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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During a cholera outbreak along Lake Tanganyika in eastern DRC, an adult woman arrives at the Cholera Treatment Center (CTC) with profuse watery 'rice-water' diarrhea, undetectable radial pulses, sunken eyes, skin pinch retracting very slowly (> 2 seconds), and profound lethargy. According to WHO/DRC cholera treatment protocols (Plan C), how should intravenous rehydration be initiated?

Infuse 1000 mL of 5% Dextrose over 12 hours with oral rehydration salts Administer Ringer's Lactate at 100 mL/kg total: give 30 mL/kg rapidly within the first 30 minutes, then 70 mL/kg over the next 2.5 hours Administer 0.9% Normal Saline at 10 mL/kg over 6 hours combined with intravenous furosemide Give oral loperamide 4 mg immediately and withhold all intravenous fluids until vomiting ceases

Correct Answer:

Administer Ringer's Lactate at 100 mL/kg total: give 30 mL/kg rapidly within the first 30 minutes, then 70 mL/kg over the next 2.5 hours

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