Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Prev Med Dos > TUBERCULOSIS SURVEILLANCE AND CONTROL PROGRAM > Flashcards

TUBERCULOSIS SURVEILLANCE AND CONTROL PROGRAM Flashcards

1
Q

BUMEDINST 6224.8 Series

A

Tuberculosis Surveillance and Control Program

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the Elements of the TB Control Program

A

(1) Tuberculosis Screening
(2) Preventive Therapy
(3) Tuberculosis Case Identification
(4) Tuberculosis Patient Management
(5) Contact Investigation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the Elements of the TB Control Program

A

(1) Tuberculosis Screening
(2) Preventive Therapy
(3) Tuberculosis Case Identification
(4) Tuberculosis Patient Management
(5) Contact Investigation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the method for Tuberculin Skin Test

A

Mantoux Method

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Approved materials for the tuberculin Purified Protein Derivative (PPD)

A

a) Tubersol – preferred product

b) Aplisol – alternate product

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What type of syringe and needle is used for the PPD

A

Disposable 1 ml tuberculin syringe

Fitted with a ¼ to ½ inch, 27 gauge needle with a short bevel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is Mycobacterium tuberculosis?

A

Bacteria that cause latent TB infection and active TB disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What term

An illness in which TB bacteria are multiplying and attacking a part of the body, usually the lungs.

A

Active TB disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What term

  • A condition in which TB bacteria are alive but inactive in the body.
  • People with latent TB infection have no symptoms, don’t feel sick, can’t spread TB to others, and usually have a positive skin test reaction.
A

Latent TB infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What term

  • A vaccine for TB named after the French scientists who developed it, Calmette and Guérin.
  • is rarely used in the United States, but it is often given to infants and small children in other countries where TB is common.
A

BCG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Direct observed therapy (DOT)

A

(a) A way of helping patients take their medicine for TB.

(b) If you get DOT, you will meet with a health care worker every day or several times a week.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Latent Tuberculosis Infection (LTBI) Treatment

A

Isoniazid (INH) and Rifapentine (RPT) in an oral weekly dose of 15 mg/kg (900mg max) of INH and RPT based off weight for 3 months.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Initial screening (TB Testing) is done for?

A
  • All personnel entering active duty.
  • All individuals beginning employment as CIVMAR for the MSC
  • When the person has past history of active disease, reaction to skin test, or a history of INH therapy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When the person has past history of active disease, reaction to skin test, or a history of INH therapy.
What documentation must they provide?

A

1) Clinical evaluations
2) Hospitalizations
3) Diagnosis
4) Treatments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q 
Periodic screening (LTBI Screening)
for active duty is done when and documented on what?
A

(a) Annual screening during Periodic Health Assessment (PHA).
(b) Document on NAVMED 6224/8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

(LTBI Screening)

is documented on what form?

A

NAVMED 6224/8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Chest radiograph is done to rule out_____ or ____

If clinically indicated

A

active TB or fiberotic changes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

BCG stands for?

A

Bacillus Calmette Guerin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

BCG stands for?

A

Bacillus Calmette Guerin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Can you still administer TST for someone who previously received BCG immunization

A

Yes

19
Q

What risk type?
Induration of 5mm or greater is considered positive
-Recent close contacts of active TB disease patients.
-Persons with fibrotic or other changes on chest radiograph consistent with prior TB.
-Patients suspected of having active TB disease.

A

High Risk

20
Q

TB risk category
Induration of 10mm or greater.
-Recent immigrants (within 5 years) from high TB prevalence countries.
Healthcare workers and others at risk of occupational exposure to TB.
-Persons with clinical conditions that place them at increased risk.

A

Medium

21
Q

Risk factor
Induration of 15mm or greater
-Persons with no risk factors for TB

A

Low Risk

22
Q

How much intermediate strength PPD do you use

A

0.1 mL

23
Q

What is the angle of injection for PPD

A

5 to 15°

24
Q

how big is the wheal supposed to be when injecting PPD

A

6 to 10mm

25
Q

If the wheal is less than 6mm in diameter

A

he test should be administered

again

26
Q

Record PPD result on

A

DD form 2766 or NAVMED 6230/4

27
Q

what is the result NOT recorded as

A

1) Negative

2) Positive

28
Q

If person does not return

A

Record the result as “not read”, recall the person and apply TST on opposite arm

29
Q

When can you administer TST in relation to live attenuated vaccines

A

on the same day

At least four weeks after

30
Q

Prior to therapy, the reactor must be evaluated by an

_____ active TB disease.

A

Provider

MO, NP, PA, or IDC

31
Q

evaluation prior to INH

A

(a) Appropriate clinical history
(b) Physical exam
(c) Chest X-Ray
(d) Sputum Examination (only if radiographic shows signs of Active TB)
(e) Baseline liver function tests (SGOT/SGPT) and bilirubin. (on patients with elevated risk for liver disease)

32
Q

what is INH

A

Isoniazid

33
Q

what is RPT

A

Rifapentine

34
Q

Monthly Evaluation for IHN includes

A

(1) Physical assessment to check for indication of active TB.
(2) Counseling on potential adverse drug reaction
(3) Discuss when to discontinue medication(s).
(4) Discuss when to report for prompt medical evaluation.
(5) Document on NAVMED 6224/9.

35
Q

what are the liver enzymes

A

SGOT/SGPT

36
Q

Upon discovery of a suspected or confirmed case of active TB, the responsible medical department representative must notify the cognizant ______ and the ______ as soon as possible

A

NEPMU and the local health department

37
Q

Personnel who are enrolled in a contact investigation but are separating from the
service must be identified to the______ follow-up
testing.

A

e local public health department

38
Q

Personnel separating from the service will have to follow up with the _____ for medications

A

VA

39
Q

Treatment for active TB

A
  • Chemotherapy is extremely effective and usually curative if the full course is taken.
  • Antituberculous drugs are classified as bactericidal (Isoniazid, Rifampin, Pyrazinamide) and bacteriostatic (Ethambutol, Streptomycin)
40
Q

To prevent development of resistance e, clinical TB must always be treated with ________

A

at least two drugs that act through different mechanisms.

41
Q

alternate regimen is

A

Rifampin (RIF)
oral daily dose of 10 mg/kg (600mg max)
for 4 months

42
Q

Consider withholding INH if patient’s transaminase levels exceed

A
  • three times the upper limit of normal if associated with symptoms
  • five times the upper limit of normal if patient is asymptomatic
43
Q

When should the PPD be read

A

48 to 72 hours after the administration

44
Q

Record PPD result on

A

NAVMED 6230/4 or
DD Form 2766 and
enter into AHLTA, MRRS or SAMS

45
Q 
active TB
Intensive phase (INH, RIF, EMB)
A

7d/wk for 56 doses, or 5d/wk for 40 doses.

46
Q 
active TB
Continuation phase (INH, RIF)
A

7d/wk for 126 doses or 5d/wk for 90 doses

Prev Med Dos (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions