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PSM · Communicable diseases: mass drug administration for filariasis
Sample itemIn the annual mass drug administration for lymphatic filariasis in India, the drugs used in the standard two-drug regimen are:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Diethylcarbamazine and albendazole
The standard MDA regimen is a single dose of DEC plus albendazole annually, and in selected districts a triple-drug regimen adds ivermectin. DEC is not given to children under 2 years, pregnant women and the seriously ill.
Option by option
A. Diethylcarbamazine and albendazole (correct)
Correct. DEC with albendazole is the standard regimen.
B. Doxycycline and rifampicin
Doxycycline has been studied for filarial adult worms but is not part of MDA.
C. Ivermectin and praziquantel
Praziquantel is used for schistosomiasis.
D. Albendazole and mebendazole
Albendazole with mebendazole are both anthelmintics, not the MDA pair.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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