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1. What type of pathogen causes Typhoid and Paratyphoid fever and how is the
diseases contracted? - ANSWER Caused by a Bacteria; Typically
contracted by consuming food or water contaminated with feces from
infected individuals.
2. Where in the world might you contract Typhoid and Paratyphoid fever and
what factor increases your chance to contract the disease? - ANSWER
Southern Asia; the longer you stay the higher your chance at contracting the
disease.
3. What are the storage requirements of the ORAL typhoid vaccine and how do
you administer the Oral Typhoid vaccine? - ANSWER It needs to stay
refrigerated, administer with cool liquids 1-hour before a meal.
4. What does Ty21a stand for and what does ViCPS stand for? - ANSWER
Vivotif vaccine, Typhim Vi vaccine.
5. Immunocompromised individuals need to avoid which Typhoid vaccine? -
ANSWER Vivotif (Ty21a)
6. How many days should a women who is taking nitrofurantoin wait before
starting the Vivotif vaccine series? - ANSWER 72 hours after last dose of
antibiotics
,7. Both Typhoid Fever vaccines should not be administered if the patient is... -
ANSWER -Pregnant
-Has Acute Febrile Illness
-Severe reaction to previous dose of vaccine
8. These are drugs used to treat Typhoid Fever starting at first line treatment: -
ANSWER 1. Ciprofloxacin
2. Ceftriaxone
3. Azithromycin
9. What type of pathogen causes Polio and how is the disease transmitted? -
ANSWER Caused by a Virus and its transmitted via fecal/oral route.
10.What regions of the world is Polio still a concern and during what season is
it most common. - ANSWER Afghanistan and Pakistan most common in
the summer months.
11.What organization is attempting to eradicate the Polio virus from the world
and by how much have worldwide Polio cases declined? - ANSWER
Global Polio Eradication Initiative (GPEI) and worldwide cases have
declined by 99%
12.What are some clinical presentation of Polio virus infection and how is it
diagnosed? - ANSWER -Symptoms may be asymptomatic
-Paralysis
-Respiratory failure
-Diagnosed via stool sample
,13.Polio vaccines are given to all _____. - ANSWER Infants and children as a
part of their regular vaccine schedule.
14.A person may have the Typhoid fever for how many days before displaying
any symptoms? - ANSWER 6-30 days.
15.If Typhoid fever goes untreated, what is expected to occur to the individual?
- ANSWER After 2-3 weeks, intestinal hemorrhages can occur
16.An individual went to the hospital and was diagnosed with Malaria. The
doctor was wrong and mistakes the patients symptoms for what other
disease? - ANSWER Typhoid fever
17.What is the main drug class used to treat Typhoid fever? Also list the
secondary drugs used if resistance has occurred to the number one choice? -
ANSWER Fluoroquinolones are first line treatment.
Injectable 3rd generation cephalosporins can also be used when resistance is
observed.
18.How effective are the Typhoid vaccines and how affective are they against
Paratyphoid fever? - ANSWER 50%-80% Effective for typhoid fever and
not affective for Paratyphoid fever.
19.What is the ORAL Typhoid Fever vaccine called? - ANSWER Vivotif
20.What type of vaccine is Vivotif? - ANSWER Oral capsule, Live, Attenuated
vaccine
, 21.Describe the age and dosing requirement of Vivotif? - ANSWER Persons 6
years and older need 4 doses of Vivotif oral capsule every 48 hours apart.
22.What is the IM Typhoid Fever vaccine called? - ANSWER Typhim Vi
23.What type of vaccine is Typhim Vi? - ANSWER Vi capsular
polysaccharide vaccine
24.Describe the age and dosing requirements of Typhoid Vi? - ANSWER
Persons 2 years or older need 1 dose of the IM 0.5mL injection
25.The Vivotif series needs to be completed _______ number of weeks prior to
travel and the Typhim Vi needs to be completed ______ number of weeks
prior to exposure. - ANSWER 1 week, 2 weeks
26.If a booster is required, A person needs booster of Vivotif every ______
number of years and _______ number of years for Typhim Vi - ANSWER 5
years, 2 years
27.An old man wishes to travel to Pakistan and has completed his childhood
Polio vaccines, does he need a booster? - ANSWER Yes, 1 adult booster is
required for travel to areas where polio is prevalent.
28.If traveling, when would someone want to get the Polio vaccine? -
ANSWER -If traveling to an area evident of polio in circulation in the past
12 months.
-Any high risk patients
-Environmental evidence through sewage samples