Malaria

Question 1

What type of organism is Malaria`

Answer 1

Protozoan parasites of the genus plasmodium

Question 2

Subtypes of malaria

Answer 2

P. Falciparum
P. Vivax
P. Ovale
P. Malaraiae

Question 3

What mosquito transmits malaria

Answer 3

Female Anopheles Mosquito

Question 4

Which of the subtypes of malaria are lethal 
Falciparum
Vivax
Ovale
Malariae

Answer 4

Falciparum

Question 5

What are the phases of the malaria life cycle

Answer 5

Sporogony Phase
Exoerythrocytic Phase
Erythrocytic Phase

Question 6

During which phase of the malaria lifecycle is the Asexual cycle in the human liver
Sporogony Phase
Exoerythrocytic Phase
Erythrocytic Phase

Answer 6

Exoerythrocytic

Question 7

What phase of the malaria cycle begins when a female anopheles mosquito takes a blood meal from an infected human. Ends when the mosquito salivary glands are filled with malaria parasites.

Sporogony Phase
Exoerythrocytic Phase
Erythrocytic Phase

Answer 7

Sporogony Phase

Question 8

Which phase of the malaria life cycle occurs when female anopheles takes another blood meal from an uninfected human and injects parasite into the blood stream. The parasite makes its way to the liver

Answer 8

Exoerythrocytic phase

Question 9

Where do malaria parasites undergo asexual maturation before being released into the blood stream

Answer 9

Liver cells

Question 10

What type of human cells are lysed due to malaria asexual reproduction

Answer 10

Red blood cells

causes massive inflammation and decreases O2 carrying capacity (Anemia)

Question 11

What are the two broad categories for malaria

Answer 11

Uncomplicated

Severe

Question 12

How soon can malaria symptoms develop and how long do they normally last

Answer 12

Develop within 7 days and last for several months

Question 13

What are the characteristics of uncomplicated malaria

Answer 13

• Paroxysmal (cyclical) fever
• Influenza-like symptoms
• Jaundice & mild anemia secondary to hemolysis

Question 14

What are the characteristics of Severe anemia

Answer 14

• Small blood vessel infarction, capillary leakage
• Altered consciousness
• Hepatic failure & renal failure
• Acute Respiratory Distress Syndrome
• Severe anemia

Question 15

What diagnosis should be considered when presented with a febrile patient returning from an endemic country

Answer 15

MALARIA

Question 16

What is required to confirm a malaria infection following a Rapid Malaria Testing

Answer 16

Microscopy

Question 17

What are the two reliable treatment regimens available for malaria that are available in the united states

Answer 17

• Atovaquone-proguanil (Malarone) {For Cloroquine resistant malaria}
• Artemether-lumefantrine (Coartem)

Question 18

What is the treatment regimen for uncomplicated malaria (Sanford Guide)

Answer 18

1) Chloroquine phosphate 1g PO
2) Then 0.5g in 6 hours
3) Then 0.5g daily for 2 days

Question 19

What are the most important protective measures for malaria prevention

Answer 19

Proper clothing

Awareness

Question 20

When is malaria prophylaxis started prior to expected embarkation to an endemic area

Answer 20

1-2 weeks

Question 21

What is the appropriate disposition for patients presenting with mild forms of malaria

Answer 21

EVACUATION to definitive medical care facility

Question 22

What are some potential complications for a malaria patient

Answer 22

Neurologic Abnormalities
Acute renal failure
Anemia
Metabolic Acidosis
Hypovolemia
Acute Respiratory Distress