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30 Cards in this Set
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Malaria prevention is provided by the following primary measure: Answer AVaccination by injection BOral medications taken before and following travel to an infected region COral medications taken prior to travel and through the first full day of the trip. DOral medications taken prior to travel and through the first full week of the trip. EVaccination by oral medication |
BOral medications taken before and following travel to an infected region |
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Which of the following side effects or toxicities can occur with the use of bismuth subsalicylate? (Select ALL that apply.) Answer ABleeding risk, especially in patients using anticoagulants. BRinging or hallow-sound in ears with over-use. CLightened, clay-colored stool DSwollen tongue EReye's syndrome, if used for a viral infection in a young child |
ABleeding risk, especially in patients using anticoagulants. BRinging or hallow-sound in ears with over-use.
EReye's syndrome, if used for a viral infection in a young child |
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An elderly female takes the following medications: hydrochlorothiazide 25 mg once daily, atenolol 50 mg once daily and raloxifene 60 mg once daily. She has asked the pharmacist to get a travel exception to refill her medications early. She is taking a plane trip to visit her homeland and will be gone for 5 weeks. The plane trip will take nearly a day to complete. The pharmacist instructs the patient to walk up and down the aisle of the plane regularly or do exercises while sitting in which she tightens and releases the muscles in her legs and calves. Which of the following statements are correct? (Select ALLthat apply.) Answer AThe pharmacist is helping the patient avoid incontinence episodes. BThe pharmacist is helping the patient avoid clotting in the lower extremities. CThe patient, fortunately, is using a medication regimen that has low clotting risk. DThe patient's age puts her at increased clotting risk. EThe long flight duration puts her at increased clotting risk.
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BThe pharmacist is helping the patient avoid clotting in the lower extremities.
DThe patient's age puts her at increased clotting risk. EThe long flight duration puts her at increased clotting risk. |
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What is the source of the majority of cases of typhoid fever? Answer AMosquito bite BBody fluids from an infected host CContaminated food or water DBlood transfusions EAirborne transmission from coughing or sneezing
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CContaminated food or water |
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Which of the following statements concerning primaquine is correct? (Select ALL that apply.) Answer AIt is effective for p. vivax. BPatients must be tested for G6PD deficiency prior to treatment with primaquine. CIt cannot be used during pregnancy. DPatients must be tested for protein C deficiency prior to treatment with primaquine. EPrimaquine is taken for 1-2 days pre-travel and for 7 days post-travel. |
AIt is effective for p. vivax. BPatients must be tested for G6PD deficiency prior to treatment with primaquine. CIt cannot be used during pregnancy.
EPrimaquine is taken for 1-2 days pre-travel and for 7 days post-travel. |
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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.) Answer APack your medicine bottles in a suitcase that will be put in the baggage compartment (so they stay cool) and remove all patient identifiers prior to placing them in the suitcase. BBring your medicine bottles with you on the plane. CBring a copy of your prescriptions (a list) and include on the list your medical conditions. DSend the medicines ahead of you on a different plane so they are at your destination when you arrive. ECheck with your health care insurance company to find out your coverage in other countries prior to departure |
BBring your medicine bottles with you on the plane. CBring a copy of your prescriptions (a list) and include on the list your medical conditions.
ECheck with your health care insurance company to find out your coverage in other countries prior to departure |
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Which of the following statements concerning Yellow Fever are correct? (Select ALL that apply.) Answer AHIV patients with a CD4+ count less than 200/mm3 should not receive the yellow fever vaccine. BPatients using at least 5 mg of prednisone-equivalent daily for at least 7 days should not receive the yellow fever vaccine. CPatients using steroid inhalers at medium or high doses for asthma should not receive the yellow fever vaccine. DPatients with a hypersensitivity to eggs should not receive the yellow fever vaccine. EPatients receiving Enbrel, Humira or Remicade should not receive the yellow fever vaccine. |
AHIV patients with a CD4+ count less than 200/mm3 should not receive the yellow fever vaccine.
DPatients with a hypersensitivity to eggs should not receive the yellow fever vaccine. EPatients receiving Enbrel, Humira or Remicade should not receive the yellow fever vaccine. |
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A patient will travel to a different country. She wishes to avoid traveler's diarrhea. Choose the appropriate recommendations: (Select ALL that apply.) Answer ASafe beverages include those that are bottled and sealed or carbonated. BThe safest way to avoid traveler's diarrhea is to avoid eating in public restaurants entirely. CFoods that are freshly cooked and served piping hot are safer than foods that may have been sitting for some time in the kitchen or in a buffet. DOther risky foods include raw or undercooked meat and seafood, and unpeeled raw fruits and vegetables. EAvoid beverages diluted with nonpotable water (reconstituted fruit juices, ice, and milk) and foods washed in nonpotable water, such as salads. |
ASafe beverages include those that are bottled and sealed or carbonated.
