Travel Medicine: ABFM practice questions

6 board-style questions on travel medicine in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.

Sample question 1

A 32-year-old woman presents 3 weeks before a 2-week trip to sub-Saharan Africa for volunteer work. She will be in rural areas with high malaria transmission. She has a history of depression well-controlled on sertraline and a sulfa allergy (rash). She asks about malaria prophylaxis. She is not pregnant and has no cardiac history. Which of the following is the most appropriate antimalarial prophylaxis regimen?

1. Doxycycline daily, starting 1-2 days before travel
2. Mefloquine weekly, starting 2-3 weeks before travel
3. Atovaquone-proguanil daily, starting 1-2 days before travel
4. Chloroquine weekly, starting 1-2 weeks before travel

Sample question 2

A 45-year-old man is planning a 3-week trip to Brazil, including travel to the Amazon basin. He is otherwise healthy, takes no medications, and has no allergies. He received the yellow fever vaccine 12 years ago for a prior trip. He asks whether he needs a booster. Which of the following is the most accurate statement regarding yellow fever vaccination for this patient?

1. He needs a booster only if traveling to an area with an active yellow fever outbreak
2. Yellow fever vaccine boosters are required every 5 years for travel to endemic areas
3. He needs a booster since the yellow fever vaccine is only effective for 10 years
4. A single dose of yellow fever vaccine provides lifelong immunity, and no booster is needed

Create a free PulseMD account to answer these, see the explanations, and practice five minutes a day.

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