TRAVEL HEALTH EXAM GUIDE 2026: 90 MOST-
TESTED QUESTIONS AND 100% VERIFIED
ANSWERS | GRADED A+ | GUARANTEED PASS!!
What is stand-by emergency self-treatment (SBET)?
- answer--Self administratin of anti-malarials when infection is suspected.
-Malarone or Coartem
-SBET medication must not be the same as chemoprophylaxis medication.
What do you use for presumptive anti-relapse therapy in those with likely P.
vivax/ovale exposure?
- answer-Primaquine
When should patients use insect repellant/insecticide to prevent Japanese
Encephalitis?
- answer-Nighttime
Risk factors for malaria
- answer--Increased length of stay
-Nighttime activities
-"Adventure" travel
-No air-conditioning, screens
-Africa, E. and SE Asia, C. America (Risk of infection is highest in Africa
Pharmacists can administer ACIP routinely recommended vaccines to who?
- answer-Patients 3+ years old
Which travel medications can pharmacists furnish?
- answer-Medications not requiring a diagnosis for the purpose of international
travel
Risk factors for Hep A
- answer--Developing countries
-VFR
,-Long-stay travelers
-Adventurous eating habits
-Non-fixed itineraries
-Travel to rural areas
-Travel off of typical tourist routes/destinations
Names of the two Hep A vaccines
- answer--Havrix
-VAQTA
Can you use the two Hep A vaccines interchangeably?
- answer-Yes
Dosing for Hep A vaccines in pediatrics and adults
- answer--Pediatrics (< 19 y.o.): 0.5 mL
-Adults: 1 mL
(Two-dose series: primary dose and then booster dose 6 months later)
(IM injection in deltoid)
Hep A:
Length of vaccine protection
- answer--First dose: provides protection for 1 year
-Second dose: provides protection for lifetime
Purpose of using IGIM instead of Hep A vaccine
- answer--Gives immediate immunity the next day and provides short-term
immunity, whereas Hep A vaccine takes a while and provides long-term immunity.
*(This is why you should consider giving them together.)*
-May use when departure is eminent (< 2 weeks)
-The problem is that it's like taking any drug, so it washes out of the body after a
period of time.
-0.02 mL/kg provides 3 months of protection.
-0.06 mL/kg provides 3-5 months of protection.
What is TwinRix?
- answer--Inactivated, combination vaccine that contains Hep A and B antigens.
-Main use is for "high risk" travelers.
, (Problem is that it only contains the pediatric dose of Hep A, so you need to do two
doses spaced about a month apart. It's hard to get them to come back for a second
dose.)
*Less preferred*
Hep A vaccine contraindications and precautions
- answer-Contraindications:
-Severe allergy to vaccine component
-Severe allergy to prior dose of vaccine
Precautions:
-Moderate or severe illness, with or without a fever.
Hep A vaccine and IGIM ADRs
- answer-IGIM has way more ADRs than Hep A vaccine, because it's weight-based
dosing, so lots of fluid gets injected. Therefore, it's painful.
-Pain at injection site, erythema, swelling
-*Syncope*
When do you choose Hep A vaccine or IGIM?
- answer--If leaving for trip in 2+ weeks: Hep A vaccine
-If leaving for trip in < 2 weeks: IGIM if >40 y.o. and/or has medical conditions;
give Hep A vaccine if <40 and healthy
(Whenever you give IGIM, consider also giving Hep A vaccine.)
Biggest ADR with Hep A vaccine and IGIM administration?
- answer-Syncope (fainting)
-Make sure patient is seated before administration.
-Worse with IGIM or co-administration
Do individuals born overseas need the Hep A vaccination?
- answer-Maybe not. Screen for anti-HAV first.
If you give both Hep A vaccine and IGIM, how do you administer them?
- answer-In separate arms
TESTED QUESTIONS AND 100% VERIFIED
ANSWERS | GRADED A+ | GUARANTEED PASS!!
What is stand-by emergency self-treatment (SBET)?
- answer--Self administratin of anti-malarials when infection is suspected.
-Malarone or Coartem
-SBET medication must not be the same as chemoprophylaxis medication.
What do you use for presumptive anti-relapse therapy in those with likely P.
vivax/ovale exposure?
- answer-Primaquine
When should patients use insect repellant/insecticide to prevent Japanese
Encephalitis?
- answer-Nighttime
Risk factors for malaria
- answer--Increased length of stay
-Nighttime activities
-"Adventure" travel
-No air-conditioning, screens
-Africa, E. and SE Asia, C. America (Risk of infection is highest in Africa
Pharmacists can administer ACIP routinely recommended vaccines to who?
- answer-Patients 3+ years old
Which travel medications can pharmacists furnish?
- answer-Medications not requiring a diagnosis for the purpose of international
travel
Risk factors for Hep A
- answer--Developing countries
-VFR
,-Long-stay travelers
-Adventurous eating habits
-Non-fixed itineraries
-Travel to rural areas
-Travel off of typical tourist routes/destinations
Names of the two Hep A vaccines
- answer--Havrix
-VAQTA
Can you use the two Hep A vaccines interchangeably?
- answer-Yes
Dosing for Hep A vaccines in pediatrics and adults
- answer--Pediatrics (< 19 y.o.): 0.5 mL
-Adults: 1 mL
(Two-dose series: primary dose and then booster dose 6 months later)
(IM injection in deltoid)
Hep A:
Length of vaccine protection
- answer--First dose: provides protection for 1 year
-Second dose: provides protection for lifetime
Purpose of using IGIM instead of Hep A vaccine
- answer--Gives immediate immunity the next day and provides short-term
immunity, whereas Hep A vaccine takes a while and provides long-term immunity.
*(This is why you should consider giving them together.)*
-May use when departure is eminent (< 2 weeks)
-The problem is that it's like taking any drug, so it washes out of the body after a
period of time.
-0.02 mL/kg provides 3 months of protection.
-0.06 mL/kg provides 3-5 months of protection.
What is TwinRix?
- answer--Inactivated, combination vaccine that contains Hep A and B antigens.
-Main use is for "high risk" travelers.
, (Problem is that it only contains the pediatric dose of Hep A, so you need to do two
doses spaced about a month apart. It's hard to get them to come back for a second
dose.)
*Less preferred*
Hep A vaccine contraindications and precautions
- answer-Contraindications:
-Severe allergy to vaccine component
-Severe allergy to prior dose of vaccine
Precautions:
-Moderate or severe illness, with or without a fever.
Hep A vaccine and IGIM ADRs
- answer-IGIM has way more ADRs than Hep A vaccine, because it's weight-based
dosing, so lots of fluid gets injected. Therefore, it's painful.
-Pain at injection site, erythema, swelling
-*Syncope*
When do you choose Hep A vaccine or IGIM?
- answer--If leaving for trip in 2+ weeks: Hep A vaccine
-If leaving for trip in < 2 weeks: IGIM if >40 y.o. and/or has medical conditions;
give Hep A vaccine if <40 and healthy
(Whenever you give IGIM, consider also giving Hep A vaccine.)
Biggest ADR with Hep A vaccine and IGIM administration?
- answer-Syncope (fainting)
-Make sure patient is seated before administration.
-Worse with IGIM or co-administration
Do individuals born overseas need the Hep A vaccination?
- answer-Maybe not. Screen for anti-HAV first.
If you give both Hep A vaccine and IGIM, how do you administer them?
- answer-In separate arms
