hy 1682 This was a classic one... but a bit hard...

[tommyk]

Questions were centered on simply "pointing" to a certain structure in the brainstem. Seems easy, but there are SO MANY structures!!! Many of the students got the same cross sections, but some had to point to the pituitary gland, some to the hypothalamus. CT scans can get a bit tough, so the best way I recommended, and still recommend, is to get an atlas, then COVER UP ALL THE NAMES, and pretend that ALL the structures are a single "concept"/questions, and see if you can point them all out (nucleus basalis of Meynert was a VERY CRUCIAL ONE because it is Ach-related and is implicated in Alzheimer's dx.). Remember that!

[tommyk]

A 4 year old girl is listless and not arousable, so her mother takes the child to the emergency room. The examining physician notes a temperature of 38.8 C and nuchal rigidity. Child had no immunization shots. A lumbar puncture yields slightly cloudy CSF with a protein of 70 mg/dL and glucose 20 mg/dL (serum glucose 80mg/dL). A culture of CSF is most likely to yield ...? (Pick from: H flu., Cryptococcus...pigeons! as Dr. Goljan would say), Asper****us, Mycobacterium, CMV)...(Guess first please) (Group B strep not one of the choices).







a) Due to no immunizations, H. flu is an older, tricky correct choice. This concept reminds me of the association between C. jejuni and Guillain-Bare syndrome...a board favorite...do you recall how Guillain-Bare presents???...after a viral infection, ascending paralysis..etc...