front 1 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? | back 1 Typhoid fever |
front 2 Which of the following statements concerning yellow fever are correct? (Select ALL that apply.) | back 2 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 |
front 3 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.) | back 3 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 |
front 4 Mefloquine is an antimalarial known for the following toxicities: | back 4 Psychiatric symptoms |
front 5 Which country requires meningococcal vaccination prior to travel at certain times of the year? | back 5 Saudi Arabia |
front 6 Which of the following is not a correct route of transmission? | back 6 Meningitis: blood-borne |
front 7 A 29-year-old pregnant female has an upcoming business trip to New Delhi. Which treatment is recommended to prevent malaria in this patient? | back 7 Mefloquine |
front 8 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? | back 8 Rifaximin |
front 9 Which of the following strategies to avoid diseases transmitted by insect bites are recommended while traveling? (Select ALL that apply.) | back 9 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 |
front 10 Which medication requires screening for G6PD deficiency prior to initiating treatment? | back 10 Primaquine |
front 11 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? | back 11 Typhim Vi |
front 12 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.) | back 12 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 |
front 13 Which of the following statements concerning dengue is correct? | back 13 Dengue is transmitted by mosquitoes; protection from mosquitoes is essential |
front 14 If not previously vaccinated, which of the following travelers should receive a hepatitis B vaccine? | back 14 A medical volunteer in South Africa |
front 15 Which of the following statements concerning Japanese encephalitis is correct? | back 15 The vaccine for Japanese encephalitis is called Ixiaro |
front 16 Select the correct term for the Center for Disease Control's standard resource for travel information: | back 16 Yellow Book |
front 17 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? | back 17 Levofloxacin |
front 18 Which of the following statements concerning primaquine is correct? (Select ALL that apply.) | back 18 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 |
front 19 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? | back 19 Azithromycin |
front 20 What is the source of the majority of cases of typhoid fever? | back 20 Contaminated food or water |
front 21 Select the term that best describes bismuth subsalicylate: | back 21 Antidiarrheal |
front 22 Select the correct statement/s concerning acetazolamide: (Select ALL that apply.) | back 22 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 |
front 23 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? | back 23 Bismuth subsalicylate |
front 24 Choose the correct statement concerning terms for disease transmission in malaria: | back 24 The mosquito is the vector that carries the pathogen from one host (an infected human) to another host |
front 25 Which of the following statements concerning the yellow fever vaccine are correct? (Select ALL that apply.) | back 25 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 |
front 26 A pharmacist receives a prescription for mefloquine. How will he counsel the patient to take it? | back 26 Begin 2-3 weeks before travel, continue during travel and for 4 weeks post-travel |
front 27 "Rice-water stools" are characteristic of which travel-related illness? | back 27 Cholera |
front 28 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? | back 28 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. |
front 29 Which drug can be used for the prevention or treatment of altitude sickness? | back 29 Acetazolamide |
front 30 Which of the following is true of the cholera vaccine? | back 30 It is live attenuated and administered orally |