A 26-year-old army private is has severe headache and vomiting. These symptoms had developed 5 days previously during a 2-week field training exercise.
on Monday, August 8, 2011
 Question Number 0531 Question: A 26-year-old army private is has severe headache and vomiting. These symptoms had developed 5 days previously during a 2-week field training exercise. On examination he has a fever of 38°C with marked photophobia and meningism. His conjunctivae are injected and he looks mildly jaundiced. WCC is elevated together with a raised PT and ESR. Further investigation reveals a mild degree of renal impairment. A Monospot test is negative. CSF examination shows a lymphocytic picture. What investigation will most helpful towards reaching a diagnosis? a) Urine for microscopy and culture b) CT scan c) IgM antibodies d) HIV serology e) ECG
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Labels: MRCP Part 1 MCQ, USMLE 01