Travel Immunizations Questions
1. Which of the following is a contraindication for receiving Yellow Fever
vaccine?
a.
b.
c.
d.
Age less than 6 months
Concurrent febrile illness
Breastfeeding
Latex allergy
2. Meningococcal vaccine is required when traveling to which of the following
locations?
a.
b.
c.
d.
Sub-Saharan Africa
Southeast Asia
Anywhere outside the United States
Mecca, Saudi Arabia for the Hajj
3. Which of the following patients would be a candidate for the oral typhoid
vaccine (Vivotif)?
a.
b.
c.
d.
8 year old healthy boy
7 year old girl being treated for otitis media with amoxicillin
12 year old boy with sickle cell disease
18 year old pregnant female
AFMRD Presents: A Comprehensive Immunization Curriculum for Family Medicine Residency Programs
4. Which of the following statements is true regarding the meningococcal
vaccine?
a.
b.
c.
d.
MPSV4 (Menomune) is preferred for patients less than 55 years of age
Revaccination is risk-based
Antibodies are formed within 48 hours
MCV4 (Menactra) can be used in all patients greater than 6 months of
age
5. A 45 year old man traveling to Guatemala to visit family in two months
requests information regarding travel health. Which of the following is true?
a. Because he is going to Guatemala, malaria vaccination is
recommended.
b. Because he was born in Guatemala, he needs no protection from
malaria.
c. Because he grew up in the United States, all his vaccinations are upto-date for travel.
d. Because he is going to Guatemala, Hepatitis A and B vaccines are
recommended.
6. For the man in question #5, which is the best way to confirm the up-to-date
recommendations for immunization?
a.
b.
c.
d.
Consult the textbook in your office.
Access the CDC website.
Ask your colleague.
Ask the patient what vaccines he was told by family that he needed
7. Regarding rabies vaccination
a.
b.
c.
d.
All travelers leaving the US should get vaccinated.
Rabies is only transmitted by dog bite.
Receiving rabies vaccine changes post-exposure treatment.
Pregnant women should never get rabies vaccination.
AFMRD Presents: A Comprehensive Immunization Curriculum for Family Medicine Residency Programs
8. Which of the following vaccines are required for travel to certain areas?
a.
b.
c.
d.
Hepatitis A and B
Tdap and Influenza
Yellow Fever and Meningitis
Typhoid and Hepatitis A
9. Which of the following travel diseases has a vaccine?
a.
b.
c.
d.
Malaria
Dengue Fever
Schistosomiasis
Typhoid
AFMRD Presents: A Comprehensive Immunization Curriculum for Family Medicine Residency Programs
Travel Immunization Answers
1.
a. Children less than 6 months old should not receive Yellow Fever vaccine
2.
d. Meningococcal vaccine is required when traveling to Mecca on the Hajj
3.
a. Oral typhoid vaccine can be given to a healthy boy. It should not be
given to a pregnant woman since it is a live vaccine nor to a child with
sickle cell or on antibiotics.
4.
b. Re-vaccination for meningococcal vaccine is recommended based on a
person’s risks.
5.
d. Hepatitis A and B vaccines are recommended to travelers to Central
America. There is no malaria vaccine, but he may need malaria
prophylaxis.
6.
b. The CDC website is the best way to confirm up-to-date
recommendations on vaccinations. The Yellow Book focuses on travel
recommendations and is available at
www.cdc.gov/travel/yellowbook/search.aspx
7.
c. If rabies vaccination is given and a person is exposed to rabies, the
individual does not need rabies immune globulin and only needs 2 rabies
vaccines at days 0 and 3.
8.
c. Yellow Fever vaccination documentation is required for travel to certain
countries. Meningococcal vaccine is required for travel to Mecca during
the Hajj.
9.
d. Typhoid has a vaccine. The other diseases are very common, but do not
yet have vaccines.
AFMRD Presents: A Comprehensive Immunization Curriculum for Family Medicine Residency Programs