Chapter 2.2 (Part 3)

Question 1

Is an infectious disease that primarily affects the lung parenchyma is most often caused by mycobacterium tuberculosis - is an acid fast aerobic rod that grows slowly and is sensitive to heat and ultraviolet light.

Answer 1

Tuberculosis

Question 2

has a shell that can help it thrive in acidic environment

Answer 2

Acid fast

Question 3

Risk factors

Answer 3

Close contact with person who has TB
Immunocompromised status
Immigrants from countries with higher incidents of TB
Pre existing medical conditions
Institutionalization
Occupations

Question 4

Types of Exposure

Answer 4

Primary
Secondary

Question 5

Decrease lung compliance
Decrease surface area available for gas diffusion, decrease gas exchange

Answer 5

COLLAGENOUS SCAR IN LUNGS DUE TO TB

Question 6

Diagnostic Findings

Answer 6

Chest cray
sputum culture
quantiferon gold test
Tuberculin or PPD skin test - Positive

Question 7

Classifications

Answer 7

CLASS 0 – No exposure
CLASS 1 – Exposure
CLASS 2 – Latent Infection
CLASS 3 – Disease, Clinically active
CLASS 4 – Disease, Not clinically active
CLASS 5 – Suspected disease (pending)

Question 8

PPD results for everyone

Answer 8

15mm+

Question 9

PPD results for IV drugs, child below 4 y.o

Answer 9

10mm+

Question 10

PPD results for HIV, contact with tv active

Answer 10

5mm+

Question 11

there is immunosuppression

Answer 11

False negative

Question 12

presence of infection of atypical bacteria

Answer 12

False Positive

Question 13

Medical Management

Answer 13

RIPES

Question 14

Assessment

Answer 14

Obtain history
assess fro symptoms of active disease
auscultate lungs for crackles
assess liver fucntion

Question 15

Complications

Answer 15

TB spine
meningitis
cardiac tamponade
Pleural effusion
TB pneumonia

Question 16

Prevention

Answer 16

Isolation
Ventilation of room
Cover mouth
Wear mask
Finish course of medicine
Vaccinations