Malaria (parasitic)

Question 1

Causative agents for Malaria

Answer 1

Plasmodium Falciparum
Plasmodium Malariae
Plasmodium Vivax
Plasmodium Ovale
Plasmodium Knowlesi

Question 2

Most malignant causative agent of Malaria

Answer 2

Plasmodium Falciparum

Question 3

Mode of transmission of Malaria

Answer 3

Bite of an infected mosquito

Question 4

Vector of Malaria

Answer 4

Anopheles Mosquito

Question 5

Characteristics of Anopheles Mosquito

Answer 5

N - Night biting
H - High flying
F - Free flowing
R - Rural areas

Question 6

Night biting time of Anopheles mosquito

Answer 6

9pm to 3am

Question 7

Incubation period of Malaria

Answer 7

10-12 days

Question 8

What can happen on the 3rd day of incubation period of Malaria due to rupture of erythrocytes?

Answer 8

Malarial cachexia

Question 9

Classification of Malaria

Answer 9

Parasitic

Question 10

What happens in the Cold stage of Malaria?

Answer 10

Shivering
Quivering
Chills
Teeth chatter

Question 11

What happens in the Hot stage of Malaria?

Answer 11

Fever may rise to 40C
Generalized flushing (redness on face, eyes, ears)

Question 12

What happens in the Wet stage of Malaria?

Answer 12

Severe diaphoresis

Question 13

Diagnostic test for Malaria

Answer 13

Peripheral blood smear

Question 14

On what day of incubation is blood drawn from a patient with Malaria for diagnostic smear?

Answer 14

3rd day at height of fever

Question 15

Dx for Malaria

Quantitative data (concerned with the number of parasites in the blood in infected persons)

Answer 15

Thick Peripheral Blood Smear

Question 16

Dx for Malaria

Qualitative data (exact parasite/protozoan present in the blood)

Answer 16

Thin Peripheral Blood Smear

Question 17

• Visiting to area where there is malaria, you can take this 1
  week before
• Safe to take during pregnancy

Answer 17

Chloroquine/Aralen

Question 18

Dosage of Chloroquine/Aralen for Malaria

Answer 18

250mg

Question 19

For Malaria
- Given during emergency situations
- Has neurologic toxicity

Answer 19

Quinine

Question 20

Dosage of Quinine for Malaria

Answer 20

300mg

Question 21

S/sx of neurologic toxicity of Quinine

Answer 21

Disorientation
Confusion
Convulsions/Seizures

Question 22

DOC for drug resistance for P. Falciparum

Answer 22

Sulfadoxin

Question 23

Other drugs for Malaria aside

Answer 23

a. Artemisinin
b. Mefloquine
c. Quinidine
d. Tetracycline – Teratogenic (take with straw = permanent
straining)

Question 24

Nursing Management for Malaria
(TIMMME)

Answer 24

1. TSB
2. Increase fluid intake
3. Monitor V/S and signs of bleeding
4. Monitor fluid and electrolyte balance
5. Maintain bed rest until the fever and other symptoms have
   ceased
6. Encourage iron-rich, Vit C

Question 25

Construction of bio-ponds for larvivorous fish propagation for the prevention of Malaria

Answer 25

On stream seeding

Question 26

Cutting of vegetation along stream banks to expose the breeding stream to sunlight, rendering it unsuitable for mosquito vector habituation for the prevention of Malaria

Answer 26

On stream clearing

Question 27

The typing of domestic animals like carabao,
cow near human dwellings to deviate mosquito bite from human to these animals for the prevention of Malaria

Answer 27

Zoo prophylaxis

Question 28

On-stream seeding immediate impact requires

Answer 28

2-4 fish/m2

Question 29

On-stream seeding delayed effect

Answer 29

200-400 fish/ha