A healthy college student is traveling to Peru on vacation. He expects to visit rural areas and is worried about contracting a disease through contaminated food or water. Which disease is transmitted in this manner?
Typhoid fever
Which of the following statements concerning yellow fever are correct? (Select ALL that apply.)
The vaccine has a high risk of serious adverse effects
A single dose provides lifelong protection for most who are vaccinated
Transmission is from mosquito bites
A family is about to leave to visit their relatives in Europe. The grandparents are going on the trip. The grandmother has heart failure and hypertension. The grandfather has hypertension, high cholesterol and a history of depression and anxiety. The pharmacist is asked how to prepare their medications to bring with them on the trip. Which of the following statements represent correct advice? (Select ALL that apply.)
Bring medications on the plane packed in carry-on luggage
Bring a list of prescriptions and list of medical conditions
Check with a health care insurance company to find out if coverage applies in other countries before departure
Mefloquine is an antimalarial known for the following toxicities:
Psychiatric symptoms
Which country requires meningococcal vaccination prior to travel at certain times of the year?
Saudi Arabia
Which of the following is not a correct route of transmission?
Meningitis: blood-borne
A 29-year-old pregnant female has an upcoming business trip to New Delhi. Which treatment is recommended to prevent malaria in this patient?
Mefloquine
A 65-year-old male who takes capecitabine for cancer will be traveling internationally and requests prophylaxis for travelers' diarrhea. Which of the following is the most appropriate recommendation?
Rifaximin
Which of the following strategies to avoid diseases transmitted by insect bites are recommended while traveling? (Select ALL that apply.)
Use repellents with 20-50% DEET on exposed skin
Treat clothing, gear and bed nets with permethrin
Wear long-sleeved shirts, long pants and hats
Which medication requires screening for G6PD deficiency prior to initiating treatment?
Primaquine
A 61-year-old male presents to a pharmacy that provides travel vaccines. His past medical history includes benign prostatic hyperplasia, glaucoma and psoriatic arthritis. He takes tamsulosin, latanoprost and infliximab infusions every 8 weeks. Which of the following vaccines could he safely receive, if needed?
Typhim Vi
At her annual exam, MC, a 31-year-old female who would like to get pregnant, mentions to her doctor that she will be traveling to a country with Zika transmission. The doctor should advise her of which of the following: (Select ALL that apply.)
Zika virus is primarily transmitted by mosquitos
The CDC has advised against pregnant women traveling to areas with Zika virus transmission
Zika virus can cause severe or fatal birth defects
Sexual transmission of Zika has been reported
Which of the following statements concerning dengue is correct?
Dengue is transmitted by mosquitoes; protection from mosquitoes is essential
If not previously vaccinated, which of the following travelers should receive a hepatitis B vaccine?
A medical volunteer in South Africa
Which of the following statements concerning Japanese encephalitis is correct?
The vaccine for Japanese encephalitis is called Ixiaro
Select the correct term for the Center for Disease Control's standard resource for travel information:
Yellow Book
A graduate student completing a research project on international cultures is on a tour of South Asia. He develops food poisoning, which results in vomiting and diarrhea. There is no evidence of blood in the stool. Which treatment can be recommended?
Levofloxacin
Which of the following statements concerning primaquine is correct? (Select ALL that apply.)
Toxicities include hemolytic anemia
Patients must be tested for G6PD deficiency before treatment
It cannot be used during pregnancy
Primaquine is taken daily for 1-2 days pre-travel, during and for 7 days post-travel
A 25-year-old male is on a trip to the Baja Peninsula in Mexico to visit a friend. He develops abdominal cramps, a low-grade fever and bloody diarrhea. Which medication is appropriate?
Azithromycin
What is the source of the majority of cases of typhoid fever?
Contaminated food or water
Select the term that best describes bismuth subsalicylate:
Antidiarrheal
Select the correct statement/s concerning acetazolamide: (Select ALL that apply.)
Acetazolamide is contraindicated with a sulfa allergy
Patients using acetazolamide must use proper protecting from sun exposure
It's important to stay hydrated while taking acetazolamide
A healthy 25-year-old male is traveling to Mexico and is at risk for travelers' diarrhea. Which of the following is the most appropriate prophylactic regimen for travelers' diarrhea?
Bismuth subsalicylate
Choose the correct statement concerning terms for disease transmission in malaria:
The mosquito is the vector that carries the pathogen from one host (an infected human) to another host
Which of the following statements concerning the yellow fever vaccine are correct? (Select ALL that apply.)
HIV patients with a CD4+ count of less than 200/mm3 should not receive the yellow fever vaccine
Patients with a hypersensitivity to eggs should not receive the yellow fever vaccine
Patients receiving Enbrel, Humira or Remicade shold not receive the yellow fever vaccine
A pharmacist receives a prescription for mefloquine. How will he counsel the patient to take it?
Begin 2-3 weeks before travel, continue during travel and for 4 weeks post-travel
"Rice-water stools" are characteristic of which travel-related illness?
Cholera
A pharmacist is traveling in Mexico with a group of health care professionals to perform medical work in the area. One of the nurses on the trip develops travelers' diarrhea. She is afebrile, slightly dehydrated, and states that there is no blood in her stool. She asks the pharmacist about taking loperamide. Which of the following statements regarding loperamide therapy for this patient is correct?
She is a candidate for OTC loperamide. Start with 4 mg and take 2 mg after each loose stool for a maximum daily dose of 8 mg. May be used for up to 2 days.
Which drug can be used for the prevention or treatment of altitude sickness?
Acetazolamide
Which of the following is true of the cholera vaccine?
It is live attenuated and administered orally