Infectious Disease Board Exam Started: Jul 14, 2026 01:56 Page 30 of 57 Attempt #3043 Overall: 0 / 282 questions answered Question 146 / 282 Not answered At a multidisciplinary case conference: a 61-year-old woman presents with neck stiffness with altered mentation. Relevant risk context includes indwelling catheter. What is the most likely diagnosis? A. Pulmonary tuberculosis B. Community-acquired pneumonia C. Bacterial meningitis D. Infective endocarditis E. Sepsis syndrome Show Answer & Explanation Correct Answer: B Explanation: The pattern of neck stiffness with altered mentation with risk factors such as indwelling catheter is most consistent with Community-acquired pneumonia. This answer best matches the expected diagnostic framework for Infectious Disease. Reference: ESC Endocarditis Guideline Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 147 / 282 Not answered During morning rounds: a 63-year-old man is evaluated for neck stiffness with altered mentation in the context of prosthetic valve. Which is the most appropriate next investigation? A. AFB and molecular TB testing B. Blood cultures before antibiotics C. Chest imaging and oxygen assessment D. Lumbar puncture workflow E. Echocardiography for endocarditis Show Answer & Explanation Correct Answer: D Explanation: Lumbar puncture workflow is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Infectious Disease. Reference: WHO Tuberculosis Guidelines Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 148 / 282 Not answered During morning rounds: a 72-year-old man presents with neck stiffness with altered mentation. Relevant risk context includes immunosuppression. What is the most likely diagnosis? A. Sepsis syndrome B. Pulmonary tuberculosis C. Complicated pyelonephritis D. Community-acquired pneumonia E. Infective endocarditis Show Answer & Explanation Correct Answer: A Explanation: The pattern of neck stiffness with altered mentation with risk factors such as immunosuppression is most consistent with Sepsis syndrome. This answer best matches the expected diagnostic framework for Infectious Disease. Reference: WHO Tuberculosis Guidelines Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 149 / 282 Not answered During morning rounds: a 76-year-old man presents with chronic cough with night sweats. Relevant risk context includes indwelling catheter. What is the most likely diagnosis? A. Community-acquired pneumonia B. Infective endocarditis C. Bacterial meningitis D. Complicated pyelonephritis E. Sepsis syndrome Show Answer & Explanation Correct Answer: E Explanation: The pattern of chronic cough with night sweats with risk factors such as indwelling catheter is most consistent with Sepsis syndrome. This answer best matches the expected diagnostic framework for Infectious Disease. Reference: IDSA Practice Guidelines Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 150 / 282 Not answered During ward handover: a 32-year-old woman presents with chronic cough with night sweats. Relevant risk context includes travel exposure. What is the most likely diagnosis? A. Bacterial meningitis B. Infective endocarditis C. Community-acquired pneumonia D. Sepsis syndrome E. Pulmonary tuberculosis Show Answer & Explanation Correct Answer: A Explanation: The pattern of chronic cough with night sweats with risk factors such as travel exposure is most consistent with Bacterial meningitis. This answer best matches the expected diagnostic framework for Infectious Disease. Reference: IDSA Practice Guidelines Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 30 of 57 Next → »