National Health Programmes & Health Care Delivery · NEET PG Preparation Community Medicine (PSM)
A 40-year-old male presents to the primary health centre with a history of fever, chills, and rigors every 48 hours. A peripheral blood smear confirm…
Practice question from National Health Programmes & Health Care Delivery (NEET PG Preparation Community Medicine (PSM)), with the correct answer and a step-by-step solution.
medium · MCQ · Q-B3BCBB
A 40-year-old male presents to the primary health centre with a history of fever, chills, and rigors every 48 hours. A peripheral blood smear confirms Plasmodium vivax infection. Under the National Center for Vector Borne Diseases Control (NCVBDC), what is the recommended anti-relapse therapy (radical cure) given to clear hypnozoites from the liver?
- A.Chloroquine for 3 days
- B.Primaquine for 14 daysCorrect answer
- C.Artemisinin-based Combination Therapy (ACT) for 3 days
- D.Single dose of Primaquine
Solution
For P. vivax malaria, radical cure requires Chloroquine (to clear the asexual blood stages) combined with Primaquine for 14 days (at 0.25 mg/kg/day) to eliminate the dormant liver hypnozoites and prevent relapse. A single dose of Primaquine is used as a gametocidal agent in P. falciparum cases under national guidelines.
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