ATI PHARMACOLOGY PROCTORED 2025 EXAM UPDATED QUESTIONS

ATI PHARMACOLOGY
PROCTORED 2025 EXAM
UPDATED QUESTIONS
How is TB spread? - CORRECT ANSWER>>>>airborne droplets

How much contact usually causes infection of Tb? - CORRECT
ANSWER>>>>Must have repeated close contact

Major concern of Tb - CORRECT ANSWER>>>>Tb is a multi-drug resistant
disease

initial infection or primary Tb - CORRECT ANSWER>>>>-Asymptomatic - can
lie dormant for years
- not contagious unless signs and symptoms occur = latent Tb

Secondary Tb - CORRECT ANSWER>>>>reactivation of disease

How long is proper drug therapy - CORRECT ANSWER>>>>2-3 weeks
4 drugs today @ least 2-3 weeks

Who is at the greatest risk for tb? - CORRECT ANSWER>>>>- Poor underserved,
older homeless adults
- lower socioeconomic groups
- foreign born or immigrants
- HIV /AIDS
- those in crowded areas
- low body weight
- users of injection drugs or alcohol
-Genetic predisposition

Signs and symptoms of tb - CORRECT ANSWER>>>>-Persistent cough is key:
primary symptom
- chest tightness
- anorexia, unintended weight loss
-Fatigue
- low grade fever

1

,- night sweats****
-Sob

Tb skin testing - CORRECT ANSWER>>>>- Once positive= always positive
- positive if localized swelling & induration (hardness)
- 5 mm/ greater + with HIV
-10 mm/ greater is + in general population
-15mm/ greater is + in low risk population
-older adults may show atypical presentation

TB diagnostic tests - CORRECT ANSWER>>>>PPD skin test, chest xray, sputum
cultures, quatiFERON-TB gold

Sputum culture for TB - CORRECT ANSWER>>>>Only method that confirms
diagnosis of TB
- should be collected 3 consecutive mornings

What should be initiated upon suspension of TB? - CORRECT
ANSWER>>>>Isolation

What are the primary goals of tb? - CORRECT ANSWER>>>>-Maintain patent
airway/ promote clearance
- cough deep breathing
-Incentive spirometry
-Fluids
- infection control measures

What are the 4 first line TB drugs? 8 weeks - CORRECT ANSWER>>>>Isoniazid
Rifampin
Ethambutol
Pyrazinamide

What are the two 1st line tb drugs used for 18 weeks to eliminate remaining
bacilli? - CORRECT ANSWER>>>>Isoniazid and rifapentine

After what is TB no longer contagious ? - CORRECT ANSWER>>>>No longer
contagious after drugs taken for 2-3 weeks but must continue for minimum of 6
months



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, How long should someone with HIV be treated for TB - CORRECT
ANSWER>>>>Treated for at least 6 months after sputum converts to negative up
to 24 months

What drug should a pregnant person with TB not take? - CORRECT
ANSWER>>>>Streptomycin - forms congenital deafness

Isoniazid - CORRECT ANSWER>>>>Primary agent for treatment and prevention
-must be taken with another 1st line agent for ACTIVE TB
-used to treat latent TB
-inhibits cell growth
-given PO or IM

Adverse effects of Isoniazid - CORRECT ANSWER>>>>hepatotoxicity,
peripheral neuropathy

Rifampin - CORRECT ANSWER>>>>broad spectrum
-Given PO best absorbed on empty stomach
-used with INH in a tube and latent TB; leprosy

Adverse effects of rifampin - CORRECT ANSWER>>>>hepatotoxicity
Red orange urine
May decrease oral contraceptives

Pyrazinamide - CORRECT ANSWER>>>>Side effects = hepatotoxicty
Gi upset
Given by mouth

Ethambutol - CORRECT ANSWER>>>>- Inhibits cell wall synthesis
-Given Po
-Adverse effects: optic neuritis: vision assessment before & after therapy

Second line Tb drugs - CORRECT ANSWER>>>>Fluoroquinolones
Capremycin
Aminoglycosides:nephrotoxic gototoxic ( IM only)
Pas
Ethionamide
Cycloserine

F-CAPEC
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