travelers

Question 1

travelers diarrhea prophylaxis

Answer 1

bismuth sulfate (pepto bismol)

Question 2

who to not use pepto/bismuth in

Answer 2

pregnancy
aspirin allergy
renal insufficiency
gout
taking anti coags

Question 3

what happens if you take aspirin or other salicylates with pepto

Answer 3

salicylate toxicity

Question 4

bismuth subs./pepto approved for kids

Answer 4

12 or older

Question 5

antibiotic prophylaxis for travelers diarrhea should or should not be used by most travelers

Answer 5

should not

Question 6

if abx ppx is indicated fr travelers diarrhea what to use

Answer 6

rifaximin

Question 7

treatment of travelers diarrhea

Answer 7

1) hydration for all (fluid and salt intake increase)
2) loperamide (decreases frequency and urgency)
3) bismuth subsalicylate
4) abx for moderate or severe (azithromycin, quinolones, rifaximin) (shorten duration)

5) dysentery- azithromycin is preferred

Question 8

TD tx with dysentery

Answer 8

azithromycin preferred

Question 9

typhoid fever is caused by what

Answer 9

salmonella typhii

Question 10

how is typhoid fever spread

Answer 10

food or water contaminated by the feces of an infected person

(fecal oral)

Question 11

typhoid vaccines

Answer 11

vivotif (live oral capsules)
typhim vi (IM injection not live)

Question 12

oral typhoid vaccine should be completed how early before travel

IM typhoid…

Answer 12

1 week or more

2 weeks or more

Question 13

rice water stools

Answer 13

cholera

Question 14

polio if traveling to polio areas

Answer 14

single dose life time booster at least 4 weeks before travel

Question 15

japanese encephalitis vaccine

Answer 15

Ixiaro

Question 16

hep b vaccine is extremely important for travelers who are

Answer 16

planning on receiving medical care or providing medical care
have unprotected sexual encounters
piercings and tattoos

the 3 dose series will take 6 months to complete
complete as many as you can prior to leaving and complete when you return home

Question 17

diagnosis of meningitis is made by

Answer 17

lumbar puncture

Question 18

meningitis is spread by

Answer 18

resp. secretions

Question 19

mosquitos transmit what

Answer 19

japanese encephalitis, yellow fever, dengue, malaria, zika

Question 20

dengue tx is

Answer 20

supportive and the vaccine is only for people who have had prior infection

Question 21

malaria specific mosquito

Answer 21

anopheles

Question 22

malaria prophylaxis is ___

Answer 22

recommended as it can be fatal even if ppx is used

Question 23

malaria ppx must be started __ to travel and then continued after returning

Answer 23

prior

Question 24

do not take doxy with ___

Answer 24

milk

Question 25

quick start malaria meds how many days prior to travel

Answer 25

1-2 days

Question 26

advance start malaria meds how many days prior to travel

Answer 26

1-2 weeks

Question 27

you cant use quick start methods for malaria in ___

Answer 27

pregnancy

Question 28

quick start malaria meds

Answer 28

atovaquone/proguanil (malarone)
doxycycline (vibramycin, doryx)
primaquine

Question 29

advance start malaria meds

Answer 29

chloroquine
mefloquine

tafenoquine

Question 30

malaria med safe in kids and pregnancy

Answer 30

chloroquin and mefloquine, start 1-2 weeks prior to travel

Question 31

quick starts are taken ____

Answer 31

daily

Question 32

advance starts are taken

Answer 32

weekly

Question 33

do not use primaquine or tafenoquine in ___

Answer 33

g6pd def. risk of hemolytic anemia

Question 34

mefloquine not used in ___ ___ or ____

Answer 34

underlying psych. conditions
seizures
arrhymthmias

Question 35

zika virus has __ ___

Answer 35

no vaccine

Question 36

prophylaxis for altitude sickness

Answer 36

diamox (acetazolamide)

125mg BID started one day before

Question 37

acetazolamide is CI with ___

Answer 37

sulfa allergy