Question 1

Drug resistant tuberculosis (TB) is defined as TB that is resistant to at least:&#10;A)Fluoroquinolones&#10;B)Rifampin and isoniazid&#10;C)Amoxicillin&#10;D)Ceftriaxone&#10;

Accepted Answer

Drug-resistant tuberculosis is specifically defined as TB that is resistant to at least rifampin and isoniazid, which are two of the most powerful first-line anti-TB medications.

Question 2

The principles of drug therapy for the treatment of TB include:&#10;A)Patients are treated with a drug that M. tuberculosis is sensitive to.&#10;B)Drugs need to be taken on a regular basis for a sufficient amount of time.&#10;C)Treatment continues until the patient's PPD is negative.&#10;D)All of the above&#10;

Accepted Answer

Drugs need to be taken on a regular basis for a sufficient amount of time.

Question 3

Compliance with directly observed therapy can be increased by offering:&#10;A)Convenient clinic times&#10;B)Incentives such as food, clothing, and transportation costs&#10;C)Gifts for compliance&#10;D)All of the above&#10;

Accepted Answer

All of the options listed (convenient clinic times, incentives such as food, clothing, and transportation costs, and gifts for compliance) are strategies that can help increase compliance with directly observed therapy. These approaches make it easier and more rewarding for patients to adhere to their treatment plans.

Question 4

Treatment regimens for a pregnant patient with TB would include:&#10;A)Streptomycin&#10;B)Levofloxacin&#10;C)Kanamycin&#10;D)Pyridoxine&#10;

Accepted Answer

Pyridoxine (Vitamin B6) is recommended to prevent peripheral neuropathy in pregnant patients taking isoniazid for TB treatment. Streptomycin, levofloxacin, and kanamycin are not recommended due to potential harm to the fetus.

Question 5

Treatment for drug-resistant TB would include:&#10;A)INH, rifampin, pyrazinamide, and ethambutol for at least 12 months&#10;B)INH, ethambutol, kanamycin, and rifampin&#10;C)Treatment with at least two drugs that the TB is susceptible to&#10;D)Levofloxacin&#10;

Accepted Answer

Treatment for drug-resistant TB requires using at least two drugs to which the TB strain is susceptible, to effectively manage and prevent further resistance.

Question 6

A patient has confirmed TB and is placed on a six-month treatment regimen. This regimen consists of:&#10;A)Two months of four-drug therapy (isoniazid [INH], rifampin, pyrazinamide, and ethambutol) followed by four months of INH and rifampin&#10;B)Six months of INH with daily pyridoxine throughout therapy&#10;C)Six months of INH, rifampin, pyrazinamide, and ethambutol&#10;D)Any of the above&#10;

Accepted Answer

The standard treatment for active tuberculosis (TB) involves an initial two-month phase of four-drug therapy with isoniazid (INH), rifampin, pyrazinamide, and ethambutol, followed by a continuation phase of four months with INH and rifampin. This regimen is designed to effectively kill the TB bacteria and prevent the development of drug resistance.

Question 7

A 5-year-old patient has been diagnosed with primary pulmonary TB. His treatment would include:&#10;A)Pyridoxine&#10;B)Ethambutol&#10;C)Levofloxacin&#10;D)Rifabutin&#10;

Accepted Answer

The answer of A 5-year-old patient has been diagnosed with...

Question 8

Goals when treating TB include:&#10;A)Completion of recommended therapy&#10;B)Negative purified protein derivative (PPD) at the end of therapy&#10;C)Completely normal chest x-ray&#10;D)All of the above&#10;

Accepted Answer

The primary goal when treating tuberculosis (TB) is the completion of recommended therapy to ensure the full eradication of the bacteria and to prevent the development of drug-resistant strains. A negative purified protein derivative (PPD) test or a completely normal chest x-ray at the end of therapy are not necessary indicators of successful treatment, as these might not revert to normal despite effective therapy.

Question 9

Leonard is completing a six-month regimen to treat TB. Monitoring of a patient on TB therapy includes:&#10;A)Monthly sputum cultures&#10;B)Monthly chest x-ray&#10;C)Bronchoscopy every three months&#10;D)All of the above&#10;

Accepted Answer

Monthly sputum cultures are essential for monitoring the effectiveness of TB therapy, as they can show whether the TB bacteria are decreasing in response to treatment. Chest x-rays and bronchoscopies are not routinely performed on a monthly or three-monthly basis for monitoring TB treatment.

Question 10

A 9-year-old lives with a family member newly diagnosed with TB. To prevent the patient from developing TB they should be treated with:&#10;A)Six months of INH and rifampin&#10;B)Two months of INH, rifampin, pyrazinamide, and ethambutol, followed by four months of INH&#10;C)Nine months of INH 4.12 months of INH&#10;

Accepted Answer

Nine months of INH (isoniazid) is the standard treatment for latent TB infection, especially in children who have been in close contact with someone diagnosed with TB, to prevent the development of active TB disease.

Deck 48: Tuberculosis