13. Ttt of malaria falciparum

A 40-year-old man is planning to travel to Sudan for a short trip Which of the following prophylactic medications is recommended for malaria prevention?

A.    Chloroquine

B.    Malaria vaccine

 C. Atorvaquone/proguanll

D. No need for prophylaxis

Right is :  C. Atorvaquone/proguanll

………..

A 30-year-old man presents to the Emergency Department with history of fever and headache. He recently came from a trip to Sudan, where he stayed there for 10-days. Abdominal examination, palpable spleen 3 cm below costal margin (see laD results).  Temperature 40 ºC

Hb 9           130-170 g/L (Male) 120-160 g/L (Female) 

Platelets count 90 150-400 x 109/L 

Aspartate aminotransferase 88 12-40 IU/L 

Alanine aminotransferase 94 5-40 IU/L

Which of the following Is the first line treatment option?

A.    Quinine

B.    Mefloquine

C.    Chloroquine

 D. artemisinin based combination therapy

Right is : –   D. artemisinin based combination therapy

………..

Q-   Malaria blood smear picture?

A-   Plasmodium falciparum

B- Plasmodium. Vivax

C- Plasmodium . Ovale

D- Plasmodium. Malariae

Right is : -A-   Plasmodium falciparum