Communicable diseases: lymphatic filariasis mass drug administration: practice question

A PSM question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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PSM · Communicable diseases: lymphatic filariasis mass drug administration

Sample item

During a mass drug administration round for lymphatic filariasis using diethylcarbamazine and albendazole, which of the following should be excluded from receiving the drugs?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. A 12-month-old infant

In the national filariasis elimination programme, the annual mass drug administration covers all eligible people in endemic districts. Children below 2 years, pregnant women and seriously ill people are excluded. Common side effects are due to dying microfilariae and are mild and transient.

Option by option

  • A. A 6-year-old child

    School-age children are a main target group and are eligible.

  • B. A 60-year-old woman with diabetes

    Diabetes in an older adult is not an exclusion criterion.

  • C. A 12-month-old infant (correct)

    Correct. Children below 2 years are excluded from the programme.

  • D. A 35-year-old man with treated hypertension

    Controlled hypertension is not a contraindication to the drugs.

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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Questions about this PSM question

What is the answer to this PSM question?

The best answer is C, A 12-month-old infant. In the national filariasis elimination programme, the annual mass drug administration covers all eligible people in endemic districts.

Why is "A 6-year-old child" not the answer?

School-age children are a main target group and are eligible.

Why is "A 60-year-old woman with diabetes" not the answer?

Diabetes in an older adult is not an exclusion criterion.

Why is "A 35-year-old man with treated hypertension" not the answer?

Controlled hypertension is not a contraindication to the drugs.

What concept does this question test?

It tests Communicable diseases: lymphatic filariasis mass drug administration in PSM. Children below 2 years, pregnant women and seriously ill people are excluded. Common side effects are due to dying microfilariae and are mild and transient.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Communicable diseases: lymphatic filariasis mass drug administration?

Practise biostatistics with small calculations until sensitivity, predictive values and risk measures are automatic. Then use the flashcards and the other PSM questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.