UKMLA PLAB AMC USMLE Prometric MCQ

Question Number 0405

Question:
A 6 year old with a two day history of a severe headache develops fever and a spreading purplish rash. On examination the child is noted to be lethargic and confused and to have nuchal rigidity. The change in mental status is likely to be secondary to

a) encephalitis
b) thrombosis of a major dural sinus
c) medulloblastoma
d) pseudotumour cerebri
e) meningitis