A patient with weakened immunity presents with chronic meningitis. Which type of meningitis is more likely in this case?
Viral meningitis.
Bacterial meningitis.
Fungal meningitis.
Parasitic meningitis.
The Correct Answer is C
Choice A rationale:
Viral meningitis is less likely in this case because the patient has weakened immunity, suggesting a chronic and severe condition. Viral meningitis is often self-limiting and less severe in immunocompetent individuals.
Choice B rationale:
Bacterial meningitis is less likely in this case as well, as chronic meningitis usually has a slower onset, and bacterial meningitis tends to have a more acute and rapidly progressive course.
Choice C rationale:
Fungal meningitis is more likely in a patient with weakened immunity, as certain fungal pathogens, such as Cryptococcus and Histoplasma, can cause chronic and persistent meningitis in immunocompromised individuals.
Choice D rationale:
Parasitic meningitis is not a common form of meningitis and is usually associated with specific parasitic infections, which are less likely to occur in immunocompromised patients.
Choice E rationale:
Tuberculous meningitis is a type of bacterial meningitis caused by Mycobacterium tuberculosis. While it can occur in immunocompromised individuals, fungal meningitis is more prevalent in this population.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
This statement is not appropriate because it assumes a specific diagnosis without further assessment or confirmation. Meningitis can be caused by various pathogens, so it's essential not to jump to conclusions based solely on symptoms.
Choice B rationale:
This statement is appropriate because the patient's symptoms, including fever, headache, stiff neck, and photophobia, are consistent with bacterial meningitis. Bacterial meningitis is a severe infection that requires prompt treatment to prevent complications.
Choice C rationale:
This statement is not appropriate because fungal meningitis typically presents differently and is more common in individuals with compromised immune systems. There is no evidence from the presented symptoms to suggest fungal meningitis.
Choice D rationale:
This statement is not appropriate because parasitic meningitis is very rare and typically associated with specific exposures or travel history. There is no information to support this as a likely cause of the client's symptoms.
Choice E rationale:
This statement is not appropriate because meningococcal septicemia is a different condition from meningitis. While both can be caused by Neisseria meningitidis bacteria, septicemia is characterized by a bloodstream infection, while meningitis affects the meninges.
Correct Answer is B
Explanation
Choice A rationale:
Antibiotic therapy for the family members is not the most appropriate preventive measure for Haemophilus influenzae type b meningitis. While antibiotics are used to treat the infection, providing antibiotic therapy to family members does not prevent the spread of the bacteria to others.
Choice B rationale:
Prophylaxis for the patient's close contacts is the recommended preventive measure for Haemophilus influenzae type b meningitis. Close contacts of a patient with this type of meningitis, such as household members and daycare contacts, are at an increased risk of contracting the disease. Administering prophylactic antibiotics to these individuals can help prevent the transmission of the bacteria and reduce the likelihood of developing the infection.
Choice C rationale:
Hygiene education for school staff and students is not directly related to preventing the spread of Haemophilus influenzae type b meningitis. While hygiene education is essential for preventing the spread of infections in general, it is not specific to this particular type of meningitis.
Choice D rationale:
Outbreak management protocols for the community may be necessary if there is an outbreak of Haemophilus influenzae type b meningitis. However, this choice does not address the immediate preventive measure needed for the diagnosed pediatric patient and their close contacts.
Choice E rationale:
Vaccination against Neisseria meningitidis is not directly relevant to preventing Haemophilus influenzae type b meningitis. These are two different types of bacteria that cause different forms of meningitis, and vaccination against Neisseria meningitidis would not protect against Haemophilus influenzae type b meningitis.
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