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Malaria and Respiratory Infections: MCQ

M3 India Newsdesk Dec 07, 2023

This MCQ article will guide physicians to understand the complexity of severe malaria, its effects on the respiratory system and the required effective management in the course.


Malaria and Respiratory Infections MCQ

  1. A 35-year-old male patient presents with fever, respiratory distress, and a history of recent travel to a malaria-endemic region. Blood smears confirm Plasmodium falciparum infection. He is diagnosed with severe falciparum malaria and is noted to have noncardiogenic pulmonary oedema and concomitant pneumonia. What is the likely pathophysiological mechanism linking severe malaria with acute respiratory distress in this patient?

  1. A 28-year-old female, known to have vivax malaria, presents with shortness of breath and cough. Chest X-ray reveals interstitial infiltrates. Laboratory tests show severe anaemia. She is being treated with intravenous artesunate.  In managing this patient's condition, what factor is crucial for reducing mortality associated with malaria-induced acute lung injury (ALI)/ARDS?

  1. A 40-year-old female patient in a malaria-endemic region presents with severe falciparum malaria and respiratory distress. She has a history of delayed hospital presentation and has been diagnosed with ARDS. What factor significantly increases the risk of mortality in this patient with severe malaria and ARDS?

  1. A 30-year-old male with severe vivax malaria is admitted with acute respiratory distress. Laboratory investigations reveal concomitant bacterial pneumonia and severe anaemia. In the management of this patient with vivax malaria and respiratory distress, which co-morbidity most likely contributes to the development of acute lung injury (ALI)?

  1. A 50-year-old male with a history of malaria presents with acute respiratory distress. He is diagnosed with severe malaria and ARDS. Laboratory tests reveal hypoglycemia and metabolic acidosis. Which of the following is a significant predictor of mortality in this patient with severe malaria and ARDS?
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