TB

Question 1

Patient presents with chronic cough and night sweats. Sputum culutre grows acid-fast bacilli that stain red with Zeihl-Neelsen staining. What is the infection?

Answer 1

TB

Question 2

TB vaccination?

Answer 2

BCG vaccine- live attenuated mycobacterium bovis
Prior have mantoux test

Question 3

TB presentation?

Answer 3

Chronic, gradually worsening
* Cough
* Haemoptysis
* Lethargy
* Fever or night sweats
* Weight loss
* Lymphadenopathy

Question 4

Chest X-ray of primary TB?

Answer 4

• Patchy consolidation
• Pleural effusions
• Hilar lymphadenopathy

Question 5

Chest x-ray of Reactivated TB?

Answer 5

Patchy or nodular consolidation with cavitation

Question 6

Treatment of latent TB?

Answer 6

Isoniazid or rifampicin for 3 months
OR
Isoniazid for 6 months

Question 7

Treatment for active TB infection?

Answer 7

R- Rifampicin 6 months
I- Isoniazid 6 months
P- Pyrazinamide 2 months
E- Ethambutol 2 months

Needs to be perscribed alongside pyridoxine (vit B6)

Question 8

Rifampicin side effect?

Answer 8

Red/orange secretions e.g. urine and tears

Question 9

Isoniazid side effects?

Answer 9

Peripheral neuropathy- numbness/unusual sensations in feet

Question 10

Ethambutol side effects?

Answer 10

Can cause colour blindness and reduced visual acuity