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Malaria standby emergency treatment — DTM&H MCQ

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ModerateMalariaMalaria standby emergency treatmentDTM&H

A geologist will work in a remote forest region of the Guianas where access to care may be delayed. He will take standard prophylaxis but asks what to do if fever develops far from medical help. What is the most appropriate prophylaxis?

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Correct answer: B — Carry standby emergency antimalarial treatment

Carry standby emergency antimalarial treatment is the single best answer because standby emergency treatment may be considered for selected remote travellers but does not replace prophylaxis or urgent assessment. Carry oral praziquantel is plausible in a related presentation, but it is less appropriate because it does not fit the key discriminator in this vignette. The teaching point is that fever in a malaria area needs prompt action because falciparum disease can deteriorate rapidly.

Reference: WHO Guidelines for malaria, 2025; UKHSA Malaria prevention guidelines for travellers from the UK, 2025; CDC Yellow Book 2026