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General Medicine · Infectious diseases
Sample itemWhich presentation should raise urgent concern for bacterial meningitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Fever, headache, neck stiffness, and altered mental state
Bacterial meningitis can present with fever, severe headache, neck stiffness, rash, or altered consciousness and requires urgent assessment, blood cultures, and time-critical antimicrobial treatment according to local protocols.
Option by option
A. Gradual presbyopia
Presbyopia is age-related loss of near focus.
B. Fever, headache, neck stiffness, and altered mental state (correct)
Correct: this cluster is highly concerning for meningitis.
C. Chronic painless ankle swelling
Chronic ankle swelling has many non-meningitic causes.
D. Isolated hair thinning
Hair thinning does not signal acute meningeal infection.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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