitis by allowing pathogens to enter the central nervous system.

p.6
Meningitis Types and Definitions

What is pachymeningitis?

Inflammation of the pachymeninges (the outer layer of the meninges).

p.9
Clinical Features of Meningitis

What symptom might indicate meningitis in the absence of typical features?

Photophobia.

p.26
Clinical Features of Meningitis

What are the two types of loss of consciousness (LOC) mentioned?

Acute loss of consciousness and progressive loss of consciousness.

p.8
Aetiology of Meningitis

What is carcinomatosis in the context of meningitis?

A condition where cancer spreads to the meninges, causing meningitis.

p.13
Viral Meningitis Characteristics

Do most people recover from viral meningitis on their own?

Yes, it is self-limiting and most people recover on their own.

p.24
CNS Infections Overview

Which parasite causes Cerebral Malaria?

Plasmodium falciparum.

p.24
CNS Infections Overview

How is Japanese Encephalitis transmitted?

Through the bite of infected mosquitoes.

p.11
Clinical Features of Meningitis

What are some common symptoms of meningeal irritation in pyogenic meningitis?

Headache, photophobia, irritability, clouding of consciousness, and neck stiffness.

p.25
CNS Infections Overview

How does Clostridium tetani enter the body?

Through wounds or cuts.

p.23
Chronic Meningitis and Pathogens

What are some neurological changes associated with AIDS?

Cognitive impairment and dementia.

p.6
Meningitis Types and Definitions

What is leptomeningitis?

Inflammation of the leptomeninges (the inner two layers of the meninges).

p.2
CNS Infections Overview

What are the three main types of CNS infections?

Meningitis, Encephalitis, and Meningoencephalitis.

p.26
Clinical Features of Meningitis

What does 'LOC' stand for in a medical context?

Loss of consciousness.

p.26
Clinical Features of Meningitis

What is the first step in the emergency care management of acute loss of consciousness?

Clear the airway.

p.8
Aetiology of Meningitis

What role do chemicals and drugs play in causing meningitis?

Certain chemicals and drugs can induce meningitis as a side effect or through direct irritation of the meninges.

p.13
Viral Meningitis Characteristics

What might be seen on microscopic examination of a brain affected by viral meningitis?

Either no recognizable abnormality or a mild to moderate leptomeningeal lymphocytic infiltrate.

p.24
CNS Infections Overview

Which bacterium produces the toxin responsible for Tetanus?

Clostridium tetani.

p.24
CNS Infections Overview

What are the main symptoms of Tetanus?

Muscle stiffness and spasms.

p.25
CNS Infections Overview

What is the causative agent of tetanus?

Clostridium tetani.

p.25
CNS Infections Overview

What is the main effect of tetanospasmin on the nervous system?

It blocks inhibitory neurotransmitters, causing muscle spasms.

p.20
Neurosyphilis and Its Stages

What are the clinical features of neurosyphilis?

Insidious progressive loss of mental and physical functions, mood alterations, and severe dementia.

p.20
Neurosyphilis and Its Stages

What is the final form of neurosyphilis?

Tabetic.

p.27
Bacterial Causes of Meningitis

What is the appearance of CSF in pyogenic meningitis?

Purulent

p.27
Bacterial Causes of Meningitis

What type of cells are increased in CSF during partially treated pyogenic meningitis?

Lymphocytes/Polymorphonuclear cells (↑ (L/P))

p.9
Clinical Features of Meningitis

What is Kerning’s sign?

A clinical sign where there is resistance to straightening the leg when the hip is flexed, indicating meningitis.

p.12
Bacterial Causes of Meningitis

Which bacteria is commonly known as Pneumococcus and causes pyogenic meningitis?

Streptococcus pneumoniae

p.12
Bacterial Causes of Meningitis

Which bacteria known for causing skin infections can also cause pyogenic meningitis?

Staphylococcus aureus

p.26
Clinical Features of Meningitis

What are the steps involved in the management of loss of consciousness after emergency care?

History and physical examination, investigations, observations, and general care.

p.22
Rabies and Its Clinical Stages

What are the stages of rabies?

1. Incubation, 2. Prodrome, 3. Acute neurogenic period, 4. Coma, 5. Death.

p.11
Meningitis Types and Definitions

How does acute pyogenic meningitis compare in severity to viral meningitis?

