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AMC MCQ - Key points > Travel Medicine > Flashcards

Travel Medicine Flashcards

1
Q

Describe the treatment options for giardiasis.

A

Metronidazole OR albendazole

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2
Q

What is the most common cause of traveler’s diarrhea?

A

E-coli

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3
Q

How is E-coli traveler’s diarrhea typically treated?

A

Supportive care (fluid replacement)

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4
Q

What are the differences in the incubation periods between giardiasis and E-coli infections acquired during travel?

A

Giardiasis has a long incubation period (manifestations after 1-2 weeks), while E-coli has a short incubation period (manifestations after 1-2 days)

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5
Q

Describe the diagnosis and treatment for dengue fever in a patient who recently returned from Thailand.

A

Diagnosis: Dengue fever; Treatment: Supportive care

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6
Q

What are the diagnostic differences between malaria and dengue fever in a patient who recently returned from Thailand?

A

Malaria shows normal platelets, low RBCs; Dengue fever shows decreased platelets and has rash

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7
Q

What is the most important investigation for diagnosing malaria?

A

Thick and thin blood film

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8
Q

What is the recommended first-line prophylactic treatment for malaria?

A

Doxycycline

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9
Q

What is the drug of choice for malaria prophylaxis in pregnancy?

A

Not provided

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10
Q

Describe the most common complication of malaria in pregnancy.

A

Low birth weight

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11
Q

What is the most common cause of low birth weight?

A

Smoking

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12
Q

What is the most common cause of teratogenicity?

A

Alcohol

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13
Q

What is the likely diagnosis for a patient who returned from Thailand and develops bloody diarrhea?

A

Entamoeba histolytica

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14
Q

What is the likely diagnosis for a young patient with a prolonged history of bloody diarrhea?

A

Ulcerative colitis

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15
Q

What is the likely diagnosis for a patient who returned from Thailand with bloody diarrhea followed by fever and RUQ pain one month later?

A

Amoebic liver abscess

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16
Q

What is the likely diagnosis for a patient with a prolonged history of gallbladder disease presenting with fever and RUQ pain?

A

Acute cholecystitis

17
Q

What is the likely diagnosis for a patient with a prolonged history of gallbladder disease presenting with fever, RUQ pain, and jaundice?

A

Acute cholangitis

18
Q

What are the common symptoms shared between amebic liver abscess and clonorchiasis?

A

Fever, jaundice, and right upper quadrant pain

19
Q

What is the difference in symptom presentation 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

What is the investigation of choice for typhoid fever during the first week of illness?

A

Blood culture

21
Q

If blood culture is positive in the first week of suspected typhoid fever, what is the next step?

A

It is the investigation of choice

22
Q

What is the investigation of choice for typhoid fever during the second week of illness?

A

Stool culture

23
Q

What is the investigation of choice for typhoid fever during the third week of illness?

A

Urine culture

24
Q

If a stool culture for suspected typhoid fever is negative, what is the next step?

A

Blood culture

25
Q

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

A

Hand washing.

26
Q

What is the first-line treatment for typhoid as per the content?

A

Ciprofloxacin.

27
Q

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

A

Accidents.

28
Q

What is the most common cause of traveler diarrhea as mentioned in the content?

A

E-coli.

29
Q

Which vaccine is recommended as most important for a female traveling to China and staying in a five-star hotel according to the content?

A

BCG.

30
Q

Which vaccine is compulsory before Hajj according to the content?

A

Meningococcus.

31
Q

What vaccine is recommended to pregnant individuals as per the content?

A

Influenza inactivated.

32
Q

Which vaccines are recommended to be avoided in pregnancy according to the content?

A

MMR, Human-papillomavirus, and varicella.

33
Q

What vaccines are recommended to the elderly based on the content?

A

Influenza (yearly) and pneumococcus.

34
Q

What type of fever is associated with malaria according to the content?

A

Paroxysmal (NOT daily).

AMC MCQ - Key points (49 decks)

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