Infections: dengue warning signs: practice question

A Pediatrics 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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Pediatrics · Infections: dengue warning signs

Sample item

On day 5 of fever, a child with dengue develops persistent vomiting, abdominal pain and rising haematocrit with falling platelets. How is this classified?

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

The answer and the reasoning

C. Dengue with warning signs

Warning signs include abdominal pain, persistent vomiting, fluid accumulation, mucosal bleed, lethargy and rising haematocrit with falling platelets. These patients need admission and IV fluids with close monitoring. The critical phase begins around defervescence.

Option by option

  • A. Severe dengue only if shock is present

    Waiting for shock delays treatment.

  • B. Dengue without warning signs

    Warning signs change classification and management.

  • C. Dengue with warning signs (correct)

    Correct. These are warning signs and need inpatient care.

  • D. Not dengue

    The picture is characteristic of dengue.

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 Pediatrics question

What is the answer to this Pediatrics question?

The best answer is C, Dengue with warning signs. Warning signs include abdominal pain, persistent vomiting, fluid accumulation, mucosal bleed, lethargy and rising haematocrit with falling platelets.

Why is "Severe dengue only if shock is present" not the answer?

Waiting for shock delays treatment.

Why is "Dengue without warning signs" not the answer?

Warning signs change classification and management.

Why is "Not dengue" not the answer?

The picture is characteristic of dengue.

What concept does this question test?

It tests Infections: dengue warning signs in Pediatrics. These patients need admission and IV fluids with close monitoring. The critical phase begins around defervescence.

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 Infections: dengue warning signs?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics 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.