chap 45: TB

Question 1

1. Drug resistant tuberculosis (TB) is defined as TB that is resistant to:
2. Fluoroquinolones
3. Rifampin and isoniazid
4. Amoxicillin
5. Ceftriaxone

Answer 1

2. Rifampin and isoniazid

Question 2

2. Goals when treating tuberculosis include:
3. Completion of recommended therapy
4. Negative purified protein derivative at the end of therapy
5. Completely normal chest x-ray
6. All of the above

Answer 2

1. Completion of recommended therapy

Question 3

3. The principles of drug therapy for the treatment of tuberculosis include:
4. Patients are treated with a drug to which M. tuberculosis is sensitive.
5. Drugs need to be taken on a regular basis for a sufficient amount of time.
6. Treatment continues until the patient’s purified protein derivative is negative.
7. All of the above

Answer 3

2. Drugs need to be taken on a regular basis for a sufficient amount of time.

Question 4

4. Isabella has confirmed tuberculosis and is placed on a 6-month treatment regimen. The 6-month regimen consists of:
5. Two months of four-drug therapy (INH, rifampin, pyrazinamide, and ethambutol) followed by Four months of INH and rifampin
6. Six months of INH with daily pyridoxine throughout therapy
7. Six months of INH, rifampin, pyrazinamide, and ethambutol
8. Any of the above

Answer 4

Two months of four-drug therapy (INH, rifampin, pyrazinamide, and ethambutol) followed by Four months of INH and rifampin

Question 5

5. Kaleb has extensively resistant tuberculosis (TB). Treatment for extensively resistant TB would include:
6. INH, rifampin, pyrazinamide, and ethambutol for at least 12 months
7. INH, ethambutol, kanamycin, and rifampin
8. Treatment with at least two drugs to which the TB is susceptible
9. Levofloxacin

Answer 5

3. Treatment with at least two drugs to which the TB is susceptible

Question 6

6. Lila is 24 weeks pregnant and has been diagnosed with tuberculosis (TB). Treatment regimens for a pregnant patient with TB would include:
7. Streptomycin
8. Levofloxacin
9. Kanamycin
10. Pyridoxine

Answer 6

4. Pyridoxine

Question 7

7. Bilal is a 5-year-old patient who has been diagnosed with tuberculosis. His treatment would include:
8. Pyridoxine
9. Ethambutol
10. Levofloxacin
11. Rifabutin

Answer 7

1. Pyridoxine

Question 8

8. Ezekiel is a 9-year-old patient who lives in a household with a family member newly diagnosed with tuberculosis (TB). To prevent Ezekiel from developing TB he should be treated with:
9. 6 months of Isoniazid (INH) and rifampin
10. 2 months of INH, rifampin, pyrazinamide, and ethambutol, followed by 4 months of INH
11. 9 months of INH
12. 12 months of INH

Answer 8

3. 9 months of INH

Question 9

9. Leonard is completing a 6-month regimen to treat tuberculosis (TB). Monitoring of a patient on TB therapy includes:
10. Monthly sputum cultures
11. Monthly chest x-ray
12. Bronchoscopy every 3 months
13. All of the above

Answer 9

1. Monthly sputum cultures

Question 10

10. Compliance with directly observed therapy can be increased by:
11. Convenient clinic times
12. Incentives such as food, clothing, and transportation costs
13. Offering gifts for compliance
14. All of the above

Answer 10

4. All of the above