6-18 Tuberculosis

Question 1

What are the elements of the TB Control Program?

Answer 1

TB Screening
Preventive Therapy
TB Case Identification
TB Patient Management
Contact Investigation

Question 2

BUMEDINST 6224.8 covers what?

Answer 2

Tuberculosis Surveillance and Control Program

Question 3

What is the preferred product for PPD?

Answer 3

Tubersol

Question 4

What is an alternate product for PPD?

Answer 4

Aplisol

Question 5

What size needle is used with the 1ml TB syringe?

Answer 5

1/4-1/2”, 27 gauge needle w/ short bevel

Question 6

What is a BCG?

Answer 6

A vaccine for TB named after French scientists who developed it, Calmette and Guerin.
Rarely used in US. Often given to infants and small children where TB is common

Question 7

What is Direct Observed Therapy (DOT)

Answer 7

A way of helping patients take their meds for TB

If you get DOT, you will meet with a health care worker every day or several times a week

Question 8

What is used to detect mycobacterium tuberculosis infection?

Answer 8

Interferon Gamma Release Assays (IGRA)

Question 9

When should you consider withholding INH?

Answer 9

If patients transaminase levels exceeds 3 times the upper limit of normal if associated with symptoms or 5 times the upper limit of normal if patient is asymptomatic

Question 10

Who must be notified of suspected or confirmed cases of active TB?

Answer 10

Cognizant NEPMU and local health department ASAP