Infections: dengue shock: 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 shock

Sample item

A child with dengue is in shock with cold extremities, narrow pulse pressure and rising haematocrit. What is the initial fluid?

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

The answer and the reasoning

D. Isotonic crystalloid 10 to 20 ml/kg over 15 to 30 minutes

Dengue shock syndrome results from plasma leakage, and treatment is prompt isotonic crystalloid boluses with reassessment. If haematocrit falls with persistent shock, bleeding is suspected and blood is transfused. Prophylactic platelet transfusion is not recommended.

Option by option

  • A. Plasma 30 ml/kg

    Plasma is not first line.

  • B. Dextrose 25 percent

    Hypertonic dextrose is not appropriate.

  • C. Platelet transfusion

    Platelets do not treat shock.

  • D. Isotonic crystalloid 10 to 20 ml/kg over 15 to 30 minutes (correct)

    Correct. Crystalloid boluses restore volume.

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 D, Isotonic crystalloid 10 to 20 ml/kg over 15 to 30 minutes. Dengue shock syndrome results from plasma leakage, and treatment is prompt isotonic crystalloid boluses with reassessment.

Why is "Plasma 30 ml/kg" not the answer?

Plasma is not first line.

Why is "Dextrose 25 percent" not the answer?

Hypertonic dextrose is not appropriate.

Why is "Platelet transfusion" not the answer?

Platelets do not treat shock.

What concept does this question test?

It tests Infections: dengue shock in Pediatrics. If haematocrit falls with persistent shock, bleeding is suspected and blood is transfused. Prophylactic platelet transfusion is not recommended.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 shock?

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.