Deck 17: Tuberculosis

Question 1

A patient with an advanced case of TB may have the following radiologic findings:
1) Bronchial tumors
2) Hyperlucent lung fields
3) Retraction of lung segments
4) Right-sided heart enlargement

A)2
B)2, 3
C)3, 4
D)1, 3, 4

Answer 1

3, 4

Question 2

Mycobacterium tuberculosis is particularly damaging to the lungs because of:

A) the healing of a tubercle.
B)micropulmonary emboli.
C)the increased mucus production.
D)the irreversible bronchospasm that it causes.

Answer 2

the healing of a tubercle.

Question 3

What medication is used to treat a person who has converted to a positive TB skin test but does not have active disease?

A) Virazole
B)Isoniazid
C)Rifampin
D)Tetracycline

Answer 3

Isoniazid

Question 4

The preferred stain that is used to identify the TB organism is called:

A) Gram stain.
B)Fluorescent acid-fast stain.
C)Ziehl-Neelsen.
D)Gentian violet.

Question 5

Nontuberculous mycobacteria such as Mycobacterium avium and Mycobacterium kansasii are associated with which of the following diseases?

A) COPD
B)Bronchiectasis
C)Status asthmaticus
D)Cystic fibrosis

Question 6

Risk factors predisposing a person to TB include all of the following EXCEPT:

A) having HIV/AIDS.
B)being immunosuppressed.
C)African American or Hispanic heritage.
D)malnutrition.

Question 7

Mycobacterium tuberculosis is most readily transmitted through:

A) drinking milk from or the milking of infected cows.
B)shaking hands and then rubbing your eye.
C)coughing.
D)accidental direct inoculation.

Question 8

A patient who has an uncontrolled tuberculosis infection will show all of the following signs EXCEPT:

A) weight loss.
B)high fever.
C)bloody sputum.
D)night sweats.

Question 9

The most effective medication used to treat a TB infection is:

A) rifampin.
B)penicillin.
C)streptomycin.
D)isoniazid.

Question 10

Your patient has been found to have tuberculosis (TB) in several organs of the body. What term is used to describe this situation?

A) Primary TB
B)Postprimary TB
C)Disseminated TB
D)Multiorgan TB

Question 11

When a person has TB spread through the body, it is found in all of the following EXCEPT:

A) upper lobes.
B)kidneys.
C)brain.
D)lower lobes.

Question 12

Your patient has postprimary TB. What are the major pathologic or structural changes associated with it?
1) Cavity formation
2) Laryngeal edema
3) Dilated and distorted bronchi
4) Fibrosis of lung parenchyma

A)2, 3
B)3, 4
C)1, 2, 3
D)1, 3, 4

Question 13

A negative tuberculin test would be demonstrated by an induration (wheal) of what size?

A) 4 mm or less
B)6 mm or less
C)8 mm or greater
D)10 mm or greater

Question 14

Which of the following clinical manifestations that are associated with TB?
1) Dull percussion note
2) Bronchospasm
3) Hyperresonant percussion note
4) Crackles

A)1, 4
B)2, 3
C)1, 2
D)2, 3, 4

Question 15

Pulmonary function testing results on a patient with an advanced case of TB will display all of the following EXCEPT:

A) increased RV.
B)decreased IRV.
C)decreased VC.
D)decreased TLC.