NMS Q&A Family Medicine

chapter 49Travel MedicineExamination questions: Unless instructed otherwise, choosethe ONE lettered answer or completion that is BEST ineach case.1 What is the minimal age at which an infant should beallowed to share in commercial travel?(A) One day(B) One week(C) One month(D) Six months(E) One year2 At which of the following regions of the world is thedrug of choice to treat travelers diarrhea likely to beazithromycin?(A) Mexico(B) Guatemala(C) Kenya(D) Thailand(E) Republic of South Africa3 Which of the following diseases is encountered mostcommonly among travelers?(A) Diarrhea(B) Pneumonia(C) Malaria(D) Skin rashes(E) Viral hepatitis4 Which of the following is the most significant (i.e.,serious as well as frequent) medical problem of thoserelated to travel?(A) Diarrhea(B) Pneumonia(C) Sunburn(D) Skin rashes(E) Viral hepatitis5 Which of the following drugs is the first choice formalaria prophylaxis in an area of the world in whichthe plasmodium is known to be resistant to multipledrugs?(A) Hydroxychloroquine(B) Doxycycline(C) Halofantrine(D) Mefloquine(E) Pyrimethamine6 Your patient, a 25-year-old married woman who ispregnant, solicits your opinion as to advisability oftravel. Which of the following statements is trueregarding travel during pregnancy?(A) Travel is best done in the first trimester.(B) Most airlines require a physician’s permissionfor air travel by a pregnant woman.(C) Travel to areas of high risk for malaria should beavoided.(D) For treatment of upper respiratory tractinfections in the first trimester, for example, incovering symptoms as well as the possibility ofbeta-hemolytic streptococcal disease, ampicillinmay be used, along with astemizole (Hismanal)or terfenadine (Seldane).(E) For diarrhea during the first or secondtrimester, sulfamethoxazole, erythromycin, andloperamide (Imodium) should be avoided.7 Alveolar PO 2 , normally about 100 mm Hg in a healthyperson at sea level, falls to what level at an altitude of10,000 ft (3,048 m)?(A) 47 mm Hg(B) 79 mm Hg(C) 61 mm Hg(D) 46 mm Hg(E) 88% saturation8 A 25-year-old male patient is mountain climbing. Onthe 2nd day, he develops nausea, headache, inabilityto concentrate, and 1 to 2 ankle edema. What is thealtitude above which, it can be said, these symptomsbegin to occur in significant number of travelers whohave not accommodated to altitude in advance?(A) 2,000 ft (610 m)(B) 6,500 ft (1,981 m)(C) 8,000 ft (2,438 m)(D) 12,500 ft (3,810 m)(E) 15,000 ft (4,572 m)283