CFoods that are freshly cooked and served piping hot are safer than foods that may have been sitting for some time in the kitchen or in a buffet. DOther risky foods include raw or undercooked meat and seafood, and unpeeled raw fruits and vegetables. EAvoid beverages diluted with nonpotable water (reconstituted fruit juices, ice, and milk) and foods washed in nonpotable water, such as salads. |
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Which of the following statements concerning typhoid fever is correct? Answer AA vaccine is available that provides nearly complete resistance to the disease, but most travelers do not receive the vaccine. BThe vaccine comes as an injection only of live virus; avoid use in patients with severe immunosuppression. CThe vaccine causes many neurological and psychiatric complications. DA vaccine is available but it does not provide complete protection; avoiding contaminated food and water is required for all travelers to high-risk regions. EThe vaccine name is IXIARO. |
DA vaccine is available but it does not provide complete protection; avoiding contaminated food and water is required for all travelers to high-risk regions. |
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Typhoid fever can be severe and life-threatening. To help patients avoid illness pharmacists should recommend the following measures to reduce risk of typhoid infection: (Select ALL that apply.) Answer AStaying at home with the windows closed. BCovering skin with protective clothing and DEET. CWashing hands frequently. DSafe food and water precautions to avoid contaminated sources. EVaccination, completed prior to travel. |
CWashing hands frequently. DSafe food and water precautions to avoid contaminated sources. EVaccination, completed prior to travel. |
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Which country requires meningococcal vaccination prior to travel at certain times of the year? Answer AThe United States BGreece CItaly DSaudi Arabia ESyria |
DSaudi Arabia |
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Select the correct statement concerning acetazolamide: (Select ALL that apply.) Answer AThe brand name is Imodium. BAcetazolamide is contraindicated in a sulfa allergy. CAcetazolamide is a well-tolerated, commonly-used agent. DPatients using acetazolamide must use proper protection from sun exposure. EAll patients that require the use of this agent must also be diligent to stay well hydrated. |
BAcetazolamide is contraindicated in a sulfa allergy.
DPatients using acetazolamide must use proper protection from sun exposure. EAll patients that require the use of this agent must also be diligent to stay well hydrated. |
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Mefloquine (Larium) is an antimalarial known for the following toxicities: Answer ASJS and TEN rash BNeurotoxicity and psychiatric symptoms CRisk of meningitis DRisk of triggering autoimmune disease ERisk of gout, including in patients with no previous gout history |
BNeurotoxicity and psychiatric symptoms |
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Which of the following statements concerning mefloquine is correct? Answer AThe brand name is Malarium. BThere is now a high degree of resistance to this primary anti-malarial medication. CThere is a little resistance to this primary anti-malarial medication. DThe use of this drug is without significant toxicities, however there is a high degree of resistance. EDoxycycline is preferred over mefloquine for most patients. |
BThere is now a high degree of resistance to this primary anti-malarial medication. |
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Select the correct term for the Center for Disease Control's standard resource for travel information: Answer AThe Orange Book BThe Pink Book CThe Yellow Book DThe Black Box EThe Green Book |
CThe Yellow Book |
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Select the term that best describes bismuth subsalicylate: Answer AOsmotic agent BStool softener CAnti-diarrheal DLaxative EBulk forming agent
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CAnti-diarrheal |
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Which of the following statements concerning atovaquone/proguanil is correct? Answer AThe brand name is Solodyn. BIt is poorly tolerated and is the drug of last resort. CIt cannot be used during pregnancy. DThe brand name is Mefloquine. EIt is dosed four times daily. |
CIt cannot be used during pregnancy. |
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Malaria is transmitted by various strains of this type of mosquito: Answer ACoquilettidia BCulex CAednia DOrthopodomylinii EAnopheles |
EAnopheles |
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A young man has become engaged to a fellow pharmacy student from Burkina Faso. They are traveling together to visit her parents in her home country. He will be required to present the following proof of yellow fever vaccine in order to enter Burkina Faso: Answer AThe International Certificate of Vaccination (the green card) BThe International Certificate of Vaccination (the yellow card) CThe International Certificate of Vaccination (the pink card) DThe International Certificate of Vaccination (the red card) EThe International Certificate of Vaccination (the white card) |
BThe International Certificate of Vaccination (the yellow card) |
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Choose the correct statement concerning terms for disease transmission: Answer AIn malaria, the mosquito is the vector that carries the pathogen from one host (an infected human) to another host. BIn malaria, the mosquito is the host and the human is the vector. CIn malaria, the mosquito is the host and contaminated water is the vector. DIn malaria, the mosquito is the vector that carries the pathogen from one vector (an infected human) to another vector (another infected human). EIn malaria, the mosquito is the host and the human is the reservoir.
