Meningitis 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 45-year-old man is brought to the emergency department by his friend due to severe headaches, fever, and vomiting. Medical history is unknown, but the friend states they live in a homeless shelter together. Temperature is 39°C (102.2°F), pulse is 90/min, and blood pressure is 135/85 mmHg. On physical examination, the patient is disoriented and seems in distress due to pain. Meningeal signs are positive, but no focal signs are observed. Head imaging reveals mild hydrocephalus with marked basilar enhancement. The results of the CSF analysis are shown below:  

 
 Cerebrospinal fluid 
 Opening pressure  350 mm H2O 
 Color  Yellow 
 Protein   350 mg/dL 
 Glucose  20 mg/dL 
 RBCs  4 cells//mm3 
 WBC count   400/µL 
 Neutrophils   20%  
 Lymphocytes  80% 

Which of the following methods can assist in identification of the causative agent?  

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