Microbiology 26: Fever In Returning Traveller

Question 1

List the 5 types of plasmodium that cause malaria ?

Answer 1

P.falciparum
P.vivax
P.ovale
P.Malariae
P.knowlesi

Question 2

What is the initial treatment for non-falciparum malaria ?

Answer 2

Chloroquine

Question 3

How is malaria diagnosed ?

Answer 3

Rapid diagnostic test

Thick and thin blood film

Question 4

What does the thick blood film tell you ?

Answer 4

allows you to see if there are parasites

Question 5

What does a thin blood film tell you ?

Answer 5

Gives you a closer look at what type of parasite/species

Allows you to quantify the parasitaemia

Question 6

List 3 side effects of quinine ?

Answer 6

Cinchonism- dizzy, nauesues, vomiting
Arrhythmias
Hyperinsulinaemia

Question 7

List 2 features on blood film suggestive of falciparum malaria ?

Answer 7

Headphone shaped parasites in red cells

Red cells with more than 1 parasite in it

Question 8

What is the treatment of severe malaria ?

Answer 8

IV artusanate

If not available then IV quinine

Question 9

Which disease presents with arthralgia, myalgia, retro-orbital headache, fever and rash ?

Answer 9

Dengue

Question 10

Sphygmothermic dissociation is associated with which disease ? (When your Heart rate is relatively bradycardic for the high temperature)

Answer 10

Typhoid fever

Question 11

Rose spots are pathognomonic of which disease ?

Answer 11

Typhoid fever

Question 12

Which mosquito causes Dengue ?

Answer 12

AIDES