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31 Cards in this Set
- Front
- Back
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BUMEDINST6224.8
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Tuberculosis
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What causes Tuberculosis?
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Mycobactrium tuberculosis
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With how long does a member need a TB shot before deploying?
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6 months
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What is administered by the mantoux method for a tuberculin skin test?
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Purified Protein Derivative
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6230/4
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Adult immunization record
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6230/5
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Child immunization record
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What is the name of the method for recording PPD's?
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Routine Mantoux Method
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Within how long are TB's read?
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48 to 72 hrs
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How do you record negative PPD findings?
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No induration, " 0" mm or " zero mm"
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What is the second way to test for TB?
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QFT-G ( Quantiferon TB Gold) Blood test
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How should a prevous Bacillus Calmette Guerin (BCG) immunization be recorded if positive?
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Should be regarded as indicative of TB infection.
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NAVMED 6224/7
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Initial tuberculosis exposure risk assessment
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NAVMED 6224/8
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Interim Tuberculosis exposure risk assessment
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NAVMED 6224/9
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Monthly evaluation for Pt's recieving treatment
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High Risk
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Reaction greater than 5mm of Induration
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Medium Risk
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Reaction greater than 10mm of Induration
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Low Risk
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Reaction greater than 15mm of Induration
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What is the most effective measure to prevent the development of tuberculosis disease in a newly infected person?
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Preventive Therapy with isoniazid (INH)
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Describe intermediate strength dosage?
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Intermediate strength dose is 5 tuberculin units (TU) of purified protein derivative(PPD).
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Define induration?
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An area around the site of tuberculin injection that is raised and firm to touch.
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Define Tuberculin Reactor?
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A person with an area of induration to a 5 TU tuberculin skin test (or to a 1 TU tuberculin skin test).
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Define a tuberculin nonreactor?
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A person with an area of induration of less than 5 mm (usually no reaction or zero mm induration) to a 5 TU tuberculin skin test.
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What vaccines are made from live attenuated mycobacteria strains are commonly used in some countries in an attempt to prevent vaccines from becoming infected with tuberculosis?
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BCG (Bacillus Calmette-Guerin) vaccines
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Where is the test result entered in the medical treatment record?
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SF 601 under SENSITIVITY TESTS
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How is the induration measured?
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In millimeters at its widest transverse diameter (across the arm).
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What must be done if a person returns more than 72 hours after PPD application and the induration is zero to 14 mm?
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Make an entry of "not read" on the SF 601. Immediately aply a PPD test on the opposite arm.
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What must be done if a person returns more than 72 hours, (but before or on the 10th day), after PPD application and the induration is 15 mm or greater?
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The reaction is significant. Enter the induration and the time interval since test application on the SF 601. Manage the person as a tuberculin reactor per Evaluation and Preventive Therapy (Chemoprophylaxis) of Tuberculin Reactors.
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What must be done if a person returns more than 10 days after PPD application?
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Make an entry of "not read" on the SF 601 regardless of the size of any induration. Immediately apply a PPD test on the opposite arm.
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What is the antibiotic regimen of choice for tuberculosis preventive therapy?
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INH in an oral daily dose of 300 mg for adults and 10 mg/kg (not to exceed 300 mg) for children.
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How long should tuberculin reactors with no risk factors for the development of tuberculosis disease receive INH therapy?
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6 months of continuous therapy with INH
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How long should tuberculin reactors with HIV infection and persons with stable abnormal chest radiographs consistent with past tuberculosis receive INH therapy?
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12 months of continuous therapy with INH
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