TB, Flu, COVID-19

Question 1

TB transmission/precautions

Answer 1

airborne

Question 2

does CDC recommend treating latent TB

Answer 2

yes

Question 3

Form of TB where body forms granuloma

Answer 3

latent TB

Question 4

Why is it relevant that cell mediated immunity develops 2-12 weeks after infection?

Answer 4

That’s when the skin test will show it

Question 5

Who’s at risk for TB

Answer 5

marginalized groups broadly. immunocompromised, crowding, homelessness, IV drug users, immigrants from TB-prevalent countries

Question 6

Special consideration for TB vaccinated people

Answer 6

the PPD skin test doesn’t work. It’ll always show positive.

Question 7

psychosocial assessment for TB

Answer 7

ability to adhere to regimen, isolation, housing

Question 8

screening tool for TB

Answer 8

TB skin test (mantoux)

Blood test - quantiferon gold or T-Spot

Question 9

Diagnostics for active TB

Answer 9

cxr, sputum culture

Question 10

+ PPD area of induration for general population

Answer 10

> 15mm

Question 11

+ PPD area of induration for healthcare workers, long-term care, IV drug users, medically underserved

Answer 11

> 10mm

Question 12

+ PPD area of induration for HIV + or recent close contact with active TB

Answer 12

> 5mm

Question 13

When can patients come off of TB isolation

Answer 13

3 consecutive negative sputum cultures

Question 14

Directly Observed Therapy

Answer 14

Patient goes to health department to take meds in front of them