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Which diagnostic test is the most definitive test used to detect meningitis?

A.

CBC

B.

Urinalysis

C.

CT scan

D.

Lumbar puncture

Answer and Explanation

The Correct Answer is D

A. CBC: A CBC can indicate infection (elevated white blood cell count), but it is not specific for meningitis.

 

B. Urinalysis: Urinalysis is not relevant for diagnosing meningitis.

 

C. CT scan: A CT scan can detect complications like increased intracranial pressure but does not diagnose meningitis directly.

 

D. Lumbar puncture: A lumbar puncture allows direct analysis of CSF for glucose, protein, white blood cells, and organisms, which is definitive for diagnosing meningitis.


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Correct Answer is C

Explanation

A. Insomnia: Infants with increased ICP are more likely to be lethargic than to have insomnia.

B. Positive Babinski reflex: A positive Babinski reflex is normal in infants under 2 years and does not indicate ICP.

C. Bulging fontanel: A bulging fontanel is a classic sign of increased ICP due to the accumulation of fluid or swelling inside the skull.

D. Low-pitched cry: Infants with ICP typically have a high-pitched cry, not a low-pitched one.

Correct Answer is C

Explanation

A. "I know that my child will need to have a companion when swimming." This is a correct precaution to prevent drowning in case of a seizure.

B. "I will make my child wear a medical identification bracelet." This is correct to alert others in case of an emergency.

C. "I will need to give antiseizure medications when my child has a seizure." Antiseizure medications are typically administered as a preventive measure, not during a seizure. Emergency medications (e.g., rectal diazepam) may be used for prolonged seizures but are not routine for every seizure.

D. "I will have my child wear a bike helmet when riding a bike or skateboard." This is correct to protect the child from head injuries during activities.

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