Malaria Pathogenesis and Classification Quiz
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Questions and Answers

What is the most common and deadly species of Plasmodium that causes malaria in humans?

  • P. vivax
  • P. falciparum (correct)
  • P. malariae
  • P. ovale

Which method is the main mode of transmission of malaria?

  • Blood transfusion
  • Mother to child transmission
  • Bites from infected female anopheles mosquito (correct)
  • Needle stick injury

What is the estimated percentage of malaria deaths in children according to WMR(2018) in 2017?

  • 25%
  • 75%
  • 100%
  • 50% (correct)

Which species of Plasmodium causes malaria with an erythrocytic cycle of 72 hours?

<p>P. malariae (A)</p> Signup and view all the answers

Which type of malaria is characterized by asexual P. falciparum infection, life-threatening signs/symptoms, or vital organ dysfunction?

<p>Severe malaria (C)</p> Signup and view all the answers

What is the main characteristic of uncomplicated malaria?

<p>Fever, chills, and malaise (C)</p> Signup and view all the answers

What is the consequence of cytoadherence in malaria?

<p>Sequestration of red blood cells containing mature parasites in various organs (C)</p> Signup and view all the answers

How is malaria diagnosed through microscopy-based tests?

<p>Blood film light microscopy (B)</p> Signup and view all the answers

What do RDTs detect in malaria diagnosis?

<p>Parasite antigens (B)</p> Signup and view all the answers

What is the impact of some RDTs in detecting parasite antigens?

<p>They can detect parasite antigens up to 2 weeks after treatment (C)</p> Signup and view all the answers

What is the main feature of severe malaria?

<p>Cerebral malaria and prostration (C)</p> Signup and view all the answers

What does P. falciparum do within RBCs?

<p>Invade RBCs of all ages and multiply exponentially without inhibition (D)</p> Signup and view all the answers

What is the classification of malaria based on?

<p>Clinical features and vital organ dysfunction (D)</p> Signup and view all the answers

How are non-microscopy tests for malaria diagnosis conducted?

<p>Identification of parasitic antigen or anti-plasmodial antibodies (A)</p> Signup and view all the answers

What is the limitation of RDTs in malaria diagnosis?

<p>Inability to distinguish between active and past infections (C)</p> Signup and view all the answers

What is the consequence of infected red cells adhering to each other and sometimes to uninfected erythrocytes?

<p>Sequestration of red blood cells in various organs (B)</p> Signup and view all the answers

Which of the following is NOT a preferred treatment for uncomplicated malaria?

<p>Artemether-Piperaquine (B)</p> Signup and view all the answers

What is the recommended initial dose of Artemether for severe malaria if artesunate injection is not available?

<p>3.2 mg/kg IM given on admission (C)</p> Signup and view all the answers

What is the purpose of using two or more blood schizonticidal drugs with independent modes of action in anti-malarial combination therapy?

<p>To improve treatment efficacy and retard the development of resistance (D)</p> Signup and view all the answers

What is the first-line anti-malarial combination therapy of choice in Nigeria?

<p>Artemether-Lumefantrine (D)</p> Signup and view all the answers

What is the definition of treatment failure in the context of malaria treatment?

<p>Fever and parasitaemia fail to resolve or recur within 2 weeks of treatment (D)</p> Signup and view all the answers

What is the recommended chemoprophylaxis for special risk groups in malaria endemic regions?

<p>Malaria chemoprophylaxis (C)</p> Signup and view all the answers

Flashcards

Most common malaria species

Plasmodium falciparum

Malaria transmission method

Mosquito bites

Malaria deaths in children (2017)

50% (according to WMR 2018)

P. malariae erythrocytic cycle

72 hours

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Severe malaria

Life-threatening malaria with organ damage, fast P. falciparum infection

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Uncomplicated malaria symptoms

Fever, chills, and malaise

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Cytoadherence consequence

Organ sequestration of infected red blood cells

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Microscopy malaria diagnosis

Blood film examination

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RDT detection

Parasite antigens

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RDT detection duration

Can detect up to 2 weeks after treatment

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Severe malaria feature

Cerebral malaria, prostration

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P. falciparum in RBCs

Invade and multiply in all red blood cells rapidly

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Malaria classification base

Clinical features and organ dysfunction

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Non-microscopy malaria test

Detects antigens/antibodies

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RDT limitation

Can't differentiate past/active infections

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Red blood cell consequence

Sequestration in organs - cell clumping

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Unfavorable Malaria treatment

Artemether-Piperaquine

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Severe malaria Artemether dose

3.2 mg/kg IM immediately

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Combination therapy purpose

Improve treatment by preventing resistance

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Nigeria's first-line malaria treatment

Artemether-Lumefantrine

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Treatment failure definition

Fever or parasitaemia doesn't improve/returns quickly

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Malaria Chemoprophylaxis

Preventative treatment against malaria

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Study Notes

Malaria Pathogenesis and Classification

  • P. falciparum can invade RBCs of all ages and multiply exponentially without inhibition by the host or drugs
  • Infected red cells adhere to vessel walls (cytoadherence), to each other, and sometimes to uninfected erythrocytes (rosetting)
  • Cytoadherence leads to sequestration of red blood cells containing mature parasites in various organs
  • Malaria is classified as uncomplicated or severe based on clinical features and vital organ dysfunction
  • Uncomplicated malaria presents with symptoms such as fever, chills, headaches, malaise, and nausea/vomiting
  • Severe malaria is characterized by asexual P. falciparum infection, life-threatening signs/symptoms, or vital organ dysfunction
  • Severe malaria features include cerebral malaria, prostration, multiple convulsions, acidosis, bleeding, hypoglycemia, severe malarial anemia, renal impairment, jaundice, pulmonary edema, and shock
  • Malaria is diagnosed through history taking, physical examination, and parasite-based confirmation by microscopy or mRDT
  • Microscopy-based tests for malaria diagnosis include blood film light microscopy, QBC method, and BCP procedure
  • Non-microscopy tests involve identification of parasitic antigen or anti-plasmodial antibodies, such as RDTs and PCR
  • RDTs detect parasite antigens, but cannot quantify the number of parasites or distinguish between active and past infections
  • Some RDTs can detect parasite antigens up to 2 weeks after treatment, impacting the accuracy of the test results

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Description

Test your knowledge of malaria pathogenesis and classification with this quiz. Learn about the invasion of RBCs by P. falciparum, the classification of malaria, and the diagnosis methods including microscopy and RDTs.

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