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<span style="font-size:90%">[[RDT Quiz A Q1|back]]</span></br>
<span style="font-size:90%">[[RDT Quiz A Q2|Go to Previous Question]]</span></br>
 
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|colspan="1" style = "font-size:130%; color:black; background: FFFAFA"|<span style="color:black>'''RDT Quiz A Q3'''</span>
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</br><span style="font-size:90%">Both microscopy and RDT tests can be used to diagnose malaria, and the two test types are often used together. However, the tests are not identical in their characteristics and have different strengths and weaknesses.</span></br></br>
|colspan="1" style = "font-size:130%; color:black; background: FFFAFA"|<span style="color:black>'''RDT Quiz A'''</span>
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File:RDT multi fail4.jpg|link={{filepath:RDT multi fail4}.jpg}
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<quiz display=simple>
<quiz display=simple>
{1. This is an RDT test using a pan-malarial antibody (pan) and a ''P.falciparum?'' spsecific antibody (Sp). Which of the following are reasonable interpretions?
 
{<span style="font-size:90%">When comparing microscopy and RDT tests for malaria which of the following statements are correct? ('''select all true statements''')</br></br>
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|type="[]"}
- Consistent with a single species ''P.falciparum'' infection
- <span style="font-size:90%">RDT gives superior species identification
- Consistent with a single species non-''P.falciparum'' infection
+ <span style="font-size:90%">Microscopy is more sensitivity than RDT
- Most consistent with a dual species infection including ''P.falciparum''
+ <span style="font-size:90%">RDT provides a more rapid diagnosis
- Most consistent with a dual species infection not including ''P.falciparum''
+ <span style="font-size:90%">RDT may be preferred in some settings
- Most consistent with a dual species infection not including ''P.falciparum''
- <span style="font-size:90%">RDT accurately assesses parasitaemia
+ An unreportable test
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! colspan="1" | Explanation of correct answer (click "Expand")
! colspan="1" | Explanation of correct answer (click "Expand")
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|<span style="font-size:90%; color:maroon">When no band appears in the control area (black arrow) the test is ALWAYS invalid</span>: </br></br>
|<span style="font-size:90%">''Short answer taken from section "Microscopy vs RDT" (see the section for full details and links).</br></br>''In ideal conditions a well-trained microscopist with experience in malaria, viewing a well-prepared thick blood film using a good quality microscope may detect with equal or better sensitivity than an RDT test.</span>
 
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<span style="font-size:90%">In less ideal conditions where equipment, staining quality, or microscopic experience is less good, then RDTs may have equivalent or superior sensitivity to microscopy (including many malarial endemic regions where microscopy may be unavailable or where the sensitivity of microscopy is limited by training, equipment or facilities). RDTs aso provide a more rapid turnaround time allowing emergency use and rapid decision-making.</span>  
File:RDT_multi_fail1.jpg|<span style="font-size:90%"></span>|link={{filepath:RDT_multi_fail1.jpg}}
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File:RDT_multi_fail2.jpg|<span style="font-size:90%"></span>|link={{filepath:RDT_multi_fail1.jpg}}
<span style="font-size:90%">For species identification thin films are preferred to thick films or RTDS (including mixed infections), as they also allow more accurate identification of sepecies and the % of infected red-cells (for ''P.falciparum'' or ''P.knowlesi'').</span>
File:RDT_multi_fail3.jpg|<span style="font-size:90%"></span>|link={{filepath:RDT_multi_fail1.jpg}}
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<span style="font-size:90%">Irrespective of whether any other bands are present, this is always an invalid test: '''do not interpret.''' Report as failed test</br>Action:</span>  
*<span style="font-size:90%">Repeat the test</br></span>
*<span style="font-size:90%">Consider the reasons for test failure</span>
</br>
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|colspan="1" style = "font-size:90%; color:black|<span style="color:black>[[RDT_Quiz_A_Q4|Go to next question (3 of 5)]]</span>
|colspan="1" style = "font-size:90%; color:black|<span style="color:black>[[RDT_Quiz_A_Q4|Go to next question (4 of 5)]]</span>

Latest revision as of 10:26, 26 November 2024


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RDT Quiz A Q3


Both microscopy and RDT tests can be used to diagnose malaria, and the two test types are often used together. However, the tests are not identical in their characteristics and have different strengths and weaknesses.

When comparing microscopy and RDT tests for malaria which of the following statements are correct? (select all true statements)

RDT gives superior species identification
Microscopy is more sensitivity than RDT
RDT provides a more rapid diagnosis
RDT may be preferred in some settings
RDT accurately assesses parasitaemia


Explanation of correct answer (click "Expand")
Short answer taken from section "Microscopy vs RDT" (see the section for full details and links).

In ideal conditions a well-trained microscopist with experience in malaria, viewing a well-prepared thick blood film using a good quality microscope may detect with equal or better sensitivity than an RDT test.

In less ideal conditions where equipment, staining quality, or microscopic experience is less good, then RDTs may have equivalent or superior sensitivity to microscopy (including many malarial endemic regions where microscopy may be unavailable or where the sensitivity of microscopy is limited by training, equipment or facilities). RDTs aso provide a more rapid turnaround time allowing emergency use and rapid decision-making.


For species identification thin films are preferred to thick films or RTDS (including mixed infections), as they also allow more accurate identification of sepecies and the % of infected red-cells (for P.falciparum or P.knowlesi).


Go to next question (4 of 5)