More Tb, ETC.

Question 1

How many weeks from illness can TST be positive

Answer 1

2-12 weeks

Question 2

Treatment for Cat IA Tb

Answer 2

2HRZE/10HR

Question 3

Treatment for Cat I Tb

Answer 3

2HRZE/4HR

Question 4

Treatment for Cat II

Answer 4

2HRZES/1HRZE/5HRE

Question 5

Treatment for Category IIa

Answer 5

2HRZES/1HRZE/9HRE

Question 6

Treatment for Cat I, indications

Answer 6

New Pulmonary TB
New Miliary TB
New EPTB (except CNS/ bones or joints)

Question 7

Treatment for Cat IA Tb, indications

Answer 7

CNS TB, TB of Bones or joints

Question 8

Treatment for Cat II, indications

Answer 8

Retreatment of Rif susceptible PTB and EPTB (except CNS/ bones or joints)

Question 9

Treatment for Category IIa, indications

Answer 9

Retreatment of Rif susceptible CNS, bones or joints

Question 10

MC radiologic finding in primary Tb

Answer 10

Lymphadenopathy

Question 11

Congenital Tb, definition

Answer 11

TB lesion + 1 or more of the ff: 1) present within the first week of life, 2) a primary hepatic complex or caseating hepatic granuloma, 3) TB infection of the placenta or endometrial TB in the mother; or exclusion of the possibility of postnatal transmission by excluding TB in other contact

Question 12

Skin finding in cutaneous Tb

Answer 12

Papulonecrotic tuberculids

Question 13

MCC of TB enteritis

Answer 13

Ileum

Question 14

Corticosteroids are given in miliary Tb for

Answer 14

Prevention of microalveolar block

Question 15

Major factors for recurrence of febrile seizures

Answer 15

1) Age <1 2) fever <24h before seizure 3) temp 38-39

Question 16

Minor factor for recurrence of febrile seizures

Answer 16

1) Family hx

Question 17

DOC cholera

Answer 17

Doxycycline

Question 18

Major risk factor for poor prog in meningococcemia

Answer 18

Seizure

Question 19

Surgical closure of cleft LIP is usually performed

Answer 19

3 months of age, satisfactory weight gain, free of any oral respiratory, or systemic infection

Question 20

MC technique used in cleft lip repair

Answer 20

Millard-rotation-advancement technique

Question 21

Initial repair of cleft lip may be revised when

Answer 21

4 or 5 yrs old

Question 22

Immediate problem in an infant born with a cleft lip or palate

Answer 22

Feeding

Question 23

Goals of cleft palate surgery

Answer 23

1) Union of cleft segments 2) Intelligible and pleasant speech 3) Reduction of nasal regurgitation 4) Avoidance of injury to growing maxilla

Question 24

In an otherwise healthy child, closure of the palate is usually done when

Answer 24

Before 1 yr old, to enhance normal speech development

Question 25

Indications for INH preventive therapy (IPT)

Answer 25

1) All children with HIV that was exposed 2) <5 with exposure to bacteriologically proven TB regardless of TST 3) <5 with exposure to clinically proven TB AFTER A TST POSITIVE

Question 26

When to repeat CXR after Tb treatment

Answer 26

2 months

Question 27

When is Hep A most infectious

Answer 27

2 weeks before and 7 days after jaundice appears

Question 28

Rabies: Incubation period

Answer 28

1-3 months

Question 29

Rabies: 2 clinical forms

Answer 29

1) Encephalitic/furious 2) Paralytic/dumb

Question 30

In Encephalitic/furious rabies, death almost always occurs within ___ days in developing countries

Answer 30

1-2

Question 31

T/F Neither rabies Ig nor rabies vaccine provides benefit once symptoms have appeared

Answer 31

T

Question 32

Associated with clearance of salivary viral load and survival in rabies infection

Answer 32

Appearance of normal antibody response by 7 days

Question 33

Rabies prophylaxis in someone with dog abrasions that did not bleed

Answer 33

Rabies VACCINE only

Question 34

Neonate diagnosed with congenital Tb, what to do?

Answer 34

Give INH while waiting for diagnostics

Question 35

MC cardiac pathology in CRS

Answer 35

PDA

Question 36

MDR-TB length of treatment

Answer 36

At least 18 months

Question 37

Day care teacher with PTB, what to do?

Answer 37

INH all children x 3 months, then do TST

Question 38

Definitive diagnosis for tb adenitis

Answer 38

Culture

Question 39

Drugs used for MDRTB prophylaxis

Answer 39

Pyrazinamide and Fluoroquinolone