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Question 1 of 5

1. Question
What are typical findings in the CSF for a patient that experienced Ig-related aseptic meningitis?
- Pleocytosis, elevated CSF protein, and elevated serum procalcitonin levels.
- Pleocytosis, elevated CSF protein, and normal CSF to blood glucose ratio.
- Pleocytosis, normal CSF protein, and elevated serum procalcitonin levels.
- Pleocytosis, elevated CSF protein, and elevated serum procalcitonin levels.
Question 2 of 5

2. Question
What are typical symptoms in an adult who has experienced Ig-related aseptic meningitis?
- Severe headache post infusion, possibly associated with nausea and vomiting, and relieved by a couple doses of acetaminophen.
- Severe headache post infusion, and aura typical of migraine headaches, lasting for an hour or two.
- Severe headache post infusion, possibly associated with nausea, vomiting, malaise, and myalgias.
- Severe headache post infusion, unrelieved by OTC analgesics, but responsive to diphenhydramine.
Question 3 of 5

3. Question
A first dose Ig patient contacts her nurse two hours after an infusion with a complaint of a severe headache. What is the most appropriate action to take?
- Instruct the patient to take OTC pain medications, hydrate, and the headache will subside in several hours.
- Instruct the patient to go to their nearby urgent clinic or emergency room for treatment.
- Suggest the patient go to the hospital for a spinal tap to confirm the possible diagnosis of aseptic meningitis.
- Evaluate the patient for potential causes of the headache, contact the prescriber if necessary, and consider all treatment options.
Question 4 of 5

4. Question
Which of the following should be considered treatment options for a patient having experienced what is considered Ig-related aseptic meningitis?
- Pretreatment with hydration, acetaminophen, diphenhydramine, corticosteroid and continuation of the same IVIG product at a slower infusion rate.
- Change in IVIG product at a slower infusion rate with pretreatment with hydration, diphenhydramine, and corticosteroid. If no post-infusion headache for several infusions, taper the diphenhydramine and corticosteroid.
- Change patient to SCIG.
Question 5 of 5

5. Question
During the acute stage of aseptic meningitis a 3 year old child is restless and irritable. Which intervention would be most appropriate?
- Limiting conversation with the child
- Keeping lights and noise to a minimum
- Allow child to soak in an oatmeal bath to help with rash.
- Feed soft foods.

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