It is more severe than viral meningitis.

p.11
Aetiology of Meningitis

Do the organisms causing pyogenic meningitis change with age?

Yes, the affecting organisms change according to age.

p.17
Brain Abscess: Causes and Management

How are seizures managed in patients with a brain abscess?

Control of seizures (immediate/long-term).

p.17
Brain Abscess: Causes and Management

What general measures are taken in the management of a brain abscess?

General measures include supportive care and monitoring.

p.25
CNS Infections Overview

What is the recommended treatment for tetanus?

Administration of tetanus antitoxin, antibiotics, and supportive care.

p.21
Rabies and Its Clinical Stages

What are the clinical stages of Rabies?

The clinical stages of Rabies include the incubation period, prodromal stage, acute neurologic period, coma, and death.

p.27
Viral Meningitis Characteristics

What is the typical appearance of cerebrospinal fluid (CSF) in viral meningitis?

Clear

p.27
Bacterial Causes of Meningitis

What is the appearance of CSF in partially treated pyogenic meningitis?

Opalescent

p.27
Chronic Meningitis and Pathogens

How does the protein level in CSF change in TB meningitis?

Greatly increased (↑↑)

p.27
Chronic Meningitis and Pathogens

How does the protein level in CSF change in carcinoma-related meningitis?

Increased (↑)

p.2
CNS Infections Overview

What is meningoencephalitis?

A condition that involves both meningitis and encephalitis, affecting both the brain and its surrounding membranes.

p.13
Viral Meningitis Characteristics

What percentage of acute viral/aseptic meningitis cases are caused by enteroviruses?

80%

p.24
CNS Infections Overview

What is Japanese Encephalitis?

Japanese Encephalitis is a viral infection that affects the brain and is transmitted by mosquitoes.

p.22
Rabies and Its Clinical Stages

What characterizes furious rabies?

Extraordinary CNS excitability; the slightest touch is painful, with violent motor responses progressing to convulsions. Contracture of the pharyngeal musculature may create an aversion to swallowing even water (hydrophobia).

p.22
Rabies and Its Clinical Stages

How long is the incubation period for rabies?

Usually a few months.

p.17
Clinical Features of Meningitis

What are the clinical features of a brain abscess?

Patients almost invariably present with progressive focal deficits as well as general signs related to increased intracranial pressure.

p.20
Neurosyphilis and Its Stages

What percentage of individuals with untreated syphilis develop neurosyphilis?

About 10%.

p.21
Rabies and Its Clinical Stages

What virus causes Rabies?

Rabies is caused by the Rabies virus.

p.20
Neurosyphilis and Its Stages

What are some other complications associated with neurosyphilis?

Hydrocephalus and Hutchinson triad.

p.21
Rabies and Its Clinical Stages

What is the treatment for Rabies?

Rabies treatment includes post-exposure prophylaxis with rabies vaccine and immunoglobulin.

p.27
Bacterial Causes of Meningitis

What is the glucose level in CSF during pyogenic meningitis?

Decreased (↓)

p.27
Chronic Meningitis and Pathogens

What is the appearance of CSF in tuberculosis (TB) meningitis?

Opal/cobweb

p.27
Chronic Meningitis and Pathogens

What is the appearance of CSF in carcinoma-related meningitis?

Clear

p.23
Chronic Meningitis and Pathogens

Are neurological changes in AIDS primary or secondary effects?

Secondary effects.

p.14
Brain Abscess: Causes and Management

What is a brain abscess?

A localized focus of necrosis of brain tissue with accompanying inflammation, usually caused by a bacterial infection.

p.9
Clinical Features of Meningitis

What are the common clinical features of meningitis?

Fever, headache, vomiting, neck stiffness, and Kerning’s sign.

p.2
Meningitis Types and Definitions

What is meningitis?

An infection of the protective membranes covering the brain and spinal cord.

p.8
Aetiology of Meningitis

What are the common infectious causes of meningitis?

Bacteria, Virus, Fungus, Mycoplasma, Spirochaetes.

p.13
Viral Meningitis Characteristics

How does the severity of viral meningitis compare to bacterial meningitis?

Viral meningitis is less severe than bacterial meningitis.

p.24
CNS Infections Overview

What is the primary vector for Japanese Encephalitis?

Mosquitoes.

p.22
Rabies and Its Clinical Stages

What is the main involvement in furious rabies?

