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?

A

TMP-SMX.

25
Q

What is the most common cause of death during traveling according to the content?

A

Accidents.

26
Q

What is the most common cause of traveler diarrhea according to the content?

A

E-coli.

27
Q

Which vaccines are recommended to travelers according to the content?

A

Hepatitis A, Hepatitis B, BCG, Typhoid, and Malaria.

28
Q

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?

A

BCG.

29
Q

Which vaccine is compulsory before Hajj according to the content?

A

Meningococcus.

30
Q

What vaccines are recommended to pregnant individuals according to the content?

A

Influenza inactivated, Hepatitis B, and TdaP.

31
Q

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?

A

Influenza.

32
Q

Which vaccines should be avoided in pregnancy according to the content?

A

MMR, Human-papillomavirus, and Varicella.

33
Q

What vaccines are recommended to the elderly according to the content?

A

Influenza (every year) and Pneumococcus.

34
Q

Which vaccine is recommended to elderly adults to protect newly born individuals according to the content?

A

DTaP.

35
Q

How is the fever of malaria described according to the content?

A

Paroxysmal (not daily).