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General Medicine · Infectious disease: malaria
Sample itemA patient with Plasmodium falciparum malaria has confusion, acidosis and jaundice. How should this be classified?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Severe malaria
Neurologic impairment, acidosis and jaundice are severe-malaria features requiring urgent parenteral treatment and close monitoring.
Option by option
A. Uncomplicated malaria
Uncomplicated illness lacks severe features.
B. Severe malaria (correct)
Correct. Organ dysfunction makes falciparum malaria severe.
C. Relapsing vivax malaria only
Vivax relapse is related to hypnozoites and is not this syndrome.
D. Asymptomatic parasitaemia
This patient is critically ill, not asymptomatic.
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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