 |
True or False: 1. A traveller needs anti-malarial medication when going to the Costa Rica. 2. A person travelling from Calgary to Rio to Buenos Aries,Argentina requires Yellow Fever 3. Travellers going to Germany do not need TBE 4. Removing ticks promptly (within 24 hours) will present TBE 5. Permethrin spray is effective against the carriers of which following diseases? a) Chaga's disease b) TBE c) Malaria d) Leishmaniasis e) Dengue 6. A good insect protection plan includes: a) Permethrin on clothing b) Permethrin on mosquito nets c) Long sleeved clothing d) Domesticated dragonflies 7. Sexually acquired diseases include: a) AIDS b) Hepatitis B c) HPV d) Hepatitis A 8. For humans, rabies in Canada is acquired: a) Through dogs b) Is found in angry mean dogs c) Is found in friendly foxes d) Is steadily increasing e)Is protected against by getting 3 doses of rabies vaccine 9 If a traveller is bitten in India 8 days ago and receives the Semple vaccine (mouse brain extract) last week, what should you do? a) Continue the remainder of the needed rabies vaccine, substituting HDC vaccine because the Semple vaccine is unavailable b) Do nothing as this is appropriate c) Consult an infective disease specialist electively within the next few weeks. d) Start the entire rabies all over with HDC vaccine.
10 If a traveller was bitten by a bat: A Determine if it was a vampire bat. If you can prove it wasn't, there is no need for rabies vaccine. B Administer Rabies immune globulin only if you can find the bite wound. C Give 2 doses of rabies vaccine if they already had 3 immunization doses (0, 7 28 days) recently. D. Administer tetanus 11.Tetanus vaccine is frequently available combined with: • diphtheria • acellular pertussis • polio • measles 12 Varicella vaccine: • Contains egg products • May be given with measles • Is given subcutaneously • Can be administered with an inactive vaccine 13 Hepatitis vaccines can protect against • Hepatitis A • Hep. B • Hep. C • Hep D • Hep. E 14There is no current vaccine (administered in Canada) against: • HIV • Mono • Tuberculosis • Malaria • Paratyphoid. 15Which diseases make each other worse? • HIV and TB • Malaria and TB • Alcoholism and Hepatitis B • Influenza and pneumonia • Hepatitis Aand B 16Pasteurization helps prevent the spread of: • Brucellosis • leptospirosis • schistosomiasis • Scarlet Fever 17 Five years ago the traveller received the following: a dose of twinrix, oral typhoid, tetanus, and polio. Which may the traveller still need? • Hep A now (with booster in 6mos) • Hep B now (with booster in 1, 6 mos) • Another typhoid (IM or ingestible) • Only a Twinrix 18.Which are food-borne? • Hep A • Hep B • Typhoid • Yellow fever • TBE
19True or False: The yellow fever protects against both yellow fever and dengue fever. 20Commercial Airplanes are: • commonly pressured to 8000 ft • have the staff trained to provide emergency care • have standardized first aid kits for each company • Have an emergency crash cart
Answers: 1 True : The Northern area, particularly closer to Nicaragua has malaria as well as Limon province. 2 True : The Northern area, particularly closer to Nicaragua has malaria as well as Limon province. 3 False: They would benefit from this as exposure inside green spaces will expose them to tick borne encephalitis, but it is difficult to conveniently dose them. 4 False: This is true for Lyme disease but not TBE, Lyme disease TBE is more easily transmitted
5 All 6 A,B,C 7 a, b, c 8 A,b,c,d. e is a trick answer since 3 doses of rabies vaccine is not enough to confer protection- bite victims still need 2 more doses but at least not immune globulin. 9 D is the best answer 10 C is most appropriate, D is a good idea 11 a,b,c 12 b,c,d 13A, B, and D. There is no Hepatitis D vaccine but only people already infected by Hepatitis B will get D, so B will protect against both. 14 All, except TB which the BCG offers limited protection for high risk individuals and despite not being widely used is still used in select populations 15 a,c,d, and e 16 a and d 17 D one twinrix will boost the original (from this history it looks like this patient should have been given a second Twinrix 5 years ago but should have) This will count as dose 2. 18 a,c, and e TBE is sometimes acquired also through unpasteurized milk 19False, the similarity with both diseases is that they both are carried by the Aedes egypti mosquito \ 20 Answer: A+C
|
|
|
