Immunizations & Travelers

Question 1

antibody is also known as

Answer 1

immunoglobulin

Question 2

which vaccines can immunocompromised and pregnant patients not get

Answer 2

live attenuated and live

Question 3

List the Live vaccines (8)

Answer 3

COZY IV RM
cholera
oral thyphoid
zoster
yellow fever
Intranasal influenza
varicella
rotavirus
MMR

Question 4

what vaccine do women need with each pregnancy

Answer 4

Tdap

Question 5

define dysentery

Answer 5

travelers diarrhea that has blood mixed in with the stool and often accompanied by more severe systemic symptoms

Question 6

primary pathogen for travelers diarrhea

Answer 6

E. Coli

Question 7

Prevention of travelers diarreha

Answer 7

Pepto-Bismol

Question 8

if needed what ppx abx can be used for travelers diarrhea (2)

Answer 8

rifaximin-preferred

quinolones

Question 9

Treatment of travelers diarrhea

Answer 9

hydration
loperamide
pepto-bismol
abx for mod-severe TD

Question 10

loperamide dose

Answer 10

4 mg after first loose stool then 2mg after each loose stoll up to max of 16mg/day for rx or 8mg/day for otc

Question 11

abx used to treat mod-severe travelers diarrhea

Answer 11

macrolides
quinolones
rifaximin

Question 12

abx used to treat severe TD and dysentery

Answer 12

azithromycin

Question 13

Thyphoid fever caused by

Answer 13

bacteria: Salmonella typhi

Question 14

How to spread thyphoid

Answer 14

food or water contaminated by feces of someone with an acute infection or from a chronic asymptomatic carrier

Question 15

Cholera is what?

Answer 15

bacterial infection caused by Vibrio cholera

Question 16

Most common symptom of cholera

Answer 16

“rice-water stools”

Question 17

Drugs used to prevent malaria (6)

Answer 17

atovaquone/proguanil (malarone)-daily 1-2 days prior
Doxycycline-daily 1-2 days prior
Primaquine-daily 1-2 days prior
chloroquine-weekly 1-2 week prior
mefloquine-weekly 1-2 week prior
tafenoquine-weekly 1-2 week prior

Question 18

Drug to treat acute mountain sickness

Answer 18

acetazolamide