***2019 (quick)*** BUMEDINST 6224.8B TUBERCULOSIS CONTROL PROGRAM

Question 1

TB Instruction?

Answer 1

6224.8B

Question 2

Initial TB exposure risk assessment?

Answer 2

NAVMED 6224/7

Question 3

Interim TB exposure risk assessment?

Answer 3

NAVMED 6224/8

Question 4

Monthly evaluation for treatment?

Answer 4

NAVMED 6224/9

Question 5

Bacteria causing TB?

Answer 5

Mycobacterium tuberculosis

Question 6

Screen or test how long before reporting to commissioned vessel?

Answer 6

6 Months

Question 7

NAVENPVNTMEDU

Answer 7

Navy Environmental Preventive Medicine Unit

Question 8

PPD

Answer 8

Purified Protein Derivative

Question 9

Approved material for routine Mantoux test?

Answer 9

Tween-80-stabilized intermediate strength (5 TU equivalent)

Question 10

Preferred PPD product?

Answer 10

Tubersol (Aplisol is 2nd choice)

Question 11

TST should be read when?

Answer 11

48-72 hrs

Question 12

If pt returns beyond 72 hrs for reading?

Answer 12

Record the result as “not read” on SF 601 and apply TST on opposite forearm

Question 13

If there is no induration, record result as?

Answer 13

“0 mm” or “zero mm”

Question 14

Rate of newly-identified LTBI converters?

Answer 14

1-2% of personnel tested per year

Question 15

If conversion rate is two times greater than expected baseline?

Answer 15

Contact NAVENPVNTMEDU for guidance

Question 16

A positive TST reaction in BCG immunized person should be regarded as what?

Answer 16

TB infection

Question 17

A TST may be placed the same day as live-attenuated virus or?

Answer 17

At least four weeks later

Question 18

TST for pregnant service members?

Answer 18

Considered safe and reliable (may still rule out with x-ray)

Question 19

Increase in reaction size of 10mm or more within ___ years is considered positive

Answer 19

3

Question 20

High risk?

Answer 20

5mm or more w/recent close contact of infected patients

Question 21

Medium risk?

Answer 21

10mm or more in recent immigrants or clinical conditions i.e. lab personnel

Question 22

Low risk?

Answer 22

15mm or more is positive if NO risk factors

Question 23

ICD-9-M code for TB?

Answer 23

V74.1 “Screening Exam for Pulmonary Tuberculosis”

Question 24

Examine chest x-rays for?

Answer 24

Fibrotic changes

Question 25

INH?

Answer 25

Isoniazid

Question 26

Disease Alert Report?

Answer 26

MED 6220-3

Question 27

PPD single dose amount?

Answer 27

0.1 ml (5 TU) PPD

Question 28

A good intradermal injection will be evidenced by?

Answer 28

Small, pale, sharply demarcated wheal

Question 29

Measurement of induration between two millimeter divisions of the scale should be rounded up or down?

Answer 29

DOWN

Question 30

Consider searching for an active case of TB disease in the command if reactors is greater than what percent?

Answer 30

2.5%

Question 31

Ignore what vaccine history when evaluating for routine PPD?

Answer 31

Bacillus Calmett-Guerin (BCG)

Positive PPD still indicative of TB infection

Question 32

INH, length of treatment?

Answer 32

5 mg/kg Daily for 9 months. 270 daily doses within 12 months

Question 33

What lab tests should be performed when initial evaluation suggests elevated risk for liver disease or INH induced hepatoxicity?

Answer 33

Alanine Aminotransferase and bilirubin

Question 34

Consider withholding INH if transaminase levels exceed?

Answer 34

3-5 times the upper normal limit

Question 35

ICD-9-M (Internaltional Classification of Disease) code for patients receiving therapy?

Answer 35

V68.1 (issue of repeat prescriptions)

Question 36

What should be used for persons who are at very high risk for developing active TB?

Answer 36

DOT (Directly observed therapy)

Question 37

Wear what particulate respirator in TB rooms?

Answer 37

N95 (minimum)

Question 38

Suspected new cases?

Answer 38

Submit medical event report w/in 24 hrs. Submit second report when disease is ruled in/out.

Question 39

BAMT

Answer 39

Blood Assay for M. Tuberculosis infection

Question 40

AHLTA

Answer 40

Armed Forces Health Longitudinal Technology Application