NUR 622 (Adult_Gero Acute) MOD #7, TB, ILD_Sarcoidosis, quiz questions Questions with
CORRECT Answers (Grade A+)
Question 1:
TB on CXR
Answer:
-infiltrates, cavitary lesions (hole) *particularly in upper lobes
Question 2:
-airborne bacteria
-crowded and disenfranchised populations -seen often in immunocompromised -seen often in
healthcare workers, prisons
Answer:
TB (mycobacterium tuberculosis)
Question 3:
Signs of TB
Answer:
cough 2+ wks, chest pain, blood, weak, weight loss, fever, night sweats, lymphadenopathy
Question 4:
diagnosis TB
Answer:
-AFB sputum culture (can take 6 weeks) - 3 samples - GOLD STANDARD FOR AC- TIVE TB -PPD test
skin test -QuantiFERON blood test -infiltrates or cavitation on CXR/CT
Question 5:
how to read a PPD (measured in induration, not redness)
Answer:
<5mm = neg >5mm = + in pt's with HIV, immunocompromised, recent TB exposure >10mm = + in
pt's who are HCW, IV drug use, nursing homes, homeless, immigrants >15mm = + in anyone
Question 6:
, 29IyearIold man presents with a 2Imonth history of chronic cough, night sweats, and unintentional
weight loss. He recently immigrated from a region with high tuberculosis prevalence. Chest XIray
reveals a cavitary lesion in the right upper lobe. Which of the following is the most appropriate
next diagnostic step to confirm active pulmonary tuberculosis?
Answer:
3 sputum samples for AFB smear and culture
Question 7:
tx active TB
Answer:
-isolation -RIPE therapy for 8 weeks (Rifampin, INH, Pyridoxine, Ethambutol) -then INH and
rifampin for 18 weeks
Question 8:
Pyridoxine (vitamin B6) purpose
Answer:
prevents INH neuropathy
Question 9:
rifampin can cause
Answer:
harmless red/orange tinge to bodily fluids
Question 10:
before starting ethambutol, check
Answer:
vision screen with color can cause red/green color blindness
Question 11:
A 37IyearIold man began standard RIPE therapy (rifampin, isoniazid, pyrazinamide, and
ethambutol) for drugIsusceptible pulmonary tuberculosis 3 weeks ago.
He now reports progressive difficulty distinguishing red from green colors. His liver enzymes are
normal.
CORRECT Answers (Grade A+)
Question 1:
TB on CXR
Answer:
-infiltrates, cavitary lesions (hole) *particularly in upper lobes
Question 2:
-airborne bacteria
-crowded and disenfranchised populations -seen often in immunocompromised -seen often in
healthcare workers, prisons
Answer:
TB (mycobacterium tuberculosis)
Question 3:
Signs of TB
Answer:
cough 2+ wks, chest pain, blood, weak, weight loss, fever, night sweats, lymphadenopathy
Question 4:
diagnosis TB
Answer:
-AFB sputum culture (can take 6 weeks) - 3 samples - GOLD STANDARD FOR AC- TIVE TB -PPD test
skin test -QuantiFERON blood test -infiltrates or cavitation on CXR/CT
Question 5:
how to read a PPD (measured in induration, not redness)
Answer:
<5mm = neg >5mm = + in pt's with HIV, immunocompromised, recent TB exposure >10mm = + in
pt's who are HCW, IV drug use, nursing homes, homeless, immigrants >15mm = + in anyone
Question 6:
, 29IyearIold man presents with a 2Imonth history of chronic cough, night sweats, and unintentional
weight loss. He recently immigrated from a region with high tuberculosis prevalence. Chest XIray
reveals a cavitary lesion in the right upper lobe. Which of the following is the most appropriate
next diagnostic step to confirm active pulmonary tuberculosis?
Answer:
3 sputum samples for AFB smear and culture
Question 7:
tx active TB
Answer:
-isolation -RIPE therapy for 8 weeks (Rifampin, INH, Pyridoxine, Ethambutol) -then INH and
rifampin for 18 weeks
Question 8:
Pyridoxine (vitamin B6) purpose
Answer:
prevents INH neuropathy
Question 9:
rifampin can cause
Answer:
harmless red/orange tinge to bodily fluids
Question 10:
before starting ethambutol, check
Answer:
vision screen with color can cause red/green color blindness
Question 11:
A 37IyearIold man began standard RIPE therapy (rifampin, isoniazid, pyrazinamide, and
ethambutol) for drugIsusceptible pulmonary tuberculosis 3 weeks ago.
He now reports progressive difficulty distinguishing red from green colors. His liver enzymes are
normal.
