What is the usual incubation period for typhoid fever? - What type of vaccine is Ty21a? - ANSWERS - A live
ANSWERS - 1 to 3 weeks attenuated bacterial vaccine
In the United States, most cases of typhoid fever occur in For which person would typhoid fever vaccine be indicated? -
people who - ANSWERS - Have recently traveled ANSWERS - A person traveling to the Indian subcontinent
internationally
Which person should NOT be given Ty21a today? Assume that
On average, about how many cases of typhoid fever occur each all are susceptible to typhoid fever and are traveling to a
year in the United States? - ANSWERS - 400 typhoid-endemic area. - ANSWERS - A woman with
abdominal pain and persistent diarrhea
How is typhoid fever most commonly spread from one person to
another? - ANSWERS - In contaminated food or water Which person should NOT receive ViCPS today? Assume that
all are susceptible to typhoid fever and are traveling to a
typhoid-endemic area. - ANSWERS - A person who is a
How do most people in the United States become ill with chronic carrier of S. typhi
typhoid fever? They are infected: - ANSWERS - During
international travel
Which statement is correct and included in the VIS for typhoid
vaccine? - ANSWERS - A booster dose is needed for
Which is the only natural host for S. typhi? - ANSWERS - people who remain at risk
Humans
What is the correct dose, schedule, and route of administration
By what route do S. typhi infect the body? - ANSWERS - for Ty21a? - ANSWERS - Four capsules taken by mouth
Mouth on alternate days, each dose taken one hour before a meal
Fever in typhoid fever _____________ . - ANSWERS - is What is the correct dose, schedule, and route of administration
sustained and high for ViCPS vaccine? - ANSWERS - One 0.5 mL dose
administered intramuscularly
Which person presenting for treatment in an emergency
department in the United States is most likely to have typhoid A person receives Ty21a vaccine because he is traveling to a
fever? The person who has: - ANSWERS - A high fever, country in which typhoid fever is endemic. If he plans to continue
headache, and abdominal pain, and who states she returned this type of travel in the future, when is it recommended that he
from Peru a week ago be revaccinated against typhoid fever? - ANSWERS - In
five years
A diagnosis of typhoid fever is confirmed when: -
ANSWERS - S. typhi is found in blood or stool cultures Which adverse reactions are most common following
vaccination with ViCPS? - ANSWERS - Pain and swelling
at the injection site
Which is the treatment used to eliminate S. typhi from the body
and cure typhoid fever? - ANSWERS - Antibiotics
Which statement is true about typhoid fever illness? -
ANSWERS - Typhoid fever is diagnosed by finding S. typhi
Which instruction given to a person who is recovering from in the blood, urine, or feces
typhoid fever would be LEAST important in preventing possible
spread of the infection to others? - ANSWERS - Drink only
boiled or bottled water Typhoid fever is characterized by a sudden onset of a sustained
fever as high as 39.4 degrees Celsius to 40 degrees Celsius
(103 degrees Fahrenheit to 104 degrees Fahrenheit). Which are
For which person would ViCPS be the preferred type of typhoid other common initial symptoms of typhoid fever? -
vaccine? One who: - ANSWERS - Is taking an antibiotic ANSWERS - Myalgia and abdominal pain
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