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tough questionsfinal paper 150

Using Thailand as a case study, this research has adopted Seaton and Bennett's (1996, p. 31) concept of tourism market segmentation in order to understand the market segmentation strategy implemented by organizations in the MICE sector in time of crisis.

Question 1

Is cavernous sinus thrombosis a complication of meningitis?

Question 2

What is the mechanism of paraparesis that comes as a late (i.e. postresolution) complication to meningitis?

Question 3

Is lumbar puncture contraindicated in meningococcal meningitis?

Question 4

What should the cerebrospinal fluid (CSF) picture be when the treatment

of acute bacterial meningitis is complete, and after how many days of

treatment?

Question 5

In the management of meningococcaemia, can chloramphenicol be

used as an alternative? Are there any advantages practically? The book

quotes benzylpenicillin or cefotaxime (alternative). Are they a standard

regimen?

Question 6

'The immediate management of suspected meningococcal meningitis

infection is benzylpenicillin 1200 mg either by slow IV injection or

intramuscularly, prior to investigations.'

Is this always true? Should you not perform a lumbar puncture for

culture first?

Question 7

Should children with bacterial meningitis be treated with steroids to

prevent complications?

Question 8

What is the role of anticonvulsants in a case of encephalitis and how long

should one continue them?

Question 9

How effective are steroids in the treatment of radiculomyelitis?

Question 10

Should you treat a patient who has a brain cysticercosis lesion? The text

seems to say 'Yes' but there is great uncertainty about it.

Also, should one 'worm' the patient's gut when you find brain lesions;

if so, with what?