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14 Cards in this Set

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  • Back
is the term for positive S/S of tuberculosis, positive radiographic evidence(Chest Xray), and is the most concerning type of tuberculosis because of its airborne spread?
Active TB
is the term for a person whom has no S/S or radiographic evidence of active disease but does show evidence of infection through a positive PPD skin test?
Latent TB infection (LTBI)
What is the preferred testing method for tuberculosis exposure and is measured by induration?
Mantaux Method utilizing a 5TU(tuberculin unit) PPD(purified protein derivative
is the term for a person with an area of induration to a 5TU TB skin test greater than 5mm?
reactor
What is the preferred antibiotic therapy for a NEW LTBI where ACTIVE TB was ruled out?
INH(5mg/kg) 300mg-max QD x9months
also recommended to provide 50mg PO QD of Vitamin B6(pyridoxine)
Pers with orders to a Commissioned Vessel have TB testing is done?
During their operational suitability screening. (w/in 6mo of reporting aboard)
Pers seperating from the Navy have TB testing done?
6 mo prior to separation or retirement
TST test results must be recorded where? (AD ONLY)
NAVMED 6230/4, Adult Immunization Record, AHLTA, MRRS, SNAP, SAMS.
What is BAMT?
Blood Assay for M. Tuberculosis infection.
Evaluation of all new positive TST's must include?
Appropriate history and PE, use NAVMED 6224/7 - Initial TB Exposure Risk Assessment(TST).
Chest XRAY
Pt who are at risk for liver disease or INH-induced hepatoxicity should have what labs drawn prior to INH?
AST, ALT, and bilirubin
If a patients transaminase levels exceed three to five times the upper limit of normal, what should be done?
Consider withholding INH
What form is used for pts receiving therapy for LTBI?
NAVMED 6224/9, Monthly Eval of Pts reciving Therapy of Latent TB Infection.
A MER must be submitted for all new cases of active TB or suspected new cases of active TB by the ship or station w/in how long?
24 hrs
Submit a second MER in active TB cases when the disease is either ruled in or out.