Tb Control Program Flashcards

0
Q

What is the purpose of the TB control program?

A

Provide guidelines for tb control program of screening.
Preventive therapy
Case Id and treatment
Contact investigation

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1
Q

Bumedinst 6224.8

A

Tuberculosis control program

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2
Q

How many cases of tb cases occur annually in the US?

A

20,000

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3
Q

What does PPD

A

purified protein derivative

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4
Q

What is the most sensitive and specific to administer a ppd.

A

Mantox method

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5
Q

What bacterium causes tuberculosis?

A

Mycobacterium tuberculosis

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6
Q

What preventive therapy is most effective measure to prevent the development of tv disease in newly infected person?

A

INH

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7
Q

What does preventive treatment do

A

Reduces the risk of disease does not totally eliminate it.

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8
Q

What term describe that a person has symptoms, signs, radio graphic or laboratory evidence of plumonary….

A

Active disease

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9
Q

What term describe that the person has no symptoms, signs or radiographic evidence of infection, as indicated by the presence of a positive tb skin test?

A

Tb infection

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10
Q

What is induration

A

An area around the site of tuberculin injection that is raised and firm to touch

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11
Q

What term described a person with an area of induration to a 5TU tuberculin skin test read in 48-72 hours

A

Tb reactor

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12
Q

What vaccines are made from live attenuated mycobacterium strains used in some countries

A

Bcg

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13
Q

What is the only approved tb skin material for the Mantoux test

A

The premixed tween 80 stabilized intermediate strength ppd (5 TU equivalent)

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14
Q

What type of a syringe and needle is used for the administration of the Mantoux test

A

Disposable 1ml 25 gauge 5/8 inch needle

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15
Q

What aspect of the forearm is the intradermal injection made

A

Collar

16
Q

Who must read the tb skin test

A

An Mdr who is both trained and experienced

17
Q

Where is the test result entered in the medical treatment record?

A

Sf 601 under sensitivity test

18
Q

What must be done if a person returns more than 72 hours with induration is 0 to 14mm

A

Mars Not read and apply ppd to other arm

19
Q

What is the antibiotic regimen of choice for tuberculosis preventive therapy

A

INH oral dose daily dose of 300 mg for adults and 10 mg for kids

20
Q

How long should tb reactors with no risk for development of TB disease receive INH therapy

A

6 months

21
Q

How long should tb reactors with Hiv infection and person with stable abnormal chest rad consistent with past TB receive INH

A

12 months

22
Q

What are contraindications to preventive therapy with INH

A

Previous history of INH associated liver ingury. History of a severe adverse reaction to INH an acute liver disease of any etiology