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  #1  
Old 07-06-2011
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Question 3 year old boy with fever and petechial rash

A 3 year old boy presents to the emergency room with fever and a petechial rash. A sepsis workup is ordered and IV antibiotics are started. Gram negative diplococci are identified in the CSF. Which of the following is true to this condition?

A. Antibiotic prophylaxis of fellow daycare attendees is not necessary
B. The most common neurological residual is seizures
C. Vancomycin administered intravenously is the treatment of choice
D. Shock is the usual cause of death
E. The presence of meningitis decreases the survival rate
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Old 07-06-2011
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Default e

i think its e
and the organism is neisseria.but i get this wrong every time
so pls give detailed answer
thnks
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Old 07-06-2011
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A
Seems to make sense.


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Old 07-06-2011
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D. Shock is the usual cause of death maybe the answer

A. Antibiotic prophylaxis of fellow daycare attendees is not necessary wrong must be given


C. Vancomycin administered intravenously is the treatment of choice wrong pencillin is rx
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Old 07-06-2011
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i go with D, septic shock. meningococcaemia
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Old 07-06-2011
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Quote:
Originally Posted by miss patho View Post
D. Shock is the usual cause of death maybe the answer

A. Antibiotic prophylaxis of fellow daycare attendees is not necessary wrong must be given


C. Vancomycin administered intravenously is the treatment of choice wrong pencillin is rx
antibiotic prophylaxis is given only to close contacts, which in a 3 yr old will be his parents and caregivers because of the potential of mucosal/secretions contact. routine social contacts don't need prophylaxis. so A seems correct.
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Old 07-06-2011
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E option is right i guess
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Old 07-06-2011
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The answer is D. Meningococcemia is a fulminat systemic rapidly progressing infection that results in shock and is followed by death in 20% of affected children.
A. Antibiotics prophylaxis must be given to daycare attendees
B. The most common residual condition is sensorineural deafness
C. Vancomycin spectrum of activity is limited to gram positive
E. The presence of meningitis has been shown to INCREASE survival rate to 95%
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Infectious-Diseases, Pediatrics-, Step-2-Questions

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