HomeKROK Question Archive
Exam questionKROK 2Medicine · 2013

A 7-year-old boy had complained of headache, nausea, fatigue for 3 weeks. His condition gradually deteriorated, headache and general weakness progressed. The boy had bronchitis at the age of 3. His father has a history of pulmonary tuberculosis. Objectively: body temperature 37,5°C, conscious, lies supine, with the hip and knee flexed to 90 degrees, nuchal rigidity +6 cm, partial ptosis of the right eyelid, the dilated right pupil. General hyperalgesia is present. Liquor: transparent, pressure - 400 mm of water column, protein - 1,5%, cytosis - 610/3 with predominant lymphocytes, sugar - 1,22 mmol/l, chlorides - 500 mmol/l. What is the most likely diagnosis?

Answer options

  1. Secondary purulent meningitis
  2. Serous meningitis
  3. Pneumococcal meningitis
  4. Epidemic cerebrospinal meningitis
  5. Tuberculous meningitis
Correct answer

Tuberculous meningitis

This educational archive is provided by KROKEXAM and is not an official testing authority publication.