Answer to these questions can be found in the text under the section heading specified.
Note: This test may be used as an individual self-assessment by those who complete the Core Curriculum on Tuberculosis on their own or as a pretest or a posttest by those who use this booklet as training support.
1. How is TB spread?
2. After TB has been transmitted, how long does it take before TB infection
can be detected with a tuberculin skin test?
3. What conditions increase the risk that TB infection will progress to
disease?
4. Name four factors that have contributed to the recent increase in
the number of TB cases.
5. What groups of people are more likely to be exposed to TB (the 8 high-prevalence
groups)?
6. What groups of people are more likely to develop TB once infected (the
5 high-risk groups)?
7. What is the purpose of screening? Why are appropriate follow-up easures
an essential part of screening activities?
8. Name six high-risk groups recommended for screening.
9. How is the Mantoux tuberculin skin test given? How is it read?
10. What factors are considered in interpreting a skin test reaction as
positive or negative? What are the cutoffs (in millimeters of induration)
for different groups?
11. What can cause a false-positive reaction? What can cause a false-negative
reaction?
12. What is anergy? How is anergy determined?
13. When and why should two-step testing be done?
14. What are the four steps in diagnosing TB?
15. What is the purpose of the tuberculin skin test? In what circumstances
is it useful?
16. What are the purposes of the chest radiograph?
17. Name four ways to collect a sputum specimen.
18. What does the AFB smear result correspond to the infectiousness of a
patient?
19. What is the purpose of the culture?
20. Why are drug susceptibility tests done? How often should they be done?
21. Which persons should receive high priority for preventive therapy
regardless of their age? Which persons should receive high priority for
preventive therapy if they are younger than 35 years of age?
22. What is the usual regimen for preventive therapy? How is different for
children and HIV-infected persons?
23. How often should patients be evaluated for adverse reactions to isoniazid?
24. What groups are at greatest risk for hepatitis? What special precautions
should be taken for these persons?
25. Why should at least two drugs be used to treat TB disease? What factors
can lead to drug resistance?
26. Which four drugs are recommended for the initial treatment of TB?
27. What is directly observed therapy (DOT)? Why should it be used?
28. How often should patients be monitored for adverse reactions to TB medications?
29. How can clinicians determine whether a patient is responding to therapy?
30. List four factors associated with the infectiousness of a TB patient.
31. When can a TB patient be considered noninfectious?
32. What is the main goal of an infection control program? What three types
of controls should this program involve?
33. What is a TB isolation room? What are the important characteristics
of a TB isolation room?
34. Give three examples of settings where personal respirators should be
used.
35. What is the role of the health department in TB control? How is the
health department involved in patient care?
36. What is a contact investigation, and how is it conducted?
37. How can the health department act as a resource for private practitioners,
health care facilities or institutions in the community?
38. What is the role of the voluntary organizations in community TB control?
39. What is the current recommendation concerning BCG vaccination for
most persons in the United States? What is the reason for this recommendation?
40. Under what circumstances should BCG vaccination be considered in the
United States?
41. When is BCG vaccination contraindicated?
42. How can a positive reaction caused by BCG vaccination be distinguished
from a positive reaction caused be infection with TB? What factors make
a positive reaction more likely to be due to TB infection?
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| After completing this course, you may have some remaining questions on TB that are specific to your location, such as:
Please contact your state or local health department TB control program to receive answers to these questions and to become familiar with your state and local policies. |