Problem-solving skills would involve the framing of models for capturing the relevant issues and the use of accounting data analysis to help the management to solve the problems. Typically, if one had to choose between A and Balternative investmentsan accountant would estimate the related alternative streams of cash flows along with their probability of variations, and suggest which would be better for a given level of risk. To be a scorekeeper is to be the custodian of numbers indicating performance levels against benchmarks available in targeted plans. Thus, an accountant may draw up a variance analysis between budgeted profits and actual profits, analysing the reason for the variance, be it sales price, sales quantity, raw material usage and raw material prices, machine availability, or labour productivity. The attention director's role is to draw the attention of the management to the emerging trends in data, which may need attention for mid-term correction if the strategies have to be achieved. Thus, an accountant may point out that the sales returns are increasing and may affect future sales and profitability, or that delays in designing a new product could affect its markets and costs

141 Is cavernous sinus thrombosis a complication of meningitis?

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

143 Is lumbar puncture contraindicated in meningococcal meningitis?

144 What should the cerebrospinal fluid (CSF) picture be when the treatment of acute bacterial meningitis is complete, and after how many days of treatment?

145 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?

146 '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?

147 Should children with bacterial meningitis be treated with steroids to prevent complications?

148 What is the role of anticonvulsants in a case of encephalitis and how long should one continue them?

149 How effective are steroids in the treatment of radiculomyelitis?

150 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?