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Occupational References > Tuberculosis Control Program > Flashcards

Tuberculosis Control Program Flashcards

1
Q

What is the instruction number for the TB control program?

A

BUMEDINST 6224.8B

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2
Q

Form # for initial TB exposure risk assessment?

A

NAVMED 6224/7

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3
Q

Form # for interim TB exposure risk assessment?

A

NAVMED 6224/8

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4
Q

Form # for monthly evaluation for treatment?

A

NAVMED 6224/9

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5
Q

What is the name of the bacteria that causes TB?

A

mycobacterium tuberculosis

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6
Q

Members are screened or tested how far in advance before reporting to a commissioned vessel?

A

6 months

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7
Q

Approved material to be used in the routine Mantoux test?

A

Tween-80 stabilized intermediate strength (5 TU equivalent)

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8
Q

What is the preferred and alternative product to be used during PPDs?

A

Tubersol - 1st

Aplisol- alternative

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9
Q

How long after administering TST should it be read?

A

48-72hrs

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10
Q

If PT returns to have TST read after 72hrs, what steps are taken?

A

Record result as “not read” in SF 601

Re-apply TST to opposite forearm

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11
Q

If there is no induration, record TST results as?

A

0mm

zero mm

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12
Q

What is the rate of newly identified LTBI converters?

A

1-2% of personnel tested per year

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13
Q

What steps are taken if conversion rate is two times greater than expected baseline?

A

Contact NAVENPVNTMEDU for guidance

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14
Q

A positive TST reaction in BCG immunized people should be regarded as what?

A

TB infection

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15
Q

If a TST and live virus can not be administered on the same day, how long must PT wait?

A

4 weeks

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16
Q

Are TST administered to pregnant PTs?

A

Yes

X-ray may also be used to rule out

17
Q

Increase in reaction size of 10mm or more within ? years is considered positive?

A

3 years

18
Q

What is defined as high risk?

A

5mm or more with recent close contact of infected persons

19
Q

What is defined as medium risk?

A

10mm or more in recent immigrants or clinical conditions i.e. lab personnel

20
Q

What is defined as low risk?

A

15mm or more is positive if NO risk factors

21
Q

What is the ICD-9 code for TB?

A

V74.1

Screening exam for pulmonary TB

22
Q

What is examined in chest x-rays?

A

Fibrotic changes

23
Q

What does INH stand for?

A

Isoniazid

24
Q

What is the report code for disease alert report?

A

MED 6220-3

25
Q

How much content is in a PPD single dose?

A

0.1ml (5 TU) PPD

26
Q

A good intradermal injection will be evidenced by?

A

small, pale, sharply demarcated wheal

27
Q

Measurement of induration between 2mm divisions of the scale should be rounded up or down?

A

Down

28
Q

Consider searching for an active case of TB in the command if reactors is greater than what %?

A

2.5%

29
Q

Ignore what vaccine history when evaluating for routine PD?

A

Bacilus Calmett-Guerin (BCG)

Pos PPD still indicative of TB infection

30
Q

Length of INH treatment?

A

5mg/kg daily for 9 months

270 daily doses within 12 months

31
Q

What lab tests should be performed when initial evaluation suggests elevated risk for liver disease or INH induced hepatoxicity?

A

Alanine
Aminotransferase
Bilirubin

32
Q

Consider withholding INH if transaminase levels exceed ?

A

3-5 x upper normal limits

33
Q

ICD-9 code for patients receiving therapy?

A

V68.1

Issue of repeat prescriptions

34
Q

What should be used for persons who are at very high risk for developing active TB?

A

Directly observed therapy

35
Q

What kind of respirator is used by medical providers treating TB PTs?

A

N95

36
Q

When are MERs submitted for TB?

A

Within 24hrs of suspected new case

Submit 2nd MER when disease has been ruled in/out

37
Q

What does BAMT stand for?

A

Blood Assay for M. TB infection

38
Q

What does AHLTA stand for?

A

Armed Forces Health Longitudinal Technology Application

Occupational References (19 decks)

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