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Travel Flashcards

1
Q

What is the USASOC requirement for the pre-deployment checklist?

A

IMPACT questionnaire

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2
Q

What is the medication for malaria prevention?

A

Chloroquine

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3
Q

What percent die from P. falciparum?

A

15-20%

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4
Q

What is a positive finding for the PPD skin test?

A

> 10mm induration

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5
Q

When should you read the PPD skin test?

A

48-72hrs

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6
Q

Prophylaxis treatment for traveler’s diarrhea?

A

Bismuth
Cipro
Anti-motility (Imodium)

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7
Q

Is the PPD a good diagnostic test for tuberculosis?

A

No, should be used for a screening test only

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8
Q

What is another name for disequilibrium?

A

Jet lag

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9
Q

What is a disequilibrium affect?

A

Circadian Rhythm

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10
Q

What can you use to treat water to protect from traveler’s diarrhea?

A

Halogens

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11
Q

What is a type of Halogen?

A

Iodine

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12
Q

What medication can you give prophylactically for disequilibrium (Jet Lag)?

A

Anti-nausea 30min before

Anti-histamine

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13
Q

What are some types of anti-histamines?

A

Dramamine
Meclizine (Dramamine 2)
Benadryl
Compostine

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14
Q

Acute treatment for P. falciparum?

A

Chloroquine

Doxy (in resistant areas)

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15
Q

Treatment for traveler’s diarrhea?

A

Oral rehydration
Imodium
Cipro

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16
Q

What antibiotic should be used for traveler’s diarrhea in Asia & India?

A

Azithromycin

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17
Q

3 potential diseases caused by exposure to warm, stagnant, fresh water?

A

Leptospirosis
Schistosomiasis
Giardia

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18
Q

Any insect like organism with a hardened exoskeleton?

A

Arthropod

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19
Q

What percent of DEET to is used to for a preventive measure?

A

25-30%

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20
Q

What patient should you not give Imodium to?

A

Diarrhea w/blood or pus and fever

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21
Q

3 biggest risks for MVCs overseas?

A

Seatbelts
Drinking
Night driving

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22
Q

What should you do if a blood smear comes back negative for malaria?

A

Test 3 times q 8 hours

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23
Q

Which diagnostic test is not reliable for a team member just returning?

A

X-rays

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24
Q

What antigen causes dermatitis?

A

Urushiol

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25
Q

What is the pattern for the rash w/plant induced dermatitis?

A

Linear

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26
Q

Management of plant induced dermatitis?

A 
Topical steroid (Class 1) 
Limit high-potency steroid x2wks
27
Q

Possible animal contact infections?

28
Q

Possible arthropod acquired infections?

A

Lyme disease

RMSF

29
Q

What percent of cat bites become infected?

30
Q

Animal bite management?

A

Irrigation
Debridement
Augmentin

31
Q

Usual organisms w/animal bite wounds?

A

Pasturella
Staph
Strep

32
Q

What animals does rabies affect?

A

All mammals

33
Q

What is the prophylaxis for rabies?

A

Human diploid cell vaccine

34
Q

Treatment for rabies?

A

Soap & water

RIG post exposure

35
Q

Venomous families of snakes?

A

Crotalidae
Elapidae
Hydrophidae

36
Q

What type of snakes are crotalidae?

A

Pit vipers

37
Q

What type of snakes are elapidae?

A

Cobras
Mambas
Kraits

38
Q

What type of snakes are hydrophidae?

A

Sea snakes

Sea krait

39
Q

Where does the rule for coral snakes “red to black venom lack, red to yellow kill a fellow” apply?

40
Q

What type of snake has a triangular head, a deep hollow between the eye and nostril and vertical elliptical pupils?

A

Pit vipers

41
Q

Which type of snake has long, movable fangs sheathed in whitish membrane?

42
Q

Which type of snake has smaller fangs, located towards the front of the mouth and fixed to the jaw?

43
Q

Type of venom for each family?

A

Crotalidae (Pit vipers) -hemotoxic
Elapidae (cobras, mambas, kraits) -neurotoxic
Hydrophidae (sea snakes) -neurotoxic

44
Q

Characteristics of hemotoxin?

A

Severe pain at site

Local tissue necrosis

45
Q

Characteristics of neurotoxin?

A

Little or no pain (1 to 5hrs post-bite)

46
Q

Management of snakebites?

A

Reassure

Remove jewelry

47
Q

Documentation of snakebites?

A

Time of bite
Extent of swelling
Description of snake

48
Q

Types of arthropods?

A

Hymenoptera
Spiders
Scorpions

49
Q

What are hymenoptera?

A

Ants
Bees
Wasps

50
Q

What is the LD50 of bee stings?

A

500-1000 stings

51
Q

What is the key to stinger removal?

52
Q

What is the dose for epinephrine?

A

500-1000 stings

53
Q

What is the typical bite pattern of fire ants?

A

Mandible swivels abdomen, stinging repeatedly in arc

54
Q

Characteristics of male black widows?

A

Smaller
Brown
Harmless

55
Q

How the bite of a black widow is usually described?

A

Pinch or pinprick

56
Q

Characteristics of a brown recluse?

A

2-3cm

Violin shaped

57
Q

3 DOCs for helping personnel remain alert during sustained ops?

A

Provigil
Dextramethadone
Caffeine

58
Q

DOC for altitude illness?

A

Diamox (acetazolamide)

59
Q

What is the first sign of a neurotoxic bite?

60
Q

How long will it be before you might notice symptoms?

61
Q

Anti-venom used for all envenomation in North America?

62
Q

Your pt presents with general weakness and prosthesis. Do you administer antivenin?

A

Not immediately. He may be hyperventilating

63
Q

What is the LD50 for fire ants?

64
Q

How many deaths does lightning account for each year?

b3 (8 decks)

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