| A |
|
0 |
0% |
| B |
aspire, toofar, cool doctor, CocaCola, inkspot, milestogo, multani001, khiladi, smalley, Justice, vijay1900 |
11 |
79% |
| C |
|
0 |
0% |
| D |
miha152 |
1 |
7% |
| E |
foucesed doc |
1 |
7% |
| Author | 11 Posts |
Justice
Forum Fanatic
Topics: 100
Posts: 1,933
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Please vote with your answer
A 67-year-old man is planning a 3-week fishing trip to the Amazon basin areas of Peru and Brazil. He has hypertension, diet-controlled diabetes mellitus, and no known allergies. Current medications are hydrochlorothiazide and lisinopril.
Which of the following is the single most important vaccine for this traveler?
A. Japanese encephalitis
B. Yellow fever
C. Cholera
D. Haemophilus influenzae type b
E. Meningococcal
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Don't live in a town where there are no doctors
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| Justice
Forum Fanatic
Topics: 100
Posts: 1,933
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Correct answers to all new polls will be posted at night of Wednesday 16th, upon my return from San Diego, CA... Have a good time, colleagues!!!
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Don't live in a town where there are no doctors
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| guangyu
Forum Elite
Topics: 29
Posts: 308
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C? not sure. but i donot think A and D are right answer
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| CocaCola
Forum Guru
Topics: 35
Posts: 908
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??? guessing B
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| godfather1212m
Forum Senior
Topics: 22
Posts: 178
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B i think, it is endemic there. remember what happened to thos who worked in Banama Canal Project
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| inkspot
Forum Guru
Topics: 26
Posts: 557
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i thought of Cholera first but i think there is no vaccination for it ? or is there!
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| dr19
Forum Senior
Topics: 11
Posts: 116
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B
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| smalley
Forum Elite
Topics: 51
Posts: 284
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i guess B?
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| mjl1717
Forum Hero
Topics: 955
Posts: 5,451
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Id guess answer-b) yellow fever
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| yogesh
Forum Newbie
Topics: 5
Posts: 56
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B. Yellow fever for South America and Subsaharan Africa. That's what i had written in my notes. Don't remember but i suppose it was from UW or kaplanQbank.
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| Justice
Forum Fanatic
Topics: 100
Posts: 1,933
|
The correct answer is B
Yellow fever is caused by a flavivirus transmitted by mosquitoes. The disease occurs only in tropical areas of Africa and South America. Yellow fever is a potentially life-threatening viral hemorrhagic fever with a case fatality rate of 25% to 50% and, as such, vaccination should be considered for all travelers to areas of risk. About 90% of individuals receiving the vaccine produce neutralizing antibodies within 10 days of immunization, and about 99% do so within 30 days. Serious adverse reactions to yellow fever vaccine are quite rare and include hypersensitivity reactions, encephalitis, and a multiorgan failure syndrome resembling naturally acquired yellow fever infection. Some surveillance data suggest that elderly persons may be more prone to severe reactions, but the evidence is not conclusive.
With the exception of a minority of persons who have potential contraindications, yellow fever vaccination is recommended for all travelers to endemic areas. Potential contraindications include age less than 9 months, history of hypersensitivity to a component of the vaccine, immunosuppression, and pregnancy. For any person with a potential contraindication, the decision to vaccinate must be individualized and is based on the estimated risk of infection balanced by the potential severity of an adverse reaction. In such cases, consultation with an expert in the area of travelers health is usually recommended.
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