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Board Review: Malaria
1.
27 year old pregnant woman (27 weeks gestation) recently traveled to Nigeria and presents to the hospital with 10 days of fevers, fatigue, shortness of breath and chest pain.
SBP < 80 mm Hg
Acidotic breathing
Rash
Multiple convulsions
None
2.
Which laboratory parameter is NOT used to define severe malaria for Plasmodium falciparum?
Hypoglycemia (plasma blood glucose < 40 mg/dL)
Hyperparasitemia (> 5%)
Elevated lactate (> 5 mmol/l)
Thrombocytopenia (Platelet count < 50 K/mCL)
None
3.
What is the primary regimen recommended for treatment in this patient?
IV quinine
IV artesunate
Oral artermether-lumefantrine
Oral quinine plus clindamycin
None
4.
Below is the patient’s slide. What is the term for when early rings forms appear to be on the peripheral surface of the RBC as opposed to within the RBC?
Appliqué form
Schuffner’s dots
Ruptured schizont
Rosette form
None
5.
Hypoglycemia is an important manifestation of falciparum malaria and is associated with an increased risk for mortality. Which of the following is a possible sign and symptom of hypoglycemia in a patient with malaria?
Anxiety
Tachycardia
Convulsions
All of the above
None
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