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Board Review: Encephalitis
1.
What is NOT one of the minor criteria for definition of encephalitis?
A) Fever
B) New onset seizure
C) Acute mental status change
D) CSF WBC ≥ 5
None
2.
How many minor criteria are needed to meet the definition of encephalitis?
A) 6
B) 1
C) None, only major criteria needed to define encephalitis
D) ≥ 2
None
3.
What is NOT one of the poor prognostic features for HSV encephalitis?
A) GCS ≤ 10
B) Seizure
C) Extensive brain involvement on MRI
D) Delay in initiation of acyclovir
None
4.
True or False. If there is a high clinical suspicion for herpes simplex encephalitis, intravenous acyclovir can be discontinued after the initial HSV-1 PCR test is negative, since the PCR test has high sensitivity.
A) True
B) False
None
5.
True or False. Even if there is no CSF pleocytosis, HSV-1 PCR should be performed and intravenous acyclovir started if herpes simplex encephalitis is still a consideration and clinical suspicion is high.
A) True
B) False
None
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