Brain involvement.

p.22
Rabies and Its Clinical Stages

What are the non-specific symptoms during the prodrome stage of rabies?

Malaise, fever, and headache.

p.17
Clinical Features of Meningitis

What are the symptoms of raised intracranial pressure (RICP)?

Headache, vomiting, papilledema, convulsions, focal neurological signs, fever, and accompaniments.

p.20
Neurosyphilis and Its Stages

What are the three forms of neurosyphilis?

Meningovascular, Parenchymatous, and Congenital.

p.25
CNS Infections Overview

How can tetanus be prevented?

Through vaccination with the tetanus toxoid vaccine.

p.21
Rabies and Its Clinical Stages

How is Rabies transmitted?

Rabies is typically transmitted through the bite of an infected animal.

p.21
Clinical Features of Meningitis

What are common symptoms of Viral Meningoencephalitis?

Common symptoms include fever, headache, confusion, seizures, and sometimes focal neurological deficits.

p.27
Viral Meningitis Characteristics

What is the glucose level in CSF during viral meningitis?

Normal (N)

p.27
Chronic Meningitis and Pathogens

What type of cells are increased in CSF during TB meningitis?

Lymphocytes/Polymorphonuclear cells (↑ (L/P))

p.18
Chronic Meningitis and Pathogens

What types of pathogens can cause chronic meningitis?

Mycobacteria, some spirochetes, and fungi.

p.12
Bacterial Causes of Meningitis

Which bacteria causing pyogenic meningitis is also known for causing respiratory infections?

Haemophilus influenzae

p.12
Bacterial Causes of Meningitis

Which bacteria, also known as Group A Streptococcus, can cause pyogenic meningitis?

Streptococcus pyogenes

p.22
Rabies and Its Clinical Stages

How is rabies transmitted to humans?

By the bite of a rabid animal.

p.11
Meningitis Types and Definitions

What is another term for acute bacterial meningitis?

Acute pyogenic meningitis.

p.11
Meningitis Types and Definitions

What can happen if pyogenic meningitis is left untreated?

It can be fatal.

p.11
Clinical Features of Meningitis

What systemic signs of infection are typically shown by patients with pyogenic meningitis?

Systemic signs of infection along with meningeal irritation and neurologic impairment.

p.17
Brain Abscess: Causes and Management

What measures are taken to control raised intracranial pressure in brain abscess patients?

Control of raised intracranial pressure.

p.20
Neurosyphilis and Its Stages

What part of the nervous system is affected in paretic neurosyphilis?

The brain.

p.25
Clinical Features of Meningitis

Why is tetanus often referred to as 'lockjaw'?

Because one of the first symptoms is muscle stiffness in the jaw.

p.25
CNS Infections Overview

What is the incubation period for tetanus?

Typically 3 to 21 days, but it can vary.

p.21
Viral Meningitis Characteristics

What is the relationship between HIV and Viral Meningoencephalitis?

HIV can cause Viral Meningoencephalitis as part of its neurological complications.

p.27
Bacterial Causes of Meningitis

What is the glucose level in CSF during partially treated pyogenic meningitis?

Decreased (↓)

p.27
Chronic Meningitis and Pathogens

What type of cells are increased in CSF during fungal meningitis?

Lymphocytes (↑ (L))

p.27
Chronic Meningitis and Pathogens

What type of cells are increased in CSF during carcinoma-related meningitis?

Lymphocytes (↑ (L))

p.18
Chronic Meningitis and Pathogens

Can infections causing chronic meningitis also involve the brain parenchyma?

Yes, infections with these organisms may also involve the brain parenchyma.

p.19
Chronic Meningitis and Pathogens

What are the symptoms in Phase I of Tuberculosis?

Nonspecific symptoms.

p.19
Chronic Meningitis and Pathogens

What pathogen causes Tuberculosis?

Mycobacterium tuberculosis.

p.12
Bacterial Causes of Meningitis

Which bacteria, also known as meningococcus, is a common cause of pyogenic meningitis?

Neisseria meningitidis

p.26
Clinical Features of Meningitis

What should be assessed and corrected after clearing the airway in emergency care?

Vital functions.

p.22
Rabies and Its Clinical Stages

What virus causes rabies?

