Test TOM - Ordre Des Médecins Practice Questions - Test Préalable à L'Inscription Au Tableau De L'Ordre Des Médecins (Test TOM, DR Congo) Exam

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A 28-year-old man presents to the emergency ward in Kinshasa with high fever (39.8°C), chills, severe headache, and vomiting. A rapid diagnostic test (RDT) and thick blood smear confirm Plasmodium falciparum infection with 8% parasitemia. He is conscious but prostrated and unable to retain oral medications. According to the DRC National Malaria Control Programme (PNLP) guidelines, what is the first-line treatment of choice?

Oral Artemether-Lumefantrine (AL) crushed in water with an antiemetic Intravenous Artesunate at 2.4 mg/kg at 0, 12, and 24 hours, then once daily until oral therapy can be tolerated Intravenous Quinine infusion at a loading dose of 20 mg/kg in 5% Dextrose over 4 hours, without monitoring blood glucose Intramuscular Chloroquine at 10 mg/kg every 12 hours for 3 days

Correct Answer:

Intravenous Artesunate at 2.4 mg/kg at 0, 12, and 24 hours, then once daily until oral therapy can be tolerated

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