Medical Council of Canada Qualifying Examination Part 1 Exam MCCQE Question # 37 Topic 4 Discussion
MCCQE Exam Topic 4 Question 37 Discussion:
Question #: 37
Topic #: 4
A 25-year-old woman who is at 8 weeks ' gestation plans to travel to rural Cambodia to care for her ill mother. Which one of the following treatments should be provided to her before the trip?
A.
Antimalarial chemoprophylaxis
B.
Hepatitis B immunoglobulin
C.
Ciprofloxacin for travellers ' diarrhea
D.
Tetanus and diphtheria booster if last received more than 5 years ago
Travel to rural Cambodia poses a high risk of malaria, which can be life-threatening in pregnancy. Antimalarial prophylaxis is strongly recommended for pregnant women traveling to endemic regions. Chloroquine or mefloquine (depending on resistance patterns) may be used in pregnancy under specialist guidance.
Toronto Notes 2023 – Infectious Disease / Travel Medicine:
“Malaria prophylaxis is indicated in pregnant women traveling to endemic regions. The risk of severe malaria and poor fetal outcomes is high.”
MCCQE1 Objectives (Public Health > 65-3: Travel Medicine and Pregnancy):
“Candidates must provide preventive care to pregnant travelers including vaccination and malaria prophylaxis.”
Tetanus boosters (D) are given every 10 years. Hep B Ig (B) is for acute post-exposure prophylaxis. Ciprofloxacin (C) is contraindicated in pregnancy.
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