TB 2 - Post-primary (2*) TB

Question 1

Mtb re-infection in ?-sensitive individuals

• can be from ? sources or more commonly ? from a ? primary complex
• there is an immediate ? response to disease, thus regional ? inv is ? common

Answer 1

tuberculin
exogenous
reactivation
healed
granulomatous
lymph 
not

Question 2

• in lung, this creates a classical ? lesion termed an ? focus, with destruction of lung ? leading to ?
• this may ? with fibrosis and ? if the ? system is strong - or will progressively enlarge if immunity is ?
• this has greater risks of eroding into ?/? and causing the complications described in Sxatic primary TB

Answer 2

apical
assmann
parenchyma
cavitation
heal
calcification
immune
poor
vessels/airways

Question 3

Sx

• earliest are non-specific - ?, ? sweats, ?, ? loss
• specific ones are late in established disease -> ? ? cough, repeated small ?, ? pain
• can presx with ? or pleural ?
• O/E there may only be a ? and ? crepitations, with late signs of ? or pleural effusion
• may be ? in advanced disease

Answer 3

malaise
night
anorexia
weight
prod mucoid
haemoptysis
pleural
pneumonia
effusions
fever
apical
consolidation
clubbed

Question 4

Either in prim or post prim TB, release of ? ? into the main ? allows them to coughed in the ? in droplets

Dx is freq made with pre-Sx ?

high risk = born in ? areas, prev treated for ?, who has ? ? with TB, ? co-morbs or drugs, who live in ? conditions or are ?/? abusers, or if have ?

Answer 4

tubercle bacilli
bronchus
atmosphere
CXR
endemic
TB
close contacts
immunosuppressive
overcrowded
alc/drug
HIV