BUMEDINST 6224.8, TUBERCULOSIS CONTROL PROGRAM; ENCLOSURE 1, 2

Question 1

What is the purpose of the TUBERCULOSIS CONTROL PROGRAM?

Answer 1

To provide policy and guidance for controlling tuberculosis (TB) among
Department of the Navy (DON) military personnel and Military Sealift Command (MSC)
civilian mariners (CIVMAR).

Question 2

Tuberculosis control efforts for other populations (e.g., health
care workers, DON civilians, eligible beneficiaries, inmates of detention and confinement facilities, etc.) are to be guided by and consistent with current?

Answer 2

U.S. Centers of Disease Control

guidance and applicable Federal laws

Question 3

Navy and Marine Corps personnel often

operate in areas of the world where there is a ____________ of TB infection.

Answer 3

high revalence

Question 4

What ways can significantly reduce the chance of TB infection to others?

Answer 4

early detection and respiratory isolation

Question 5

For medical record and information gathering purposes we provide which form?

Answer 5

NAVMED 6224/7

Question 6

Which form is used for Initial Tuberculosis Exposure Risk Assessment?

Answer 6

NAVMED 6224/8

Question 7

Which form is used for Interim Tuberculosis

Exposure Risk Assessment?

Answer 7

NAVMED 6224/9

Question 8

Who shall ensure subordinate medical treatment facilities (MTF’s) maintain an effective tuberculosis control program.

Answer 8

Navy Medicine region commanders

Question 9

Skin and blood tests are available for identifying individuals asymptomatically infected with the __________________ complex bacteria that cause TB.

Answer 9

Mycobacterium Tuberculosis

Question 10

These individuals are at increased risk for developing active TB, and should be treated to reduce their risk for developing active disease and transmitting TB infection to others.

Answer 10

Latent Tuberculosis Infection (LTBI).

Question 11

Personnel diagnosed with LTBI based on a positive skin or blood test and without active disease are ____________.

Answer 11

infectious

Question 12

Screening or testing documented within ____ months prior to reporting aboard a commissioned vessel is acceptable. Once reporting aboard, paragraph 3 applies.

Answer 12

6

Question 13

What does PPD mean?

Answer 13

Purified Protein Derivative

Question 14

Recording Administration. Record the following information on the ____________, Adult Immunization Record.

Answer 14

NAVMED 6230/4

Question 15

Record the following information on the ____________, Child Immunization Record

Answer 15

NAVMED 6230/5

Question 16

The TST reaction must be read within ___________ after PPD

administration.

Answer 16

48 to 72 hours

Question 17

The TST reaction must be read within 48 to 72 hours after PPD
administration. Measure induration to the nearest ____________.

Answer 17

whole millimeter (mm)

Question 18

If a person returns more than 72 hours after TST placement, record the result as _________________.

Answer 18

“Not Read” and apply a TST on the opposite forearm.

Question 19

Positive TST. Service members with a __________TST undergoing further evaluation should not deploy until the evaluations are completed and all results have been reported (for example, chest X-ray, Mycobacterium cultures, etc.).

Answer 19

positive

Question 20

The most useful step in reducing the likelihood of
interpreting a boosted response as evidence of a new infection such as in older health care workers entering a military treatment facility screening program.

Answer 20

Two-Step Procedure

Question 21

TSTs are both _____________ throughout pregnancy and should be
administered as appropriate.

Answer 21

safe and reliable