Which of the following is also called Break Bone Fever:

Appeared in: Haryana CHO -2023

Explanation

Dengue is colloquially known as 'Break-Bone Fever' due to its characteristic symptoms.
The infection causes severe myalgia (muscle pain) and arthralgia (joint pain), which patients describe as being so intense it feels like their bones are breaking.
Other symptoms include high-grade fever, frontal headache, and retro-orbital pain.
This name helps to distinguish it from other febrile illnesses based on the primary patient complaint of extreme body pain.

Option A: Malaria is characterized by cycles of fever, chills, and sweating. It is not known as Break Bone Fever. A severe complication of malaria is called 'Blackwater fever', but this is different.
Option B: The name 'Chikungunya' is derived from a word meaning 'to become contorted' or 'to walk bent up', describing the stooped posture of patients due to severe joint pain. While it causes severe pain, it is not called Break Bone Fever.
Option C: Filaria refers to lymphatic filariasis, a parasitic disease that leads to a condition called elephantiasis, characterized by massive swelling and thickening of the skin, typically in the limbs.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Common names and key features of communicable diseases as background academic context rather than a clinical decision trigger.
Differentiating between febrile illnesses like Dengue, Chikungunya, and Malaria is crucial for early and appropriate management, as their treatment protocols and potential complications differ significantly.
A key nursing assessment is to ask about the character of the pain. A complaint of pain so severe it feels like 'bones are breaking' is a strong indicator for Dengue.
Patient education on mosquito bite prevention (e.g., using repellents, eliminating stagnant water) is a primary nursing intervention for all these vector-borne diseases.

How to Approach the Question

This is a factual recall question that tests your knowledge of common medical terminology and disease nicknames.
First, identify the key phrase in the question: 'Break Bone Fever'.
Next, systematically review each option and recall its primary characteristics or associated names.
Recall that Malaria is known for cyclic fevers, Chikungunya for causing a 'bent' posture, and Filaria for elephantiasis.
Associate 'Break Bone Fever' with the intense myalgia and arthralgia characteristic of Dengue.
Select the option that correctly matches the nickname to the disease.

Concept Tested & Keywords

QoHy72fuoWYoRnvQ8lETSD

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

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

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

Practise the full Haryana CHO -2023

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