8 Hours Of Severe in Medicine / Internal Medicine — Case | Infectious Diseases | SMLE Q#18236
SMLE Question #18236
Medicine / Internal Medicine
Infectious Diseases
Objective: OBJ-001
Last updated: February 2026
A 19-year-old previously healthy man presents with 8 hours of severe headache, fever, photophobia, and neck stiffness. He has a non-blanching petechial rash on his legs. Examination shows marked nuchal rigidity without focal neurological deficits. Which test would most directly confirm the suspected diagnosis?
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