malaria Flashcards

1
Q

What is malaria?

A

Malaria is a life-threatening disease caused by parasites transmitted through the bites of infected female Anopheles mosquitoes.

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2
Q

What is the primary mosquito responsible for transmitting malaria?

A

The female Anopheles mosquito.

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3
Q

Name three risk factors of malaria.

A

Immunocompromised individuals, pregnant women and children, travelers from non-endemic areas.

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4
Q

How does housing quality influence malaria risk?

A

Poor housing quality increases exposure to mosquito bites, raising malaria risk.

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5
Q

List the causative agents of malaria.

A

Plasmodium falciparum, Plasmodium vivax, Plasmodium ovale, Plasmodium malariae, and Plasmodium knowlesi.

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6
Q

What happens to the malaria parasite once it enters the human body?

A

Sporozoites enter the liver, multiply in hepatocytes, release merozoites, which then invade red blood cells, causing cycles of infection and symptoms.

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7
Q

What are the initial steps in the pathophysiology of malaria?

A

The mosquito injects sporozoites, which travel to the liver, invade hepatocytes, and begin replicating.

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8
Q

What happens to red blood cells (RBCs) infected by malaria parasites?

A

Merozoites multiply inside RBCs, causing them to burst and releasing more merozoites.

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9
Q

How does malaria infection cause anemia?

A

The bursting of infected RBCs leads to anemia and reduced oxygen-carrying capacity in the blood.

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10
Q

Why can malaria cause organ dysfunction?

A

Severe malaria infections can lead to blocked blood vessels, causing inflammation and damage to vital organs.

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11
Q

Why does malaria relapse occur?

A

Some malaria parasites hide in the liver, causing recurrent infections.

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12
Q

What are common signs and symptoms of malaria?

A

Fever, chills, general discomfort, headache, nausea, vomiting, diarrhea, abdominal pain, muscle or joint pain, fatigue, rapid breathing, and heart rate.

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13
Q

Name three complications of malaria.

A

Cerebral malaria, breathing problems, and organ failure.

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14
Q

What is “blackwater fever,” and how is it related to malaria?

A

Blackwater fever is a complication of malaria characterized by dark urine, usually due to massive hemolysis (RBC destruction).

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15
Q

How does malaria affect blood sugar levels?

A

Malaria can lead to hypoglycemia (low blood sugar) as a complication.

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16
Q

Describe the microscopy diagnostic procedure for malaria.

A

A stained thick or thin blood smear is examined under a microscope to detect malaria parasites.

17
Q

What is the purpose of a Rapid Diagnostic Test (RDT) in malaria diagnosis?

A

RDT detects specific malaria antigens in a person’s blood, indicating infection through specific bands on the test card window.

18
Q

What is the IFA test used for in malaria diagnosis?

A

The IFA test detects species-specific malaria antibodies, forming an antigen-antibody complex that fluoresces, confirming the presence of malaria.

19
Q

What supportive management is used for malaria?

A

Counseling and follow-up, antipyretics for fever, antiemetics for vomiting, intubation for cerebral malaria, blood transfusions for severe anemia, and renal replacement therapy.

20
Q

What are the recommended medications to reduce fever in malaria patients?

A

Antipyretics like ibuprofen.

21
Q

What supportive care might be required for a malaria patient with a coma?

A

Intubation and intensive care support for cerebral malaria.

22
Q

What are the core strategies for malaria prevention?

A

Raising awareness, vector control, vaccination, using LLINs, IRS, treating fabric with permethrin, and wearing protective clothing.

23
Q

Describe the RTS,S/AS01 (Mosquirix) vaccine schedule.

A

It’s administered as a 4-dose IM injection for children aged 6 to 24 months, reducing malaria morbidity and mortality.

24
Q

What is the MVIP by WHO?

A

Malaria Vaccine Implementation Programme, aimed at increasing access to malaria vaccination.

25
Q

How does malaria control address epidemics?

A

Through prompt diagnosis, early treatment, surveillance, and chemoprophylaxis for high-risk groups.

26
Q

Why is chemoprophylaxis recommended for travelers and pregnant women?

A

It provides preventive protection against malaria for high-risk groups.

27
Q

What is the role of permethrin in malaria prevention?

A

Permethrin-treated fabrics repel mosquitoes, reducing the risk of malaria.

28
Q

What are LLINs, and how do they help prevent malaria?

A

Long-Lasting Insecticidal Nets (LLINs) prevent mosquito bites, reducing malaria transmission.

29
Q

How does the WHO’s malaria control strategy address invasive mosquito species?

A

Through tailored surveillance and control measures for invasive species.

30
Q

What does WHO recommend for early malaria treatment?

A

Prompt diagnosis and compliance with prescribed treatment to manage and reduce malaria spread.

31
Q

What is WHO’s 2023 malaria theme?

A

“Time to deliver zero malaria: Invest, Innovate, Implement.