Rabies virus.

p.11
Meningitis Types and Definitions

What does 'pyogenic' mean?

Pus forming.

p.11
Meningitis Types and Definitions

How does effective antibiotic treatment impact the mortality of pyogenic meningitis?

It markedly reduces mortality.

p.17
Brain Abscess: Causes and Management

What are the potential complications of increased intracranial pressure due to a brain abscess?

Increased intracranial pressure may cause fatal brain herniation, and abscess rupture can lead to ventriculitis, meningitis, and venous sinus thrombosis.

p.17
Brain Abscess: Causes and Management

What surgical interventions are available for brain abscess management?

Evacuation of the abscess or excision.

p.20
Neurosyphilis and Its Stages

How can congenital neurosyphilis be acquired?

By birth.

p.25
CNS Infections Overview

What type of environment does Clostridium tetani thrive in?

Anaerobic (low oxygen) environments.

p.27
Viral Meningitis Characteristics

How does the protein level in CSF change in viral meningitis?

Increased (↑)

p.27
Bacterial Causes of Meningitis

How does the protein level in CSF change in partially treated pyogenic meningitis?

Greatly increased (↑↑)

p.13
Viral Meningitis Characteristics

Are there any distinctive macroscopic findings in viral meningitis?

No, except for brain swelling which may be seen in some instances.

p.24
CNS Infections Overview

What is Tetanus?

Tetanus is a bacterial infection characterized by muscle stiffness and spasms, caused by the toxin produced by Clostridium tetani.

p.24
CNS Infections Overview

What are the primary symptoms of Cerebral Malaria?

Coma and seizures.

p.17
Brain Abscess: Causes and Management

What is the first line of management for a brain abscess?

Broad-spectrum antibiotics.

p.25
CNS Infections Overview

What is the primary toxin produced by Clostridium tetani?

Tetanospasmin.

p.20
Neurosyphilis and Its Stages

Which bacterium causes neurosyphilis?

Treponema pallidum.

p.20
Neurosyphilis and Its Stages

What is the initial form of neurosyphilis?

Meningovascular.

p.27
Bacterial Causes of Meningitis

How does the protein level in CSF change in pyogenic meningitis?

Greatly increased (↑↑)

p.27
Chronic Meningitis and Pathogens

How does the protein level in CSF change in fungal meningitis?

Increased (↑)

p.20
Neurosyphilis and Its Stages

What is neurosyphilis?

A manifestation of the tertiary stage of syphilis.

p.20
Neurosyphilis and Its Stages

What part of the nervous system is affected in tabes dorsalis?

The dorsal roots of the spinal cord.

p.21
CNS Infections Overview

What is Viral Meningoencephalitis?

It is an inflammation of the brain and meninges caused by viral infections.

p.21
CNS Infections Overview

How is Viral Meningoencephalitis diagnosed?

Diagnosis is typically made through clinical evaluation, imaging studies like MRI, and laboratory tests including CSF analysis.

p.27
Bacterial Causes of Meningitis

What type of cells are increased in CSF during pyogenic meningitis?

Polymorphonuclear cells (↑↑ (P))

p.27
Chronic Meningitis and Pathogens

What is the glucose level in CSF during TB meningitis?

Decreased (↓)

p.27
Chronic Meningitis and Pathogens

What is the glucose level in CSF during carcinoma-related meningitis?

Decreased (↓)

p.25
Clinical Features of Meningitis

What are the initial symptoms of tetanus?

Muscle stiffness and spasms, often starting in the jaw (lockjaw).

p.20
Neurosyphilis and Its Stages

What are some consequences of neurosyphilis?

Impaired joint position sense and ataxia, loss of pain sensation leading to skin and joint damage (Charcot joints), and other sensory disturbances.

p.21
Viral Meningitis Characteristics

Can HIV-associated Viral Meningoencephalitis be treated?

Yes, it can be managed with antiretroviral therapy (ART) and supportive care.

p.27
Viral Meningitis Characteristics

What type of cells are increased in CSF during viral meningitis?

Lymphocytes (↑ (L))

p.27
Chronic Meningitis and Pathogens

What is the appearance of CSF in fungal meningitis?

Opal/clear

p.27
Chronic Meningitis and Pathogens

What is the glucose level in CSF during fungal meningitis?

Decreased (↓)

Study Smarter, Not Harder
Study Smarter, Not Harder