Flashcards-59

1
Q

Describe the incubation periods of giardiasis and E-coli in travelers returning from Thailand.

A

Giardiasis has a long incubation period, with manifestations appearing after 1-2 weeks, while E-coli has a short incubation period, with symptoms showing after 1-2 days.

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2
Q

What is the most common cause of traveler’s diarrhea in individuals returning from Thailand?

A

E-coli is the most common cause of traveler’s diarrhea in individuals returning from Thailand.

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3
Q

What is the treatment for giardiasis in travelers returning from Thailand?

A

The treatment for giardiasis in travelers returning from Thailand is metronidazole or albendazole.

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4
Q

What is the recommended treatment for E-coli infection in travelers returning from Thailand?

A

Supportive treatment, including fluid replacement, is recommended for E-coli infection in travelers returning from Thailand.

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5
Q

How can malaria be differentiated from dengue fever in travelers returning from Thailand based on platelet levels?

A

In malaria, platelet levels are normal after weeks, while in dengue fever, platelet levels decrease after a few days.

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6
Q

Define the most important investigation for diagnosing malaria in travelers returning from Thailand.

A

The most important investigation for diagnosing malaria is a thick and thin blood film.

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7
Q

What is the first-line or drug of choice for chemical prophylaxis against malaria in travelers returning from Thailand?

A

Doxycycline is the first-line or drug of choice for chemical prophylaxis against malaria in travelers returning from Thailand.

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8
Q

What is the recommended drug of choice for malaria prophylaxis in pregnancy for travelers returning from Thailand?

A

The recommended drug of choice for malaria prophylaxis in pregnancy for travelers returning from Thailand is…

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9
Q

Describe the management options for malaria involving chloroquine or quinine plus clindamycin.

A

Treatment options for malaria include chloroquine or quinine plus clindamycin.

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10
Q

Define the most common complication of malaria in pregnancy.

A

The most common complication of malaria in pregnancy is low birth weight.

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11
Q

How does smoking contribute to low birth weight?

A

Smoking is the most common cause of low birth weight.

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12
Q

Do you know the most common cause of teratogenicity?

A

Alcohol is the most common cause of teratogenicity.

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13
Q

Describe the diagnosis of a patient who returned from Thailand with bloody diarrhea.

A

The diagnosis is Entamoeba histolytica.

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14
Q

Do you know the diagnosis for a young patient with a prolonged history of bloody diarrhea?

A

The diagnosis is ulcerative colitis.

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15
Q

How would you diagnose a patient who returned from Thailand with bloody diarrhea followed by fever and RUQ pain a month later?

A

The diagnosis is amoebic liver abscess.

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16
Q

Define the diagnosis for a patient with a prolonged history of gallbladder disease presenting with fever and RUQ pain.

A

The diagnosis is acute cholecystitis.

17
Q

Describe the diagnosis for a patient with a prolonged history of gallbladder disease presenting with fever, RUQ pain, and jaundice.

A

The diagnosis is acute cholangitis.

18
Q

How do symptoms of amebic liver abscess and clonorchiasis compare?

A

Both present with fever, jaundice, and right upper quadrant pain.

19
Q

Do you know the symptom progression difference between amebic liver abscess and clonorchiasis?

A

Amebic abscess presents with gastrointestinal symptoms first, then hepatic symptoms; Clonorchiasis presents with hepatic symptoms only.

20
Q

Describe the investigation of choice for typhoid fever during different weeks of illness.

A

Widal test is the investigation of choice for typhoid fever: blood culture in the first week, stool culture in the second week, and urine culture in the third week.

21
Q

How would you proceed if a stool culture for suspected typhoid fever is negative?

A

The next step would be to perform a blood culture.

22
Q

Describe the most important measure to prevent typhoid infection according to the content.

A

Hand washing.

23
Q

What is the first-line treatment for typhoid according to the content?

A

Ciprofloxacin.

24
Q

What is the recommended treatment for patients under 18 years old with typhoid according to the content?

25
What is the most common cause of death during traveling according to the content?
Accidents.
26
What is the most common cause of traveler diarrhea according to the content?
E-coli.
27
Which vaccines are recommended to travelers according to the content?
Hepatitis A, Hepatitis B, BCG, Typhoid, and Malaria.
28
What vaccine is considered most important to be given to a female traveling to China and staying in a five-star hotel according to the content?
BCG.
29
Which vaccine is compulsory before Hajj according to the content?
Meningococcus.
30
What vaccines are recommended to pregnant individuals according to the content?
Influenza inactivated, Hepatitis B, and TdaP.
31
If a pregnant female is traveling to China and staying in a five-star hotel, which vaccine is most important to be given to her according to the content?
Influenza.
32
Which vaccines should be avoided in pregnancy according to the content?
MMR, Human-papillomavirus, and Varicella.
33
What vaccines are recommended to the elderly according to the content?
Influenza (every year) and Pneumococcus.
34
Which vaccine is recommended to elderly adults to protect newly born individuals according to the content?
DTaP.
35
How is the fever of malaria described according to the content?
Paroxysmal (not daily).