Tuberculosis

Question 1

What bacterium causes TB?

Answer 1

Mycobacterium complex of:
M tuberculosis
M. Bovis
M. Africanum

Question 2

What is seen on CXR in TB?

Answer 2

Pathy Infiltrate 
Apical consolidations 
Contraction of Lobes 
Cavitation 
Hilar calcification of lymph nodes

Question 3

What is IGRA testing and what does it tell us?

Answer 3

Measures the amount of intern gamma from T lymphocyttes

Tells us:
Current have TB
Previous TB
Latent TB

Question 4

How is TB managed?

Answer 4

Isoniazid
Rifampicin
Pyrazinamide
Ethambutol

Question 5

What are the side effects of Isoniazid?

Answer 5

Hepatitis

Peripheral Neuropathy

Question 6

What are the side effects of Rifampicin?

Answer 6

Hepatitis

GI upset

Question 7

What are the side effects of Pyazinozide?

Answer 7

Anorexia
Flushing
Hepatitis
Arthralgia

Question 8

What are the side effects of Ethambutol?

Answer 8

Retrobular neuritis (Colour vision at first) 
Arthralgia

Question 9

What drugs are used for drug resistant TB?

Answer 9

Fluroquinolone

Amikacin

Question 10

How do you test for active TB?

Answer 10

Acid fast bacilli - they resist acid on Ziehl Neehlson stain

Question 11

How do you test for latent TB?

Answer 11

Mantoux test

Inferon Gamma Text

Question 12

What is a ghon focus?

Answer 12

Subpleural lesion. Related to Mycobacterium