Phys Vivas · infectious
CNS Infections — Viva Defence
Structured DCE viva for CNS infections: long-case defence of post-pneumococcal meningitis follow-up plus probing questions on sequencing, steroids, and special populations.
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Target exams
FRACP DCEMRCP Part 2
Prompt
Structured DCE viva for CNS infections: long-case defence of post-pneumococcal meningitis follow-up plus probing questions on sequencing, steroids, and special populations.
Opening statement (SASPOP, delivered aloud)
"Mr Nguyen is a 46-year-old man, three weeks post pneumococcal meningitis complicated by seizures and ICU care, presenting with new hearing difficulty. His main problems are: recovering from a severe CNS infection with neurological sequelae; determining whether an underlying susceptibility exists; secondary prevention through vaccination; and rehabilitation of his hearing. My plan is to complete a complications screen, investigate immune susceptibility, vaccinate, and coordinate his recovery." [1]
References3ShowHide
- [1]van de Beek D, de Gans J, Tunkel AR, Wijdicks EF. Community-acquired bacterial meningitis in adults N Engl J Med, 2006.PMID 16394301
- [2]de Gans J, van de Beek D; European Dexamethasone in Adulthood Bacterial Meningitis Study Investigators. Dexamethasone in adults with bacterial meningitis N Engl J Med, 2002.PMID 12432041
- [3]Tunkel AR, Hartman BJ, Kaplan SL, et al. Practice guidelines for the management of bacterial meningitis Clin Infect Dis, 2004.PMID 15494903