Of the followings is also called Break Bone Fever :

Appeared in: Haryana CHO -2023

Explanation

Dengue is a viral infection transmitted by the Aedes aegypti mosquito.
It is famously known as 'break-bone fever' because it causes severe muscle pain (myalgia) and joint pain (arthralgia) that can feel like bones are breaking.
Other common symptoms include high fever, headache, pain behind the eyes (retro-orbital pain), and a characteristic rash.

Option A: Malaria is a parasitic disease known for causing cyclical fevers, chills, and sweating. It is not associated with the severe musculoskeletal pain that characterizes 'break-bone fever'.
Option B: While Chikungunya causes severe, often debilitating, joint pain and is transmitted by the same mosquito as Dengue, the specific nickname 'break-bone fever' is classically and historically attributed to Dengue.
Option D: Filariasis is a parasitic worm infection that affects the lymphatic system, leading to chronic swelling known as lymphedema or elephantiasis. It does not cause the acute febrile illness with severe pain seen in Dengue.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Synonyms of Communicable Diseases as background academic context rather than a clinical decision trigger.
Nurses must differentiate between these diseases based on symptoms for correct triage and management, especially since Dengue and Chikungunya are co-prevalent and transmitted by the same mosquito.
A key nursing priority in Dengue is monitoring for warning signs of severe dengue (e.g., abdominal pain, persistent vomiting, mucosal bleeding), which can progress to Dengue Shock Syndrome.
Patient education is crucial: advising the use of paracetamol (acetaminophen) for fever and pain, and strictly avoiding NSAIDs (like Ibuprofen) and Aspirin, which increase bleeding risk due to thrombocytopenia in Dengue.

How to Approach the Question

First, identify the core of the question. It asks for the disease that is also known by the nickname 'Break Bone Fever'.
This is a factual recall question. Access your knowledge of communicable diseases and their common names or synonyms.
Evaluate each option based on its characteristic symptoms:
Malaria is known for cyclical fever and chills.
Chikungunya is known for severe, crippling joint pain ('that which bends up').
Dengue is famously associated with intense muscle and joint pain, giving it the 'break-bone' moniker.

Concept Tested & Keywords

Q2jaEipu5OrWXfY2oMIQlm

E6 Medicine Harrison 22e Part 1 p. 1710-1712

E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 241-243

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart B (pp 202-403 of 604) p. 152-154

Practise the full Haryana CHO -2023

Attempt every question from this paper in a timed mock, then review the full solution for each one.