skip to main content

Severe falciparum malaria — RCPSC EM MCQ

Instant feedback + full explanation. One question, done properly.

HardInfectious disease emergenciesSevere falciparum malariaRCPSC EM

A 31-year-old returns from visiting family in Nigeria and presents with fever, jaundice, and confusion. Platelets are 42 x 10^9/L, bilirubin is 95 micromol/L, creatinine is 190 micromol/L, and lactate is 4.8 mmol/L. What is the most appropriate investigation?

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

Reveal the answer and explanation

Correct answer: D — Urgent thick and thin blood films or rapid malaria test with immediate infectious diseases consultation

Urgent thick and thin blood films or rapid malaria test with immediate infectious diseases consultation is correct: the clues indicate Severe falciparum malaria and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: Canadian malaria emergency practice; infectious diseases guidance