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Dengue Fever — UKMLA MCQ

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HardInfectious DiseasesDengue FeverUKMLAMRCP Part 1

A stable returned traveller has suspected uncomplicated dengue without warning signs or bleeding. Which supportive advice is appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Use oral hydration and paracetamol while avoiding aspirin and ibuprofen

The best answer is “Use oral hydration and paracetamol while avoiding aspirin and ibuprofen”. Uncomplicated dengue is treated supportively with hydration and paracetamol. Aspirin and NSAIDs can aggravate bleeding, and prophylactic platelet transfusion is not triggered by a count below 100 alone. UKHSA specialist laboratory sampling and safety-netting for abdominal pain, persistent vomiting, bleeding, lethargy, reduced urine or haemodynamic deterioration remain important.

Reference: UKHSA: Dengue fever guidance, data and analysis: https://www.gov.uk/government/collections/dengue-fever-guidance-data-and-analysis