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1. Appropriate indications for lumbar puncture include all except:
a. Diagnosis of infectious diseases, including encephalitis, and viral, bacterial, and fungal meningitis
b. Diagnosis of inflammatory processes, including Guillain-Barre syndrome and multiple sclerosis
c. Therapeutic delivery of chemotherapy, antibiotics, and anesthetic agents.
d. All are appropriate indications for lumbar puncture

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2. True or false: An accurate opening pressure can be obtained only from patients in the lateral recumbent position.
a. True
b. False

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3. The preferred positioning for, and performing of, lumbar puncture includes all except:
a. Patient should be in the sitting position
b. The patient curls into the fetal position
c. Insert the needle in the interspace between L3 and L4 or L4 and L5
d. Direct the needle, with stylet firmly in place, approximately 15 degrees cephalad, as if aiming at the patient’s umbilicus

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4. Possible means to prevent the post-lumbar puncture headache include all except:
a. Using the lateral recumbent position instead of an upright position
b. Having the patient remain supine for 6 hours following lumbar puncture
c. Inserting the bevel of the needle in the sagittal plane (parallel with the long axis of the patient) to spread, rather than to cut, the dural fibers d. Using a smaller caliber spinal needle

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5. True or false: If the CSF is tinged with blood, a subarachnoid hemorrhage must be considered. In this case, the blood will completely clear as additional CSF is collected.
a. True
b. False

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