Leprosy
Dermatology, Venereology & Leprosy · Topic 9
Source: NMC CBME Curriculum 2024 · Volume II · Dermatology, Venereology & Leprosy · Topic 9 · combined PDF page 358
Practice questions
- In the supplied WHO campaign guidance, which finding qualifies a patient as having “leprosy of consequence”?
- A district has high new-case detection and a large gap between estimated and registered leprosy cases. According to the supplied campaign guidance, what is the most appropriate setting for a leprosy elimination campaign?
- Which combination best describes the activities in the leprosy elimination campaign described in the supplied guidance?
- A case is detected during a leprosy elimination campaign. What action is specified in the supplied campaign guidance?
- Which treatment schedule for paucibacillary leprosy is described in the supplied 2004 WHO regimen summary?
- According to the supplied 2004 regimen summary, which drug is added to the described paucibacillary regimen for multibacillary leprosy?
- A learner is asked to state the clofazimine schedule in the multibacillary regimen summarized in the supplied 2004 source. Which answer matches that source?
- A patient with a single skin lesion asks about the regimen mentioned in the supplied 2004 WHO chemotherapy summary. Which single-dose combination does that source describe for adults?
- A programme manager reviews the supplied WHO operational guidance and asks what remains central to establishing a leprosy diagnosis. Which response is best supported?
- At a patient's first leprosy assessment, which additional evaluation does the supplied WHO operational guidance particularly emphasize?
- A programme notices that leprosy diagnoses vary substantially between health workers. Which response aligns with the supplied WHO operational guidance?
- A person with leprosy develops a complication that exceeds the capacity of the local clinic. What service response is most consistent with the supplied WHO operational guidance?
- Why does the supplied WHO operational guidance identify self-reporting as increasingly important for leprosy case detection?
- A leprosy service wants to improve prevention of disability (POD). Which interpretation best matches the supplied WHO operational guidance?
- A patient affected by leprosy needs vocational training and support to return to work. Which interpretation of rehabilitation is supported by the supplied WHO guidance?
- A patient with leprosy has an immune-mediated reaction and is at risk of nerve damage. Which treatment class is described as the mainstay for leprosy reactions in the supplied systematic review?
- A patient with recurrent leprosy reactions has received systemic corticosteroids for a prolonged period. Which management principle is most strongly supported by the supplied review?
- Which adverse-effect category was the most frequently reported with systemic corticosteroid use in the supplied systematic review of leprosy?
- In the supplied systematic review, approximately what proportion of individuals receiving systemic corticosteroids for leprosy developed corticosteroid-induced lipodystrophy?
- A patient receiving systemic corticosteroids for a leprosy reaction develops a new infection. Which statement best reflects the supplied review?
- The supplied systematic review reports an association between erythema nodosum leprosum (ENL) and certain corticosteroid-associated complications. Which pairing is supported?
- A patient has skin and joint findings suggestive of systemic lupus erythematosus, but also has peripheral neuropathy and responds poorly to immunosuppressive treatment. What diagnostic consideration is most appropriate based on the supplied review?
- A patient with suspected SLE has a positive antinuclear antibody test. Which conclusion is best supported by the supplied review of leprosy masquerading as SLE?
- Which leprosy form was most frequent among the patients in the supplied systematic review of leprosy cases initially diagnosed as SLE?
- A clinician is reassessing a patient initially treated for SLE who has persistent cutaneous and articular symptoms. Which additional feature was reported in the supplied review and should strengthen consideration of leprosy?
- In the systematic review of Indian studies on quality of life in people affected by leprosy, which factors were most consistently associated with lower quality of life?
- A leprosy programme aims to improve quality of life among affected people. Which action is most directly supported by the supplied Indian systematic review?
- A global qualitative review of people affected by tuberculosis or leprosy found that women often experienced which pattern?
- A health service is redesigning leprosy outreach after reviewing evidence on gendered experiences. Which approach best aligns with the supplied systematic review?
- A systematic review evaluated MIP vaccine given alongside standard chemotherapy for leprosy. What overall interpretation of its findings is most accurate?
- In the supplied MIP meta-analysis, which leprosy subgroups showed significant reductions in clinical scores and bacterial index in subgroup analysis?
- Which statement about MIP vaccine safety is supported by the supplied systematic review and meta-analysis?
- A health system is integrating leprosy services into general health care. Which operational priority is emphasized in the supplied WHO guidance?