Tuberculosis

Question 1

Low-grade fever, night sweats, anorexia, weight loss, chest pain, cough and hemoptysis:

Answer 1

Presentation

Question 2

Etiology:

Answer 2

Mycobacterium tuberculosis

Question 3

Reservoir:

Answer 3

Man and cattle

Question 4

Transmission:

Answer 4

Cough, sneeze and talk

Question 5

Incubation period:

Answer 5

6-12 months

Question 6

Transmission period after starting the treatment:

Answer 6

Reduced transmission after 2 weeks of treatment

Question 7

Complications:

Answer 7

Repeated resp. infections, Empyema, Bronchiectasis and Atelectasis

Question 8

Diagnosis:

Answer 8

Acid-fast bacilli smear or culture

Question 9

Collect of the Acid-fast bacilli smear:

Answer 9

2 collections (at the first appointment and at awakening of the next day)

Question 10

TB suspect with smear(-), Extrapulmonar TB and HIV+:

Answer 10

Acid-fast bacilli culture indications

Question 11

The most specific test for TB:

Answer 11

Acid-fast bacilli culture

Question 12

Rx finding that Indicates advanced infection; associated with a high bacterial load:

Answer 12

Cavity

Question 13

Rx finding that represent old infection, tuberculomas:

Answer 13

Homogeneously calcified nodules

Question 14

At Rx - Numerous small nodular lesions that resemble millet seeds:

Answer 14

Miliary TB

Question 15

Screening method:

Answer 15

PPD

Question 16

Method that isnt sufficient for diagnosisÇ

Answer 16

PPD

Question 17

Pneumonia, Lung abscess, Paracoccidioidomycosis, Histoplasmosis, Sarcoidosis and Bronchial carcinoma:

Answer 17

DDx

Question 18

Areas with high population density, poor socioeconomic and sanitary conditions:

Answer 18

Regions most affected

Question 19

Intensive or First Phase Treatment of all forms of TB, except meningitis:

Answer 19

2 months of “RIPE”

Question 20

Maintenance or Second Phase Treatment of all forms of TB, except meningitis:

Answer 20

4 months of “RI”

Question 21

Rifampicina:

Answer 21

150mg

Question 22

Isoniazida:

Answer 22

75mg

Question 23

Pirazinamida:

Answer 23

400mg

Question 24

Etambutol:

Answer 24

275mg

Question 25

Cough with expectoration lasting 3+ weeks, fever, hyporexia, weigh loss and compatible Rx:

Answer 25

TB suspect

Question 26

Contacts control, BCG vacination and Chemoprophylaxis:

Answer 26

Control measures

Question 27

Hematogenous spread with systemic involvement with infectious toxic framework and risk of meningitis:

Answer 27

Miliary TB

Question 28

Indication of Acid-fast bacilli smear:

Answer 28

Cough lasting 3+ weeks

Question 29

Bacteriological control monitoring should be preferably performed:

Answer 29

monthly

Question 30

Bacteriological control monitoring must be performed at minimum:

Answer 30

At the end of the 2nd, 4th and 6th month of treatment

Question 31

PPD reading:

Answer 31

After 48-72h of the application

Question 32

Interfere with PPD results:

Answer 32

Disseminated TB, AIDS, Neoplasia and Corticosteroids use

Question 33

Extrapulmonary TB diagnosis:

Answer 33

Biopsy and culture

Question 34

Duration of the treatment:

Answer 34

6 months

Question 35

20-35kg Dosage:

Answer 35

2cps

Question 36

36-50kg Dosage:

Answer 36

3cps

Question 37

+50kg Dosage:

Answer 37

4cps

Question 38

If the treatment fail:

Answer 38

Culture, Drug sensitivity test and Refer to reference service

Question 39

2 smears 
or 
1 smear + Culture 
or
1 smear + Rx 
or
Suggestive presentation + Rx + Other suggestive exams:

Answer 39

Diagnostic Criteria

Question 40

Chemoprophylaxis:

Answer 40

Isoniazida por 6m