dxtxpx
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25 yr old Cambodian refugee in her first trimester of pregnancy developed abnormal sx consisting of frequent high fever (104F) accompanied by malaise, headache, confusion & nausea in three-day cycles. Intially, she attributed the sx to her pregnancy but later reported them to her physician. Clinical findings included thrombocytopenia, tachycardia, splenomegaly, hemoglobinuria and anemia. She was admitted to the hospital and shortly went into coma
I) Corrective presumptive dx would be an infection caused by
a) Plasmodium vivax
b) Pasmodium falciparum
c) Toxoplasma gondii
c) Pneumocustis carnii
d) Plasmodium ovale
II) A confirmation of dx could be made by
a) Giemsa stained thin blood smear
b) Indirect fluorescent antibody test
c) Culturing a blood sample in an enriched medium
d) direct microscopic exam of fresh blood specimen
e) patient history
III) Administration of following drug of choice would normally result in a dramatic cure
a) Quinine sulfate, pyrimethamine and sulfadiazine
b) Chloroquine phosphate
c) Pyrimethamine, sulfodoxine, and chloroquine
d) Quinine dihydrochloride IV
e) mefloquine
IV) Developmental form of parasite transmitted during biting process is
a) sporozoite
b) merozoite
c) hypnozoite
d) macrogamete
e) microgametes
V) Microscopic exam of stained, infected RBC would reveal
a) ring shaped trophozoite
b) spherical gametocyte
c) crescent shaped gametocyte
d) rod shaped gametocyte
e) beaded gametocyte
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| krsma
Forum Elite
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Posts: 227
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What are the answers dxtxpx? :oops:
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| dxtxpx
Forum Guru
Topics: 259
Posts: 1,233
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I) b
II) a
III) b
IV) a
V) c
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