Deck 19: Tuberculosis

Question 1

What is the name of the skin test used to diagnose TB?

A)Mantoux skin test
B)Lilly skin test
C)Homans' skin test
D)Gold skin test

Answer 1

A

Question 2

Which of the following symptoms is NOT typical for patients with active TB?

A)Night sweats
B)Weight gain
C)Cough
D)Hemoptysis

Answer 2

B

Question 3

What percent of patients with primary TB develop reactivation of the infection without treatment?

A)0%
B)5%
C)10%
D)15%

Answer 3

C

Question 4

About how many deaths occur in the United States each year from tuberculosis?

A)800
B)2,500
C)4,800
D)None of the above

Question 5

What is the most common abnormality seen on the chest x-ray of the patient with primary TB?

A)Cavitation in the lower lobes
B)Dense consolidation in the upper lobes
C)Hilar lymph node enlargement
D)None of the above

Question 6

Once the initial site of infection in the lung heals from the patient's immune system,which of the following is not true?

A)Pockets of bacteria may lie dormant for many years
B)The bacteria are all dead and can no longer cause disease
C)The patient will have a positive skin test at this point
D)Clinically,there is no evidence of disease

Question 7

What arterial blood gas findings are typical for the patient with dormant TB lung infection?

A)Moderate hypoxemia
B)Mild hypercapnia
C)Metabolic acidosis
D)None of the above

Question 8

What percent of TB infections occur outside the lung?

A)0%
B)5%
C)15%
D)25%

Question 9

About how many new cases of tuberculosis are diagnosed around the world each year?

A)3 million
B)5 million
C)9 million
D)15 million

Question 10

Which of the following is true regarding the use of laboratory data in the evaluation of a patient with TB?

A)The WBC count is usually elevated
B)A mild anemia is seen in chronic TB
C)Immature white cell counts usually decrease with TB
D)An anion gap is often seen

Question 11

The spread of TB can occur through all the following mechanisms except:

A)Active TB patient coughing near other people
B)Ingestion of unpasteurized milk from infected cattle
C)Contact with fomites
D)Direct inoculation through the skin

Question 12

The infected site in the lung is walled off by fibrosis in TB patients.What is this lung lesion called?

A)A lexon nodule
B)A primary TB nodule
C)A Hoover complex
D)A Ghon nodule

Question 13

What percent of new TB cases diagnosed each year around the world are from the United States?

A)4%
B)12%
C)18%
D)24%

Question 14

Why does TB continue to be a health care problem in the United States?

A)Many patients with TB do not follow through with treatment
B)Most treatment plans are ineffective
C)People travel too much
D)Many patients with TB do not believe the diagnosis

Question 15

In which of the following groups is skin testing for TB not recommended?

A)Persons with signs and symptoms suggestive of TB
B)Persons known to have recent close contact with an active TB patient
C)Persons who drink lots of unpasteurized milk
D)Healthcare workers who care for high-risk patients

Question 16

Which of the following factors are associated with your patient having a higher risk for TB?

A)Immigrant from Asia
B)Cancer patient on chemo
C)Organ transplant patient
D)All the above

Question 17

Which of the following are know to increase the risk of reactivating dormant TB?

A)Malnutrition
B)Alcohol abuse
C)Diabetes
D)All the above

Question 18

Which of the following factors in the patient's recent history suggest he is at increased risk for TB?

A)He was recently in jail for several months
B)His grandfather had TB years ago
C)He recently traveled to Africa
D)A and C only

Question 19

What is the leading killer of HIV-infected patients?

A)Hepatitis
B)Tuberculosis
C)Sarcomas
D)Kidney failure

Question 20

After the granuloma forms in the lung following TB invasion,what is the cheesy material called at the center of the fibrin mass?

A)Chyle
B)Caseation
C)Pus
D)Mucosin

Question 21

Your patient is 32 years old and has a positive skin test but no active TB.What treatment would you recommend?

A)Repeat the skin test in 6 months
B)Perform a sputum culture
C)A low dose of prednisone for 6 weeks
D)A 6-9 month course of isoniazid

Question 22

Which of the following is NOT true regarding the treatment of TB?

A)A multidrug regimen must be used
B)Only one of the drugs used must be effective
C)Patient compliance must be monitored
D)Most treatment regimens continue for 6 months

Question 23

Which of the following is NOT a known side effect of the medications used to treat TB?

A)Chemical hepatitis
B)Skin eruptions
C)Bluish discoloration of the urine and saliva
D)Gastrointestinal upset

Question 24

What is necessary to confirm the diagnosis of TB?

A)Positive skin test
B)Positive chest x-ray
C)Positive medical history
D)Positive sputum culture for M.tuberculosis