Osce questions

 

PREFINAL EXAMINATIONS-OSCE QUESTIONS 

What value is measured for prognosis of Dengue? 

Hematocrit volume of red blood cells compared to the total blood volume

How do you measure hematocrit? 

Blood sample is centrifuged - 3layers are formed plasma, buffy coat, packed red cells

How do you measure hypovolemia by blood pressure cuff? 

Ortho static hypotension fall in blood pressure reduction in systolic blood pressure of at least 20 mmHg or diastolic blood pressure of 10 mmHg

What is the role of measurement of daily input and output? 

One of the complications of dengue is dehydration which, if not carefully monitored and treated, may lead to shock, particularly in those with dengue haemorrhagic fever

Mangement of dengue

There are no definitive curative medications for dengue; management is supportive. Judicious fluid resuscitation during the critical phase of dengue is the cornerstone of management. Crystalloids are the initial fluid of choice. Prophylactic platelet transfusion is not recommended. Organ involvement in severe dengue should be carefully looked for and managed. Secondary hemophagocytic lymphohistiocytosis is a potentially fatal complication of dengue that needs to be recognized, as specific management with steroids or intravenous immunoglobulin may improve outcomes. Several compounds with anti-dengue potential are being studied; no anti-dengue drug is available so far

Link https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9793358/

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