Fever in Returned Traveller — SCE Infectious Diseases MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: A — Investigate acute viral hepatitis and other causes of febrile jaundice
The best answer is “Investigate acute viral hepatitis and other causes of febrile jaundice”. Three high-quality negative films make malaria unlikely, so HAV, HEV, leptospirosis, dengue, yellow fever and other exposure-led diagnoses need targeted testing rather than indefinite repetition of one test. Malaria chemoprophylaxis is selected by destination, resistance, contraindications, interactions, pregnancy and previous neuropsychiatric adverse effects. Sustained virological response markedly reduces liver events and can permit fibrosis regression, but patients with established cirrhosis retain hepatocellular-carcinoma risk and need surveillance.
Reference: UK malaria prevention guidelines for travellers: https://www.gov.uk/government/publications/malaria-prevention-guidelines-for-travellers-from-the-uk EASL recommendations on treatment of hepatitis C: https://easl.eu/publication/easl-recommendations-on-treatment-of-hepatitis-c/