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AIn malaria, the mosquito is the vector that carries the pathogen from one host (an infected human) to another host. |
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Which of the following statements concerning dengue are correct? (Select ALL that apply.) Answer ADengue is transmitted by infected stool passed along, primarily, through fecal contact. BThe Japanese encephalitis vaccine should be recommended to travelers to Asian countries to reduce the risk of contracting Dengue. CThe majority of dengue infections are contracted from mosquito bites. DDengue infection can be fatal. EThere is no vaccine to prevent dengue; protection from mosquitos is essential. |
CThe majority of dengue infections are contracted from mosquito bites. DDengue infection can be fatal. EThere is no vaccine to prevent dengue; protection from mosquitos is essential. |
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Mefloquine is dosed on this schedule: Answer ATake only if suspected to be bitten by infected mosquito. BBegin 12 weeks prior to travel, take 4 weeks post-travel. CBegin 8 weeks prior to travel, take 4 weeks post-travel. DBegin 2 weeks prior to travel, take 4 weeks post-travel. ETake daily during the trip; begin on day of departure. |
DBegin 2 weeks prior to travel, take 4 weeks post-travel. |
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A patient will travel to a different country. He wants to take antibiotics to prevent traveler's diarrhea. What is the current Centers for Disease Control (CDC) recommendation concerning candidates for traveler's diarrhea prophylaxis? Answer APatients who request prophylaxis should receive it; recommend azithromycin. BPatients who request prophylaxis should receive it; recommend rifaximin. CNot recommended, except for very young children and those 60 years and older. DNot recommended, except for people with liver disease or heart failure. ENot recommended, except perhaps for short-term travelers who are high-risk (such as those who are immune-compromised) or who are taking critical trips during which even a short bout of diarrhea could impact the purpose of the trip. |
ENot recommended, except perhaps for short-term travelers who are high-risk (such as those who are immune-compromised) or who are taking critical trips during which even a short bout of diarrhea could impact the purpose of the trip. |
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How are Vivotif Berna capsules stored? Answer AOn the shelf of the pharmacy. BIn the refrigerator. CIn the freezer. DThe vaccine powder is frozen and the diluent is stored in the refrigerator. EThe vaccine comes from one central distribution center in each state and is sent overnight when needed. |
BIn the refrigerator. |
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Select the term that best describes loperamide: Answer AOsmotic agent BStool softener CAnti-diarrheal DLaxative EBulk forming agent |
CAnti-diarrheal |
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Which of the following statements concerning Japanese encephalitis are correct? (Select ALL that apply.) Answer AJapanese encephalitis infection can be asymptomatic, or cause severe disease. BTransmission is from mosquito bites. CThe vaccine is a two-dose series that should be completed at least one week prior to travel. DTravelers likely do not need to be vaccinated if they are visiting an at-risk region for a short visit of a week or two. EThe vaccine for Japanese encephalitis is called Diamox. |
AJapanese encephalitis infection can be asymptomatic, or cause severe disease. BTransmission is from mosquito bites. CThe vaccine is a two-dose series that should be completed at least one week prior to travel. DTravelers likely do not need to be vaccinated if they are visiting an at-risk region for a short visit of a week or two. |
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Which of the following diseases are transmitted by mosquito bites? (Select ALL that apply.) Answer ADengue BAfrican Sleeping Sickness CJapanese Encephalitis DMalaria EYellow Fever |
ADengue
CJapanese Encephalitis DMalaria EYellow Fever |
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Which agent is occasionally used for prevention or treatment of altitude sickness? Answer AAcetazolamide BLomotil CImmodium DSulfinpyrazone EMesalamine |
AAcetazolamide |
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Which of the following statements concerning Yellow Fever are correct? (Select ALL that apply.) Answer AInfected patients should be protected from further bites. BYellow fever vaccine is inactivated and comes as injection only. CYellow fever virus is found in parts of South America and Africa; vaccination is recommended to high-risk regions in these areas. DTransmission is from mosquito bites. EIf the patient has a fever or aches from yellow fever, aspirin and NSAIDs are preferred analgesics.
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AInfected patients should be protected from further bites.
CYellow fever virus is found in parts of South America and Africa; vaccination is recommended to high-risk regions in these areas. DTransmission is from mosquito bites. |
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Which of the following diseases are transmitted by insect bites? (Select ALL that apply.) Answer ADengue BAfrican Sleeping Sickness CJapanese Encephalitis DMalaria EYellow Fever |
ADengue BAfrican Sleeping Sickness CJapanese Encephalitis DMalaria EYellow Fever |
