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Community Health Nursing > TB-DOTS > Flashcards

TB-DOTS Flashcards

1
Q

ADR

A

Adverse Drug Reaction

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2
Q

ART

A

Antiretroviral Therapy

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3
Q

DSSM

A

Direct Sputum Smear Microscopy

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4
Q

DST

A

Drug Susceptibility Testing

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5
Q

E/EMB

A

Ethambutol

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6
Q

EP-TB

A

Extrapulmonary TB

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7
Q

H/INH

A

Isoniazid

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8
Q

MDR-TB

A

Multi-drug Resistant Tuberculosis

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9
Q

MGIT

A

Mycobacteria Growth Indicator Tube

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10
Q

NTP

A

National Tuberculosis Program

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11
Q

Z/PZA

A

Pyrazinamide

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12
Q

PTB

A

Pulmonary Tuberculosis

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13
Q

R/RIF

A

Rifampicin

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14
Q

RR-TB

A

Rifampicin Resistant Tuberculosis

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15
Q

TST

A

Tuberculin Skin Test

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16
Q

XDR-TB

A

Extensively Drug Resistant Tuberculosis

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17
Q

Comprehensive and unified policy for TB control in the Philippines

A

Executive Order No. 187 S. 2003

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18
Q

5 Components of DOTS Strategy

A
  1. Direct Sputum Smear must be the initial diagnostic tool for case finding
  2. Standardized chemotherapy in accordance with National TB Program
  3. Recording and reporting of cases shall be on the standardized national TB program to be implemented in all health centers
  4. Direct observed treatment shall be used as the strategy to ensure patient compliance.
  5. Political commitment to ensure sustained comprehensive implementation of national TB program activities
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19
Q

TB Causative Agent

A

Mycobacterium tuberculosis

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20
Q

Who discovered Mycobacterium tuberculosis?

A

Robert Koch

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21
Q

Who developed BCG Vaccine?

A

Albert Calmette and Camille Guerin

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22
Q

PPD

A

Purified Protein Derivative

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23
Q

Identify the result. The area of the skin where PPD was administered is not swollen after 48 hours.

A

Negative

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24
Q

After a PPD skin test, a an induration not smaller han 5mm and not greater than 9mm appears. What does this result indicate?

A

The patient may have been in close contact with someone who has active TB case.

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25
Q

After a PPD test, a reaction of more than 10mm in size appears. This indicates 2 results, which are?

A
  1. The person is a healthcare worker.

2. The person is negative for 2 years.

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26
Q

After a PPD sun test, Kim Bok Joo noticed that a 15mm firm swelling occurred at the area. This result means that…?

A

Kim Bok Joo is positive for TB and is high risk.

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27
Q

Seo Dalmi is worried that her child missed her first dose of BCG vaccine. Her child is 3 years old. As a nurse you know that Dalmi’s child can receive the first dose before the age of? At what site will the dose be administered?

A

5 years old. It will be administered on the left deltoid via intradermal injection.

28
Q

A test that diagnose TB and other infections caused by mycobacteria.

A

Acid-Fast Bacillus (AFB) Test

29
Q

3 ways in which TB can spread

A

Sneezing
Coughing
Spit

30
Q

Can kissing transmit TB?

A

No.

31
Q

True or False. Latent TB can spread from person to person.

A

False

32
Q

True or False. Latent TB can progress to TB Disease.

A

True

33
Q

A type of TB that CANNOT make a person feel sick or feel symptoms.

A

Latent TB

34
Q

True or False. TB Disease can cause death if not treated.

A

True

35
Q

A type of transmission wherein it refers to the particles inside a droplet nuclei which is less than 5 micrometers and can transmit diseases over distances greater than 1 meter.

A

Airborne Transmission

36
Q

A type of transmission that can transmit disease through sneezing and coughing in distances within 1 meter.

A

Droplet Transmission

37
Q

How many people can a person with an active case of TB infect throughout a course of 1 year?

A

10 to 15

38
Q

A type of TB that involves the lung parenchyma

A

Pulmonary TB

39
Q

How does EXTB spread?

A

Through lymph nodes

40
Q

A test that involves the observation of sputum under a microscope

A

Smear Microscopy

41
Q

A test that incubates and observes the bacteria for 6 weeks.

A

Culture

42
Q

A molecular diagnostic test that is used to detect TB and resistance to first-line drug rifampicin.

A

MTB/RIF cartridge-based nucleic acid amplification

43
Q

The intensive phase of the 6-month treatment of TB is in the first 2 months. In this phase, what drugs are given? (4)

A

Rifampicin
Isoniazid
Pyrazinamide
Ethambutol

44
Q

After the start of treatment, TB patients become non-infectious within __ weeks.

A

2

45
Q

Two drugs given in the Continuation Phase.

A

Rifampicin

Isoniazid

46
Q

The patient is considered cured upon completion if they have __ negative TB tests in the continuation phase.

A

2

47
Q

TB patient Han Jipyeong weighs above 70kg. How many tablets will he be taking for his treatment in the intensive phase?

A

5

48
Q

The drug that reduce the side effects of rifampicin and isonazid

A

Pyridoxine

49
Q

Nam Dosan was previously diagnosed with TB but was declared cured after treatment. He is again diagnosed with a recurrent episode of TB. In what group must he register in?

A

Relapse

50
Q

This registration group is for the patients who received TB treatment for less than one month.

A

New

51
Q

This registration group is for the patients who are seeking treatment after being declared lost to follow-up at the end of their most recent treatment.

A

TALF

52
Q

This registration group is for patients who have been previously treated for Tb but have previously failed at the end of their most recent course of treatment.

A

Treatment after failure

53
Q

This registration group is for the patients who, at the end of their most recent treatment, have lost or undocumented outcomes.

A

PTOU (previous treatment outcome undocumented)

54
Q

A registration group for the patients who have been recently transferred to continue treatment at another facility.

A

Transfer-in

55
Q

Additional drug that is given to the patient undergoing treatment regimen II (drug resistant TB)

A

Streptomycin sulfate

56
Q

Route of streptomycin sulfate

A

Intramuscular

57
Q

Streptomycin belongs to what class of drugs?

A

Aminoglycosides

58
Q

As a nurse, you are tasked to dilute 1G of streptomycin base. You know that you will be diluting this with?

A

4mL of sterile water

59
Q

How many shots of streptomycin sulfate is given to the patient on average?

A

56

60
Q

Technique for streptomycin administration

A

Z track

61
Q

Hong Dusik is a TB patient undergoing treatment. You mentioned that this disease can cause increased loss of muscle mass. He then asks what he can do to manage this. As a nurse, you know that you should advise Dusik to increase what component in his diet? What examples can you give?

A

Protein; milk, dairy, soy, nuts, fish, eggs

62
Q

What is the connection between TB and HIV?

A

HIV weakens the body’s immune system. TB is an opportunistic infection. The weakened immune system increases the risk of HIV patients to acquire TB.

63
Q

Percivall Pott was a surgeon who discovered what disease?

A

Pott’s Disease

64
Q

What is the cause of Pott’s Disease?

A

Extraspinal infection

65
Q

This disease is also called tuberculosis spondylitis

A

Pott’s Disease

66
Q

Potts disease causes what deformity? Name one complication that arise from this.

A

Kyphosis caused by vertebral collapse that may lead to paralysis.

67
Q

Songhwa has tuberculosis. Ikjun is hesitant to hug her when they meet because he is afraid of catching her disease. As a nurse, you can advise Ikjun that?

A

Hugging cannot transmit TB.

Community Health Nursing (6 decks)

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