Approach to encephalitis Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 28-year-old man is brought to the emergency department by ambulance for evaluation of seizure-like activity. The patient's partner reports progressive confusion, headache, and fever over the past two days. Earlier today, the patient suddenly became rigid with rhythmic jerking movements of the limbs lasting two minutes, followed by combativeness. En route to the hospital, the patient became drowsy and somnolent. Past medical history is noncontributory, and no medications are taken. Temperature is 38.3°C (101°F), pulse is 58/min, respirations are 8/min, blood pressure is 152/62 mmHg, and oxygen saturation is 90% on 10 liters via nonrebreather facemask. The patient appears stuporous on examination, without abnormal movements. The remainder of the physical examination is unremarkable. What is the next most appropriate step in management?

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Cerebrospinal fluid (CSF) analysis

Computerized tomography (CT) of the head with contrast

Intravenous lorazepam

Intravenous antibiotics

Intubation and mechanical ventilation