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WorksheetsME 527 Parasitic 25
Total questions: 10
Worksheet time: 3mins
A 28-year-old woman presents with foul-smelling vaginal discharge and genital itching. Her symptoms have persisted despite a 7-day course of metronidazole 400mg twice daily. What is the most appropriate next step in management?
Switch to tinidazole
Repeat metronidazole 400-500mg twice daily for 7 days
Start clindamycin cream
Prescribe fluconazole
Order culture and sensitivity testing
A 45-year-old man returns from East Africa with fever, confusion, and difficulty breathing. A blood smear shows severe P. falciparum infection. clinical assessment. What is the most appropriate initial treatment?
Oral chloroquine
Artemether with lumefantrine
Intravenous artesunate
Oral quinine with doxycycline
Atovaquone-proguanil
A 6-year-old child presents with intense perianal itching, worse at night. What is the most appropriate management approach?
Mebendazole for the child only
Mebendazole for the child and hygiene measures
Mebendazole for the child and all household members
Hygiene measures only
Albendazole for the child only
A pregnant woman in her first trimester requires malaria prophylaxis for travel. What is the most appropriate choice?
Mefloquine
Doxycycline
Chloroquine
Atovaquone-proguanil
Artemether-lumefantrine
A patient with HIV presents with chronic diarrhoea, and Cryptosporidium parvum is identified. What is the most appropriate treatment?
Metronidazole
Loperamide
Azithromycin
Albendazole
Fluid replacement only
A traveller returns from South America with chronic diarrhoea and fatigue. Giardia lamblia is identified. What is the most appropriate treatment?
Metronidazole
Diloxanide furoate
Albendazole
Praziquantel
Nitazoxanide
A patient presents with amoebic liver abscess >100mL. What is the most appropriate management?
Metronidazole alone
Surgical drainage alone
Metronidazole followed by diloxanide furoate
Metronidazole plus surgical aspiration, followed by diloxanide furoate
Tinidazole alone
A patient with cutaneous leishmaniasis presents with early, non-inflamed lesions. What is the most appropriate initial treatment?
Oral pentamidine
Systemic sodium stibogluconate
Intralesional sodium stibogluconate
Amphotericin B
Oral ketoconazole
A patient requires malaria prophylaxis with atovaquone-proguanil. When should prophylaxis begin?
4 weeks before travel
3 weeks before travel
2 weeks before travel
1-2 days before travel
On arrival at destination
A patient with schistosomiasis presents with CNS involvement. What is the most appropriate treatment regimen?
Praziquantel alone
Steroids alone
Praziquantel plus steroids
Oxamniquine
Metrifonate
