Which of the following statement (s) is/are true about dengue fever -a) ↑ Hematocritb) ↓Plateletc) Positive tourniquet testd) Vector (Aedes aegypticus) usually bites in day time
Core Concept: Dengue fever is a viral infection transmitted by Aedes mosquitoes. The pathophysiology involves immune response leading to plasma leakage, which explains hemoconcentration (increased hematocrit), thrombocytopenia, and the tourniquet test as a sign of capillary fragility. The vector's biting time is important for prevention.
Why the Correct Answer is Right: All the statements are true. Hematocrit rises due to plasma leakage causing relative hemoconcentration. Thrombocytopenia occurs due to immune-mediated destruction and bone marrow suppression. The tourniquet test is positive in dengue due to capillary fragility. Aedes aegypti is the primary vector and is active during the day, so the statement about daytime biting is correct.
Now, the options given in the question are a, b, c, d. The user provided the correct answer as D, which would mean all statements are true. I need to check if each option is correct. Let's break down each option:
a) ↑ Hematocrit: Correct. Plasma leakage leads to hemoconcentration.
b) ↓ Platelet: Correct. Thrombocytopenia is a hallmark.
c) Positive tourniquet test: Correct. Due to capillary fragility, this test is part of the diagnostic criteria.
d) Vector (Aedes aegypti) usually bites in day time: Correct. Aedes mosquitoes are day-biters, peak activity morning and afternoon.
So all four statements are true. Therefore, the correct answer is D, which includes all options. The wrong options would be if any were incorrect, but in this case, all are correct. Wait, the original question lists the options as a, b, c, d and the answer options are A, B, C, D. If the user's correct answer is D, that would mean all four statements are true. So the explanation must confirm that each of the four statements is indeed correct.
For the Clinical Pearl, I should mention that dengue's classic triad includes fever, headache, and myalgia, but the lab findings here are critical for diagnosis. Also, mosquito control is essential as the vector is active during the day.
Now, structuring the explanation according to the user's instructions. Make sure each section is covered with the required elements. Check for the formatting rules, use bold for section names, no markdown headings, and keep within the character limit. Also, ensure that each wrong option is addressed, but in this case, all options are correct. Wait, the options given in the question are a, b, c, d and the answer options are A, B, C, D. But the user hasn't provided the specific choices for A, B, C, D. However, the correct answer is D, which implies