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Respiratory System > Tuberculosis > Flashcards

Tuberculosis Flashcards

1
Q

highly infectious chronic disease caused by tubercle bacilli

A

Pulmonary tuberculosis

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2
Q

CAUSATIVE AGENTS
(MT,MA,MB)

A

-microbacterium tuberculin
-microbacterium africanum
-microbacterium bovis

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3
Q

TB among children

A

Primary tuberculosis

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4
Q

Two types of TB
(PTB,EPTB)

A

-Pulmonary Tuberculosis
-Extra-Pulmonary Tuberculosis

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5
Q

A type of TB Confine in the lungs

A

Pulmonary tuberculosis

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6
Q

A type of the that affect the other organs

A

Extra-Pulmonary Tuberculosis

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7
Q

Mode of transmission
(D,A,D,I)

A

Droplets
Airborne
Direct invasion
Ingestion of unpasteurized milk

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8
Q

Postulation temperature to destroy the bacteria in the milk

A

60 degrees for 30 minutes
11.6 degrees for 15 minutes

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9
Q

Intubation period

A

2-8 weeks

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10
Q

PERIOD OF COMMUNICABILITY

A

-While bacillus in the sputum
-Good compliance to regimen– not contagious 2-4 weeks after

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11
Q

Enclosed space for 3 months

A

Close contact

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12
Q

Enclosed environment, skin to skin contact (prison cell)

A

High risk group

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13
Q

Patient with aids,HIV,Diabetes Mellitus and renal failure; due to decrease immune system

A

High risk clinical

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14
Q

Cardinal signs of TUBERCULOSIS
(P,NS,WL,A,H,L)

A

-Persistent cough
-Night sweat
-weight loss
-Anorexia
-Hemoptysis
- Low grade fever in the afternoon

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15
Q

Diagnostic test for tuberculosis
(D,X,T,)

A

Direct Sputum smear microscopy
Xray
TB Skin test

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16
Q

When to get sputum for conventional strategy of (Spot)

A

The next day early in the morning

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17
Q

When to get sputum for of Spot-Spot

A

1st: get it immediately
2nd: after 1 hour
3rd: early in the morning the next day

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18
Q

To identify pathogenic organisms and to determine whether malignant cells
are present.

A

Sputum test

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19
Q

Usual method: _____

A

Expectoration

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20
Q

Why do you need to Instruct the patient to clear nose and throat and rinse mouth to decrease contamination of sputum

A

Because it can lead to inaccurate result

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21
Q

Why do you need to instruct the patient that After taking few deep breaths, patient coughs rather than spits using the diaphragm and expectorates into a sterile container.

A

To get an accurate result

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22
Q

Deepest specimen from the base of the lungs: obtained in ______ after they have accumulated overnight.

A

Morning

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23
Q

Specimen delivered to the lab within ____hours: prevents overgrowth of microorganisms

A

2 hours

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24
Q

What if it is beyond 2 hours

A

Put it in the refrigerator

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25
Q

Why do you Offer oral hygiene after collection

A

To decrease the taste of sputum

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26
Q

Detects fluids, tumors, foreign bodies and other pathologic conditions

A

Chest xray

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27
Q

Does chest xray Usually taken after full inspiration or deep breath:

A

Yes

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28
Q

Instruct to remove __________________

A

Jewel or metal

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29
Q

IF TWO SPUTUM ARE POSITIVE

A

It means its positive

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30
Q

IF ONE POSITIVE AND ONE NEGATIVE

A

Retake

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31
Q

Classification based on history of previous TB treatment (patient registration group)
(N,R,T,T,O,P)

A

1.NEW
2.Relapse patients
3.Treatment after failure patients
4. Treatment after loss to follow-up patients
5. Other previously treated patients
6. Patients with unknown previous TB treatment history

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32
Q

Not diagnose yet or before
Patient taken anti-tuberculosis dug for 2 months

A

New

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33
Q

Recover but was diagnosed again

A

Relapse patient

34
Q

Undergoes treated but fails

A

Treatment after failure patients

35
Q

Didn’t go for treatment for 2 months then came back

A

Treatment after loss to follow-up patients

36
Q

No known treatment
No document history

A

Other previously treated patients

37
Q

Any patient who doesn’t feat to any category

A

Patients with unknown previous TB treatment history

38
Q

DOTS stand for

A

Directly Observed Treatment Short Course

39
Q

Medication phase
(I,M)

