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21  S P M P On  Short  Febrile  Illness
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21 S P M P On Short Febrile Illness



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  • 1. SPMP on Short Febrile Illness
    Dr. S. Aswini Kumar. MD,
    A 25 year-old man is brought to the OP department with history of fever of two days duration
    XXI. 01. Diagnosis of viral fever can be arrived at from the following history EXCEPT:
    High grade fever of continuous nature
    Yellowish discoloration of eyes and urine
    Generalized aches and pains
    Non-specific headaches
    Running nose and throat pain
    XXI. 02. You will proceed with a physical examination to demonstrate the following:
    Temperature assessment by palpation
    Inspection of the upper respiratory tract
    Palpation of the abdomen for hepatosplenomegaly
    Auscultation of the chest for adventitious sounds
    all of the above
    XXI. 03. The diagnosis of Weil’s disease can be excluded, if the following clinical features are present EXCEPT:
    Sub-conjunctival hemorrhage
    Muscle tenderness
    Increased urine output
    History of possible exposure to rat’s urine
    XXI. 04. The diagnosis of Dengue fever can be considered clinically by the following:
    Retro-orbital pain
    Generalized maculopapular rash
    Positive tourniquet test
    Epidemic spread in the community
    All of the above
    XXI. 05. Chikungunya fever can be considered from the presence of the following:
    Epidemic outbreak
    Pain and swelling of medium sized joints
    Severe functional disability
    All of the above
    XXI. 06. Investigations that may be done routinely to exclude other causes of fever are the following:
    Total leukocyte count and differentials
    Peripheral smear
    Platelet counts
    Urine routine examination
    All of the above
    XXI. 07. The following general measures are to be taken in the case of uncomplicated viral fevers EXCEPT:
    All patients should be admitted
    Complete bed rest
    Plenty of oral fluids
    Light easily digestible diet
    Antipyretic medications SOS
    XXI. 08. If the temperature is more than 400C, It can be managed by the following:
    Tepid sponging
    Covering with thick blanket
    Oral acetaminophen tablets
    Good ventilation
    All of the above
    XXI. 09. The technique of giving tepid sponging includes all of the following EXCEPT:
    Luke warm water is to be used
    A large soft cotton cloth is preferred
    Ice cubes may be put in the water
    Whole body is to be wiped
    A slow current of air may be used
    XXI. 10. Mediations that may be routinely prescribed are the following EXCEPT:
    Saline nasal drops
    XXI. 11. Antibiotic therapy is indicated in the following circumstances EXCEPT:
    All patients with viral fever
    Secondary bacterial infection
    Extremes of age
    Very ill patient
    • XXI. 12. Acute gastritis occurring in the event of viral fever can be managed by the following medications EXCEPT:
    Tab Ranitidine 150mg BID
    Tab Domperidone 10mg TID
    Tab Ibuprofen 800mg TID
    Liquid antacids 2tsp TID
    Adequate oral intake
    XXI. 13. Indications for admission in a patient with suspected viral fever are the following EXCEPT:
    • Suspected dengue fever
    • 2. Suspected Chikungunya fever
    • 3. Old aged or debilitated patient
    • 4. Suspicion of complications
    • 5. All referred cases
    XXI. 14. Life threatening complications of viral fever are the following EXCEPT:
    Acute renal failure
    XXI. 15. The above complications can be suspected from the following EXCEPT:
    Tachycardia out of proportion to fever
    Tachypnoea out of proportion to lung signs
    Alteration in sensorium and seizures
    Bleeding manifestations
    Flapping tremor of hands
    XXI. 16. Viral Meinigoencephalitis should be managed by the following, EXCEPT:
    Inj. Mannitol 200mg IV q8hrly
    Inj. Acyclovir 800mg IV q8hrly
    Inj. Amiodorone 200mg IV q8hrly
    Inj. Dexamethazone 2mg q6hrly
    Inj. Dilantin Sodium 100mg q 6hrly
    XXI. 17. The following statements regarding Viral Myocarditis are true, EXCEPT:
    High index of suspicion is required for the diagnosis
    Blood pressure should be assessed serially
    ECG will show sinus tachycardia and ST- T changes
    If no hypotension Outpatient management is preferred
    Admission to MICU and close observation are mandatory