
Malaria [UMMP]
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AMIRAH amir
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20 Slides • 22 Questions
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Malaria [UMMP]
by AMIRAH amir
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Fill in the Blanks
Type answer...
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Answer: Sporozoite. Because this is the stage that enters human body
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Multiple Choice
What is the definitive host for malaria?
Mosquito
Human
Monkey
Birds
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Definitive host is the organism in which a parasite becomes mature and reproduces sexually
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Multiple Choice
Which of the following is the most prevalent human malaria species outside of sub-Saharan Africa?
Plasmodium knowlesi
Plasmodium falciparum
Plasmodium ovale
Plasmodium vivax
Plasmodium malariae
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8
Multiple Choice
This is the vector for malaria.
Aedes mosquito
Sandfly
Anopheles mosquito
Tsetse fly
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10
Open Ended
Other than through the bite of Anopheles mosquito, what are the ways human can acquire malaria infection?
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12
Multiple Choice
Which of the following is the natural host for Plasmodium knowlesi?
Human
Orang utan
Long tailed macaque
Bats
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​
​
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Multiple Choice
When does the fever in malaria occur?
During rupture of schizont
During ring development to trophozoite
During inoculation of sporozoites
During parasite invasion of liver cells
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Multiple Choice
What type of fever does malaria cause?
intermittent/ relapsing
continuous
remittent
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Fever occurs after the rupture of blood schizont. Due to the release of toxins, pigments , merozoites, byproducts
Release pyrogen
Stimulate temp regulating centre in the brain
FEVER
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Multiple Select
Which species cause true relapse?
Plasmodium knowlesi
Plasmodium falciparum
Plasmodium ovale
Plasmodium malariae
Plasmodium vivax
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Multiple Select
Which species cause recrudescence?
Plasmodium knowlesi
Plasmodium falciparum
Plasmodium ovale
Plasmodium malariae
Plasmodium vivax
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Multiple Choice
Should asymptomatic carriers be treated?
Yes
No
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Asymptomatic carriers can still be the source of infection and transmit the parasite to mosquitoes.
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Multiple Choice
Are you protected from malaria if you live in an endemic region?
Yes
No
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ANSWER: NO. (but you are not subjected to hyperinfection)
Repeated antigen exposure from infective bites protects against high numbers of parasite and illness without eliminating the infection (premunition)
This immunity disappears once the infection is eliminated.
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Open Ended
List the possible complications of malaria.
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Open Ended
What are the antimalarial drugs that you know?
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Open Ended
Why do you think we need many drugs to treat malaria?
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Multiple Choice
This drug is used to prevent relapse.
Chloroquine
Quinine
Artesunate
Primaquine
Lumefantrine
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Multiple Choice
Who requires malaria chemoprophylaxis?
Pregnant mother
Traveller to endemic country
Immunocompromised person
Frontline healthcare worker
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Multiple Choice
This the gold standard for malaria diagnosis.
PCR
Microscopy
Rapid diagnostic test
Culture
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Multiple Choice
Which is the sample of choice to send to the lab for malaria diagnosis?
Urine
Stool
Blood
Cerebrospinal fluid
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Multiple Choice
Why are the mature asexual stages of Plasmodium falciparum not seen in peripheral blood smear?
They cannot develop in human blood
The heat from the skin drives them away
They are sequestered in the microvasculature
They are eaten up by macrophages
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Mature forms change the surface properties of infected RBC, causing them to stick to blood vessels (cytoadherence) → sequestration. This leads to obstruction of the microcirculation and results in dysfunction of multiple organs, typically the brain in cerebral malaria.
As a result of this cytoadherence, the only asexual Plasmodium falciparum parasites found in peripheral blood smears are young (ring) stage parasites because their host RBCs do not yet have knobs and therefore do not cytoadhere to the microvascular endothelium.
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Open Ended
List the preventive & control measures for malaria.
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1.Vector control
Ø Insecticide-treated mosquito nets (ITNs)
Ø Indoor spraying with residual insecticides
2.Chemoprophylaxis
3.Mosquito avoidance measures
Ø insect repellent, wearing long sleeves & long pants
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Multiple Choice
This test is required before taking primaquine.
Renal profile
Liver function test
Full blood count
G6PD test
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Any questions?
Email me at:
amirahamir@um.edu.my
OR
amirahamir@ummc.edu.my
Malaria [UMMP]
by AMIRAH amir
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