A

Intensive phase
Maintenance phase

40
Q

Length of Intensive phase

A

2 months

41
Q

Length of Maintenance phase

A

4 months

42
Q

RECOMMENDED CATEGORY OF TREATMENT REGIMEN
(C,C,C,C)

A

1.C1
2.C2
3. C3
4. C4

43
Q

-New TB patient
-positive sputum test
-extensive parenchyma lesion
-seriously ill

A

C1

44
Q

Length of Intensive phase of C1

A

2 months

45
Q

Length of maintenance phase of C1

A

4 months

46
Q

Medication of C1 during intensive phase
(2HRZE)

A

Isoniazid
Rifampicin
Pyrazinamide
ethambutol

47
Q

Medication of C1 during maintenance phase
(4HR)

A

Isoniazid
Rifampicin

48
Q

-relapse patient
-treatment failure
-after default and return
-others

A

C2

49
Q

Legnth of C2 during intensive phase

A

2 months

50
Q

Legnth of C2 during maintenance phase

A

5 months

51
Q

Medication of C2 during intensive phase
(2HRZES)

A

Isoniazid
Rifampicin
Pyrazinamide
Ethambutol
Streptomycin

52
Q

Medication of C2 during maintenance phase
(5HRE)

A

Isoniazid
Rifampicin
Ethambutol

53
Q

-new patient
-minimal parenchyma lesion
- not seriously ill

A

C3

54
Q

Length of C3 during intensive phase

A

2 months

55
Q

Length of C3 during maintenance phase

A

4 months

56
Q

Medication of C3 during intensive phase
(2HRZ)

A

Isoniazid
Rifampicin
Pyrazinamide

57
Q

Medication of C3 during maintenance phase
(4HR)

A

Isoniazid
Rifampicin

58
Q

Chronic PTB
Positive PTB
Positive sputum after supervise

A

C4

59
Q

Medication of C4

A

No medication

60
Q

First line of medication for TB
(R,I,P,E,S)

A

Rifampicin
isoniazid
Pyrazinamide
Ethambutol
Streptomycin

61
Q

Second line of medication (injectables)
(F,A)

A

Flouroquinalones
Aminoglycosides

62
Q

Second line of medication base on the classification of Flouroquinalones
(C,L,M)

A

Ciprofloxacin
Levofloxacin
Moxifloxacin

63
Q

Second line of medication base on the classification of Aminoglycosides
(A,K,C)

A

Amikacin
Kanamycin
Capreomycin

64
Q

Discontinue and refer when the following are present:
(J,V,T,O,P,T)

A

●Jaundice –
●Visual impairment –
●Tinnitus and hearing impairment –
●Oliguria and albuminuria –
●Psychosis and convulsion –
●Thrombocytopenia and anemia -

65
Q

Side effects of RIPE

A

Jaundice

66
Q

Side effect of ethambutol

A

Visual impairment

67
Q

Side effect of streptomycin

A

Tinnitus and hearing impairment

68
Q

Side effect of streptomycin and rifampicin

A

Oliguria and albuminuria

69
Q

Side effect of isoniazid

A

Psychosis and convulsion

70
Q

Side effect of rifampicin

A

Thrombocytopenia and anemia

71
Q

Multiple drug therapy
(D,M,X,XX,T)

A

DR- TB-
MDR- TB-
XDR- TB-
XXDR- TB-
TDR- TB-

72
Q

DR- TB stand for

A

Drug resistant tuberculosis

73
Q

DR-TB is resistant to

A

Isoniazid

74
Q

MDR- TB stands for

A

Multiple drug resistant tuberculosis

75
Q

MDR- TB is resistant to;

A

Rifampicin and isoniazid

76
Q

XDR- TB stands for

A

Extensive drug resistant tuberculosis

77
Q

XRD-TB is resistant to

A

Rifampicin,isoniazid, fluoroquinalones

78
Q

XXDR- TB stand for

A

Extremely extensive drug resistant tuberculosis

79
Q

XXDR- TB resistant to;

A

Rifampicin,isoniazid, fluoroquinalones

80
Q

TDR- TB stand for

A

Total drug resistance tuberculosis

81
Q

TDR- TB is resistant to;

A

Rifampicin,isoniazid, fluoroquinalones

Respiratory System (2 decks)

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