Dengue Fever & Dengue Hemorrhagic Fever

1. What is Dengue virus infection

Réponse: a. Is symptomatic in majority of patients. b. Cannot be differentiated into DF from the early phase of the illness. c. Leucopenia is a common feature. d. Can be confirmed by antigen detection test during the early days of the illness. (1st day fever) e. Is likely in a patient with fever, headache and myalgia

2. When is a dengue patient should be observed closely for fluid leakage

Réponse: a. When the platelet count less than 100,000/mm3 b. When the temperature is settling c. If the urine output drops below 0.5ml/kg/hr

3. In the critical phase of the illness, following signs and / or symptoms necessitates informing the doctor immediately as these signs may indicate impending shock

Réponse: a. Cold, clammy extremities b. CRFT<2 seconds c. Patient becoming restless & faintishness d. Fainting when sitting up on the bed

4. A patient with suspected dengue fever with a history of fever for 3 day is admitted to your ward. On admission, you should

Réponse: a. Check his weight b. Measure both systolic and diastolic blood pressure c. Start measuring in-take and output d. Take blood for FBC

5. A 28 yr old obese man is admitted to your ward with following symptoms: fever for 4 days, fainting, excessive vomiting, headache and abdominal pain. FBC on admission WBC-3800, Plt-80000/mm, PVC-45%. You will

Réponse: a. Observe vital signs of thepatient. b. Advice not to take coffee, chocolate and red coloured food.