Pulmonary - Tb

14 Questions | Total Attempts: 388

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Pulmonary Quizzes & Trivia

All items taken from Current 2014 or from Nyendak lecture


Questions and Answers
  • 1. 
    A 45 yo man from Ecuador is starting work at a hospital as a radiology technician. Per hospital protocol, he gets an IGRA test done.  He immigrated 3 years back.  It is positive. What is your next step ?
    • A. 

      Chest xray to rule out subclinical TB; hx and PE to check for extrapulmonary TB

    • B. 

      Start isoniazid and rifampin until you can determine if he has drug-resistant TB

    • C. 

      No action needed; he doesn't have active TB

    • D. 

      Get sputum for culture

  • 2. 
    The optimal treatment plan for latent TB infection is:
    • A. 

      Same as active infection: 6 months of isoniazid, rifampin, pyrazinamide, and ethambutol (for first 2 months, until M tuberculosis isolate is determined to be sensitive to isoniazid, then minimum 4 months of isoniazid and rifampin)

    • B. 

      No treatment needed until progression to active TB

    • C. 

      Isoniazid for 9 months

    • D. 

      Isoniazid and rifampin for 12 months

  • 3. 
    TB mortality is much greater in HIV-positive patients.
    • A. 

      True

    • B. 

      False

  • 4. 
    The patient with pulmonary tuberculosis typically presents with the following symptoms: (check all that apply)
    • A. 

      Anorexia, weight loss

    • B. 

      Fever, night sweats

    • C. 

      Significant hemoptysis

    • D. 

      Blood-streaked sputum

  • 5. 
    Gold standard test for detection of M. tuberculosis:
    • A. 

      Pleural fluid culture

    • B. 

      A sputum microscopy

    • C. 

      Blood culture

    • D. 

      Isoniazid susceptibility testing

  • 6. 
    All suspected and confirmed cases of TB should be reported promptly to local and state public health authorities.
    • A. 

      True

    • B. 

      False

  • 7. 
    Persons with latent TB infection can still transmit the organism to others.
    • A. 

      True

    • B. 

      False

  • 8. 
    Scrofula is:
    • A. 

      Sometimes mistaken for malignancy

    • B. 

      A common form of extrapulmonary TB

    • C. 

      Tuberculous lymphadenitis

    • D. 

      All of the above

  • 9. 
    Patients taking isoniazid should also take daily oral pyridoxine (B6) as prophylaxis for neuritis.
    • A. 

      True

    • B. 

      False

  • 10. 
    Interactions with warfarin, oral contraceptives, and digoxin:
    • A. 

      Rifampin

    • B. 

      Isoniazid

    • C. 

      Ethambutol

    • D. 

      Pyrazinamide

  • 11. 
    Warn patients that tears and urine might turn red:
    • A. 

      Isoniazid

    • B. 

      Ethambutol

    • C. 

      Rifampin

    • D. 

      Pyrazinamide

  • 12. 
    Risk of loss of visual acuity, and red-green color blindness:
    • A. 

      Isoniazid

    • B. 

      Ethambutol

    • C. 

      Rifampin

    • D. 

      Pyrazinamide