CME Tropical Medicine (123847): self-assessment questionnaire
SAQs and answers are ONLINE for RCP fellows and collegiate members
Format
Candidates are asked to choose the best answer from the five possible answers. This best of five format is used in many medical examinations.
The answering process
Go to www.rcplondon.ac.uk/SAQ
Log on using your usual RCP username and password
Select the relevant CME question paper
Answer all 10 questions by selecting the best answer from the options provided
Once you have answered all the questions, click on Submit
Registering your external CPD credits
Carrying out this activity allows you to claim two external CPD credits. These will be automatically transferred to your CPD diary, where you can review the activity and claim your points.
Which one of the following is the principal vector for dengue globally?
Aedes aegypti
Aedes albopictus
Anopheles gambiae
Culex quinquefasciatus
Haemagogus tropicalis
Concerning West Nile virus (WNV), which one of the following statements is true?
Aedes mosquitoes transmit WNV
Flaccid paralysis can be a feature of neuroinvasive WNV
Roe deer are an important WNV reservoir
WNV causes severe disease in 80% of infections
Young adults are most vulnerable to severe WNV
Which of the following species of malaria is associated with the majority of deaths, both globally and in the UK?
Plasmodium falciparum
Plasmodium knowlesi
Plasmodium malariae
Plasmodium ovale
Plasmodium vivax
A 34-year-old male attended the emergency department having returned from Burkina Faso 5 days previously. He was drowsy with a Glasgow coma score of 10. Temperature was 38.9°C, blood pressure 100/60 mmHg and respiratory rate 26 breaths per minute. Bloods showed haemoglobin of 109 g/dL, platelets of 93 × 109/L, white cell count of 2.8 × 109/L, creatinine of 183 μmol/L, PO2 (on air) 9.5 kPa and pH 7.25. Blood film showed early and late trophozoites of P falciparum with 12% of red blood cells parasitised.
What antimalarial should he receive?
Atovaquone–proguanil (Malarone®)
Dihydroartemsinin-piperaquine (Euartesim®)
Intravenous quinine
Intravenous artesunate
Tafenoquine
Which of the following is a potential sign of severe malaria in adults?
Glasgow coma score of 10
Haemoglobin 10.1 g/dL
Parasite count 1.3% of red cells parasitised
Platelets below 90 x 109/L
Temperature >38.7°C
Which one of the following has an effective available vaccine?
Crimean–Congo haemorrhagic fever
Ebola virus
Lassa fever
Middle East respiratory syndrome coronavirus (Co-V)
Zika virus
Which one of the following has improved the ability to offer good basic clinical care to patients during outbreaks of viral haemorrhagic fever?
Evidence-based antiviral medications
Inserting Wolbachia infection into mosquito populations to reduce transmission
Locating isolation and treatment centres far from dense population centres
Rapid near-patient biochemistry analysers
Rapid transportation of samples to centralised laboratories
Which one of the following arboviruses are transmitted by day-biting mosquitos?
Crimean–Congo haemorrhagic fever
Dengue
Malaria
Middle east respiratory syndrome Co-V
Monkeypox
Which one of the following activity does not form part of the strategy for Guinea worm eradication?
Containment of infected individuals
Distribution of water filters
Provision of safe drinking water
Vaccination against Dracunculus medinensis
Vector control of cyclops crustacean
Mass drug administration forms a part of the control strategy for many neglected tropical diseases.
Which one of the diseases has an alternative strategy proposed by World Health Organization?
Echinococcosis
Lymphatic filariasis
Onchocerciasis
Trachoma
Yaws
CME Medical Masterclass SAQ
Answers to the CME SAQ published in Clinical Medicine in January 2019
Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10
(a) (e) (e) (a) (d) (d) (e) (d) (b) (c)
- © Royal College of Physicians 2019. All rights reserved.
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