23 Spmp On Dengue Fever
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![SPMP on Dengue Fever Dr. S. Aswini Kumar. MD, A 32 year-old healthy young man is admitted to the hospital with an acute febrile illness XXIII. 01. Dengue fever can be suspected from the following symptoms: High grade fever Sever bone and joint pains Pain behind the eyes Epidemic in the community All of the above XXIII. 02. The following facts about the etiology of Dengue fever are TRUE EXCEPT: It is caused by a group B Arbovirus Man is the main reservoir of infection It is transmitted by Aedes Egypti mosquito The vector is uncommon in India There are at least 4 different serotypes XXIII. 03. Clinical examination should confirm the diagnosis of Dengue fever if there is: Relative bradycardia Lymphadenopathy Maculopapular rash Positive tourniquet test All of the above XXIII. 04. The following steps in doing the tourniquet test are correct EXCEPT: A BP apparatus is used for the purpose Cuff is inflated to a level between systole and diastole The level of mercury column is maintained for 5 minutes The number of petechiae counted in 2 inch square More than 20 petechiae is diagnostic of Dengue fever XXIII. 05. Important investigations of relevance in Dengue the following: WBC count Platelet count Serum Aminotransferace Dengue IgM ELISA test All of the above XXIII. 06. Dengue Hemorrhagic fever is likely to be present in the following circumstance: First attack of Dengue fever in a season Associated Immune thrombocytopenia History of mild Dengue infection in the past Menstruating female patient Associated Cirrhosis liver and portal hypertension XXIII. 07. Dengue Hemorrhagic fever is identified by the detection of: Positive tourniquet test Obvious bleeding tendencies Platelet count less than 1,00,000 Excessive capillary permeability All of the above XXIII. 08. Clinical and radiological evidence of increased capillary permeability includes the following EXCEPT: Ascites Bilateral pleural effusion Pericardial effusion Myxedema Pitting pedal edema XXIII. 09. Dengue shock syndrome is diagnosed by the presence all of the following EXCEPT: Cold clammy extremities Rapid weak pulse Wide pulse pressure Altered mental status All criteria for DHF XXIII. 10. Dengue fever patient can be treated in the periphery if patient is well hydrated and not having any bleeding, with: Bed rest Plenty of fluid Close observation Anti pyretic except aspirin All of the above XXI. 11. The indications for administering Platelet Rich Plasma in these patients are the following, EXCEPT: Platelet count <75,000, with bleeding Platelet count <50,000, with out bleeding Platelet count <50,000, with bleeding Platelet count <20,000, with out bleeding Platelet count <10,000, with shock ,[object Object],Both are derived from pooled blood samples Both are tested negative for HbsAg and HIV Both increase the platelet count by 5-10,000 Platelet concentrates are indicated in fluid overload Platelet concentrate is very rich in plasma proteins XXI. 13. If there is severe thrombocytopenia or bleeding tendencies initially, Platelet counts shall be monitored: ,[object Object]](https://image.slidesharecdn.com/23spmpondenguefever-090820021856-phpapp02/85/23-Spmp-On-Dengue-Fever-1-320.jpg)
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23 Spmp On Dengue Fever
- 2. 6 hourly
- 3. Daily
- 4. Once in three days
- 5. Once in a weekXXI. 14. Dengue shock syndrome should be treated with the following: Close monitoring in an ICU setting Oxygen administration Infusion of IV saline or ringer lactate Infusion of Colloids if needed All the above XXI. 15. Administration of Methyl prednisolone 1gm IV is indicated in the event of the following EXCEPT: 10,000 with or without bleeding 20,000 with or without bleeding 30,000 with dengue shock syndrome 30,000 with bleeding 50,000 without bleeding XXI. 16. The preventive methods for Dengue infection are all EXCEPT: Preventing mosquito bites Preventing mosquito breeding Killing mosquitoes one by one Live attenuated vaccine Ensuring clean environment XXI. 17. The case fatality of Dengue hemorrhagic fever and Shock syndrome is: Nil 1% 10% 20% 40%