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Exam (elaborations)

MRCP Revision questions and answers

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MRCP Revision questions and answers

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  • August 4, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • MRCP
  • MRCP
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Ellah1
MRCP Revision questions and answers
Causes of meningitis - Acute bacterial - Common in adults:

i) Meningococcus (neisseria meningitidis)

ii) Pneumococcus (strep. pneumoniae)

iii) Haemophilus influenzae

Common in neonates:

i) Group B streptococcus

ii) E. Coli

Rarities (with lymphocytic CSF):

i) Listeria monocytogenes

ii) Leptospirosis

iii) Syphilis

iv) Lyme disease (Borrelia burgdorferi)

Rarities (with polymorphs in CSF):

i) Mycobacterium tuberculosis (acute onset with CSF polymorphs)

ii) Staphylococcus aureus



Causes of meningitis - others - Chronic bacterial

= mycobacterium tuberculosis

Chronic fungal

, MRCP Revision questions and answers
= cryptococcosis (esp. immunosuppressed)

Acute viral

= Mumps

= Enteroviruses (e.g. polio)

= HSV (mainly type 2)

Miscellaneous

= Cysticercal meningitis (chronic, eosinophilic CSF)

= Amoebic meningitis (acute / chronic) - acquired from contaminated water,
access through cribiform plate



Meningitis - pathogen route of access - i) Haematogenous

ii) Skull fracture / direct penetration

iii) Via cribiform plate

iv) Via infected sinuses, mastoids or middle ear

v) Via peripheral nerves



Meningitis - risk factors - i) CSF shunts / dural defects

ii) Spinal procedures

iii) Splenectomy / SCD

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