travel medicine

Question 1

Typhoid

Answer 1

salmonella typhi bacteria

Question 2

typhoid transmission

Answer 2

oral/fecal. lives only in the human intestinal tract and blood

Question 3

Typhoid symptoms

Answer 3

GI, fever, weakness, intestinal bleeding, Sepicemia and rose spot rash

Question 4

typhoid vaccines

Answer 4

IM and oral (live virus)

Question 5

Yellow fever

Answer 5

togavirus (hemorrhagic disease)

Question 6

Yellow fever transmission

Answer 6

RNA virus in the flavivridae family, transmitted by mosquitoes. Africa and S. America

Question 7

Yellow fever stages

Answer 7

85% mild FLS, 15% enter a second toxic phase is fatal is 1/2 of cases

Question 8

Yellow fever vaccine

Answer 8

Live vaccine

Question 9

Japanese Encephalitis

Answer 9

Mosquito borne flavivirus. Most preventable cause of encephalitis in Asia. RNA virus

Question 10

Japanese Encephalitis S/S

Answer 10

stiff neck, stupor, encephalitis if in utero abortion of the fetus

Question 11

Japanese Encephalitis vaccine

Answer 11

Ver cell culture derived

Question 12

Cholera

Answer 12

rice water diarrhea, vomit, circulatory collapse. Rehydrate

Question 13

Bioterror goal

Answer 13

kill a few, hurt and scare many more. Induce fear, disrupt society, overt or covert

Question 14

Bioterror clues

Answer 14

large outbreak, infection is non endemic to region, unusual distribution

Question 15

Bacteria biological agents

Answer 15

anthrax, plague and tularemia

Question 16

Viruses

Answer 16

smallpox, viral hemorrhagic fever

Question 17

Toxins

Answer 17

botulism

Question 18

Anthrax

Answer 18

gram positive, spores are found in nature and humans are infective by animals

Question 19

3 forms of anthrax

Answer 19

cutaneous, ingestion, and inhalation(worst)

Question 20

Anthrax clinical findings

Answer 20

widened mediastinum on CXR, hemorrhagic meningitis and thoracic lymphadenitis

Question 21

gastrointestinal antrhrax

Answer 21

GI issue, use dox or cipro

Question 22

small pox

Answer 22

variola virus (face to face or contaminated objects

Question 23

small pox rash

Answer 23

starts at day 4, most contagious, tongue and mouth. infectious until the scabs form over.

Question 24

Plague

Answer 24

yersinia pestis, gram negative bacillus

Question 25

plague transmission

Answer 25

direct contact with rodent or their fleas

Question 26

types of plague

Answer 26

pneumonic, bubonic and septicemic

Question 27

Plague S/S

Answer 27

cervical bulbo, brusing gangrene, sepsis and organ failure

Question 28

Dx plague

Answer 28

IgM antigen detection

Question 29

plague tx

Answer 29

strepomycin and gentamycin

Question 30

Botulism

Answer 30

clostridium botulism, flaccid paralysis or CN 9,10,11,12. odorless and tasteless. The MOST neurotoxin known to man

Question 31

Tularemia

Answer 31

tick and animal naturally. Pneumonic is the most serious form

Question 32

Tularemia types

Answer 32

skin ulcers, glandular , eye, oropharngeal. Use PCR test and aminoglycide