NUR 621 (Adult_Gero Acute) MOD #4, Part 2 (TB_meningitis) Questions with CORRECT Answers
(Grade A+)
Question 1:
TB is an
Answer:
airborne disease
Question 2:
95% of TB is
Answer:
latent - no symptoms, noninfectious with a healthy immune system (dormant)
Question 3:
blood streaked sputum, fever, night sweats, weight loss, cough 3+ weeks chest pain are signs of
Answer:
TB
Question 4:
lymphadenopathy, dysphasia, kidney issues, back pain, and meningitis are
Answer:
non pulmonary TB symptoms
Question 5:
PPD readings (in induration, not redness)
Answer:
>5mm + in immunocompromised > 10 + in healthcare workers, jails, LTC > 15 + in low risk people
Question 6:
NAAT test, 3+ sputum cultures, and interferon gamma essays are the
Answer:
gold standard for diagnosing active TB infection
Question 7:
, latent TB is treated with
Answer:
INH and rifampin
-either together or monotherapy
Question 8:
treatment of INH and rifampin susceptible active TB
Answer:
INH, rifampin, pyrazinamide, moxifloxacin ( 4 months)
Question 9:
Case study: 45 y/o male, 6 week cough, 15lb weight loss, fever, night sweats, crowded apartment,
bilateral lung crackles
-CXR shows b/l upper lobe infiltrated with cavitary lesions
What is dx and workup?
Answer:
active TB
-sent 3 AFB sputum cultures
-send a NAAT test
-get him in isolation room w/ negative pressure
Question 10:
fever, visual changes, nuchal rigidity, new onset murmurs, oral thrush, esophagitis, skin yeast
infections are signs of
Answer:
invasive candidiasis
Question 11:
in candida, blood culture may be negative in 50% of cases, so the 2 biomarkers you want are
Answer:
Beta D glucan essay T2 Candida Panel
(Grade A+)
Question 1:
TB is an
Answer:
airborne disease
Question 2:
95% of TB is
Answer:
latent - no symptoms, noninfectious with a healthy immune system (dormant)
Question 3:
blood streaked sputum, fever, night sweats, weight loss, cough 3+ weeks chest pain are signs of
Answer:
TB
Question 4:
lymphadenopathy, dysphasia, kidney issues, back pain, and meningitis are
Answer:
non pulmonary TB symptoms
Question 5:
PPD readings (in induration, not redness)
Answer:
>5mm + in immunocompromised > 10 + in healthcare workers, jails, LTC > 15 + in low risk people
Question 6:
NAAT test, 3+ sputum cultures, and interferon gamma essays are the
Answer:
gold standard for diagnosing active TB infection
Question 7:
, latent TB is treated with
Answer:
INH and rifampin
-either together or monotherapy
Question 8:
treatment of INH and rifampin susceptible active TB
Answer:
INH, rifampin, pyrazinamide, moxifloxacin ( 4 months)
Question 9:
Case study: 45 y/o male, 6 week cough, 15lb weight loss, fever, night sweats, crowded apartment,
bilateral lung crackles
-CXR shows b/l upper lobe infiltrated with cavitary lesions
What is dx and workup?
Answer:
active TB
-sent 3 AFB sputum cultures
-send a NAAT test
-get him in isolation room w/ negative pressure
Question 10:
fever, visual changes, nuchal rigidity, new onset murmurs, oral thrush, esophagitis, skin yeast
infections are signs of
Answer:
invasive candidiasis
Question 11:
in candida, blood culture may be negative in 50% of cases, so the 2 biomarkers you want are
Answer:
Beta D glucan essay T2 Candida Panel
