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MS Tremor – DBS Consideration — SCE Neurology MCQ

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HardMultiple Sclerosis & CNS InflammationMS Tremor – DBS ConsiderationSCE Neurology

A traveller with laboratory-confirmed Japanese encephalitis develops refractory seizures, coma and raised intracranial pressure. Which disease-specific treatment statement is most accurate?

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Correct answer: C — No antiviral has proven disease-specific efficacy; provide expert neurocritical supportive care

Explanation lettering: C = shown as A · E = shown as C · A = shown as D · D = shown as E

A misclassifies a flavivirus as herpesvirus. B misclassifies it as influenza. C has no proven mortality benefit. D has not become established curative therapy. E is correct: there is no proven JEV-specific antiviral; management is meticulous supportive neurocritical care, including seizure control, airway and ventilation support, treatment of raised intracranial pressure and prevention of complications.

Reference: Japanese encephalitis: clinical diagnosis and management review: https://pmc.ncbi.nlm.nih.gov/articles/PMC10334049/ WHO standards for Japanese encephalitis surveillance: https://pmc.ncbi.nlm.nih.gov/articles/PMC2809064/