Travel

Question 1

What is the USASOC requirement for the pre-deployment checklist?

Answer 1

IMPACT questionnaire

Question 2

What is the medication for malaria prevention?

Answer 2

Chloroquine

Question 3

What percent die from P. falciparum?

Answer 3

15-20%

Question 4

What is a positive finding for the PPD skin test?

Answer 4

> 10mm induration

Question 5

When should you read the PPD skin test?

Answer 5

48-72hrs

Question 6

Prophylaxis treatment for traveler’s diarrhea?

Answer 6

Bismuth
Cipro
Anti-motility (Imodium)

Question 7

Is the PPD a good diagnostic test for tuberculosis?

Answer 7

No, should be used for a screening test only

Question 8

What is another name for disequilibrium?

Answer 8

Jet lag

Question 9

What is a disequilibrium affect?

Answer 9

Circadian Rhythm

Question 10

What can you use to treat water to protect from traveler’s diarrhea?

Answer 10

Halogens

Question 11

What is a type of Halogen?

Answer 11

Iodine

Question 12

What medication can you give prophylactically for disequilibrium (Jet Lag)?

Answer 12

Anti-nausea 30min before

Anti-histamine

Question 13

What are some types of anti-histamines?

Answer 13

Dramamine
Meclizine (Dramamine 2)
Benadryl
Compostine

Question 14

Acute treatment for P. falciparum?

Answer 14

Chloroquine

Doxy (in resistant areas)

Question 15

Treatment for traveler’s diarrhea?

Answer 15

Oral rehydration
Imodium
Cipro

Question 16

What antibiotic should be used for traveler’s diarrhea in Asia & India?

Answer 16

Azithromycin

Question 17

3 potential diseases caused by exposure to warm, stagnant, fresh water?

Answer 17

Leptospirosis
Schistosomiasis
Giardia

Question 18

Any insect like organism with a hardened exoskeleton?

Answer 18

Arthropod

Question 19

What percent of DEET to is used to for a preventive measure?

Answer 19

25-30%

Question 20

What patient should you not give Imodium to?

Answer 20

Diarrhea w/blood or pus and fever

Question 21

3 biggest risks for MVCs overseas?

Answer 21

Seatbelts
Drinking
Night driving

Question 22

What should you do if a blood smear comes back negative for malaria?

Answer 22

Test 3 times q 8 hours

Question 23

Which diagnostic test is not reliable for a team member just returning?

Answer 23

X-rays

Question 24

What antigen causes dermatitis?

Answer 24

Urushiol

Question 25

What is the pattern for the rash w/plant induced dermatitis?

Answer 25

Linear

Question 26

Management of plant induced dermatitis?

Answer 26

``` Topical steroid (Class 1) Limit high-potency steroid x2wks ```

Question 27

Possible animal contact infections?

Answer 27

Rabies

Question 28

Possible arthropod acquired infections?

Answer 28

Lyme disease | RMSF

Question 29

What percent of cat bites become infected?

Answer 29

30-50%

Question 30

Animal bite management?

Answer 30

Irrigation Debridement Augmentin

Question 31

Usual organisms w/animal bite wounds?

Answer 31

Pasturella Staph Strep

Question 32

What animals does rabies affect?

Answer 32

All mammals

Question 33

What is the prophylaxis for rabies?

Answer 33

Human diploid cell vaccine

Question 34

Treatment for rabies?

Answer 34

Soap & water | RIG post exposure

Question 35

Venomous families of snakes?

Answer 35

Crotalidae Elapidae Hydrophidae

Question 36

What type of snakes are crotalidae?

Answer 36

Pit vipers

Question 37

What type of snakes are elapidae?

Answer 37

Cobras Mambas Kraits

Question 38

What type of snakes are hydrophidae?

Answer 38

Sea snakes | Sea krait

Question 39

Where does the rule for coral snakes “red to black venom lack, red to yellow kill a fellow” apply?

Answer 39

US

Question 40

What type of snake has a triangular head, a deep hollow between the eye and nostril and vertical elliptical pupils?

Answer 40

Pit vipers

Question 41

Which type of snake has long, movable fangs sheathed in whitish membrane?

Answer 41

Vipers

Question 42

Which type of snake has smaller fangs, located towards the front of the mouth and fixed to the jaw?

Answer 42

Elapids

Question 43

Type of venom for each family?

Answer 43

Crotalidae (Pit vipers) -hemotoxic Elapidae (cobras, mambas, kraits) -neurotoxic Hydrophidae (sea snakes) -neurotoxic

Question 44

Characteristics of hemotoxin?

Answer 44

Severe pain at site | Local tissue necrosis

Question 45

Characteristics of neurotoxin?

Answer 45

Little or no pain (1 to 5hrs post-bite)

Question 46

Management of snakebites?

Answer 46

Reassure | Remove jewelry

Question 47

Documentation of snakebites?

Answer 47

Time of bite Extent of swelling Description of snake

Question 48

Types of arthropods?

Answer 48

Hymenoptera Spiders Scorpions

Question 49

What are hymenoptera?

Answer 49

Ants Bees Wasps

Question 50

What is the LD50 of bee stings?

Answer 50

500-1000 stings

Question 51

What is the key to stinger removal?

Answer 51

Speed

Question 52

What is the dose for epinephrine?

Answer 52

500-1000 stings

Question 53

What is the typical bite pattern of fire ants?

Answer 53

Mandible swivels abdomen, stinging repeatedly in arc

Question 54

Characteristics of male black widows?

Answer 54

Smaller Brown Harmless

Question 55

How the bite of a black widow is usually described?

Answer 55

Pinch or pinprick

Question 56

Characteristics of a brown recluse?

Answer 56

2-3cm | Violin shaped

Question 57

3 DOCs for helping personnel remain alert during sustained ops?

Answer 57

Provigil Dextramethadone Caffeine

Question 58

DOC for altitude illness?

Answer 58

Diamox (acetazolamide)

Question 59

What is the first sign of a neurotoxic bite?

Answer 59

Ptosis

Question 60

How long will it be before you might notice symptoms?

Answer 60

1-5 days

Question 61

Anti-venom used for all envenomation in North America?

Answer 61

CroFab

Question 62

Your pt presents with general weakness and prosthesis. Do you administer antivenin?

Answer 62

Not immediately. He may be hyperventilating

Question 63

What is the LD50 for fire ants?

Answer 63

5,000

Question 64

How many deaths does lightning account for each year?

Answer 64

70-100