clubbing of nails Correct Answer-Lung abscess, malignancy, congenital
heart disease, hypoxia
Not seen in asthma or COPD.
Normal IE ratio Correct Answer-2:3
rapid, large volume breathing seen with metabolic acidosis Correct
Answer-Kussmaul
Rhythmic wax/wane breathing: neuro/ESLD Correct Answer-Cheyne-
Stokes
Presentation of TB Correct Answer-cough > 3 weeks, fever, night
sweats, wt. loss, blood streaked sputum.
uncommon TB symptoms Correct Answer-pleuritic cp & dyspnea
Where does TB reside in lung? Correct Answer-Apical posterior of
upper lobes.
XR findings of TB Correct Answer-Hilar adenopathy, patchy opacities,
consolidation, cavitaion
, Suspected TB rule out? Correct Answer-3 negative sputum stains for
AFB 8 hours apart.
What is latent TB? Correct Answer-exposure to TB without clinical sx,
positive skin/blood test.
>15 mm induration Correct Answer-no known risk factors- PPD/TB
>10 mm induration Correct Answer-healthy- healthcare workers, foreign
born
> 5 mm induration Correct Answer-immunocompromised (HIV),
household contact.
Negative TB < 200 CD4 Correct Answer-repeat when above 200
Resistance Marker Testing- TB? Correct Answer-NAAT-R
TB blood test Correct Answer-Interferon gamma release assay (IGRA)-
24 hours
AFB sputum Correct Answer-culture bacteria; most diagnostic of active
TB disease
TB intensive phase TX Correct Answer-2 months, 4 drugs.