wk 2 TB ppt/1

Question 1

TB - how long taking four drugs

Answer 1

2 months

Question 2

HIV patients should take INH for how long

Answer 2

9 months

Question 3

TB is caused by

Answer 3

mycobacterium TB - acid fast bacilli

Question 4

s/e of INH

4

Answer 4

1. peripheral neuritis
2. hepatotoxicity
3. arthralgias
4. optic neuritis

Question 5

TB - cough

Answer 5

dry cough

Question 6

TB rank

Answer 6

2nd most common cause of death from infectious disease

Question 7

TB - if cellular immune system is activated

2

Answer 7

1. tissue granuloma forms

2. bacteria is contained, preventing replication and spread

Question 8

vaccine to prevent TB

Answer 8

bacille calmette guerin BCG (not rec in the US)

Question 9

what is the gold std for drug therapy success

Answer 9

witness drug adherence

Question 10

does QFT replace the three negative sputum tests

Answer 10

no

Question 11

TB drugs - 4 drugs used in initial phase for max effectiveness

Answer 11

1. isoniazid INH
2. rifampin
3. pyrazinamide
4. ethambutol

Question 12

tx while you’re waiting for sputum

Answer 12

broad spectrum antibiotics after blood culture is obtained

Question 13

TB pleural effusion is caused by

Answer 13

bacteria in pleural space; inflammatory reaction with plural exudates of protein rich fluid

Question 14

TB s/s in early stages

Answer 14

usually free of s/s

Question 15

TB clinical manifestations

7

Answer 15

1. low grade fever
2. weight loss
3. anorexia
4. night sweats
5. fatigue
6. malaise
7. cough becomes frequent

Question 16

TB skin test size

Answer 16

5-15 mm of induration depending on risk and exposure

Question 17

TB spreads how

Answer 17

lymphatic system

Question 18

factors that influence TB transmission

3

Answer 18

1. length of time of exposure (>8 hours)
2. amount of particles expelled
3. immune system of person

Question 19

what is the only way to say that TB is cleared - sputum samples

Answer 19

3 sputum samples on three different occasions that come back clear/negative

Question 20

TB and INH

Answer 20

take alone for 6-9 months for latent infection

Question 21

TB complications include

4

Answer 21

1. pleural effusion
2. empyema
3. TB pneumonia
4. organ involvement

Question 22

TB favorable environments for growth

5

Answer 22

1. upper lobes
2. kidneys
3. epiphyses of bone
4. cerebral cortex
5. adrenal glands

Question 23

TB dx test - sputum collection

Answer 23

collected on different days, three consecutive sputum samples

Question 24

TB acute s/s

4

Answer 24

1. high fever
2. chills
3. pleuritic pain
4. productive cough

Question 25

is TB anaerobic or aerobic

Answer 25

aerobic - they love oxygen

Question 26

TB transmission requires what

Answer 26

close, frequent, or prolonged exposure ( > 8 hours )

Question 27

what organs can TB spread to

4

Answer 27

1. kidney
2. lungs
3. brain
4. adrenal gland

Question 28

TB that disseminates to other organs is called

Answer 28

miliary TB

Question 29

types of rooms for TB patients

Answer 29

negative pressure

Question 30

TB and dyspnea

Answer 30

unusual

Question 31

TB spreads how

Answer 31

airborne droplets - cough, speak, sneeze, sing

Question 32

TB - inhaled bacilli do what

Answer 32

pass down bronchial system and implant themselves on bronchioles or alveoli