Don Tb Control Program

Front 1

INSTRUCTION NUMBER?

Back 1

BUMEDINST 6224.8

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HOW MANY CASES OF TB OCCUR ANNUALLY IN THE US?

Back 2

OVER 20,000

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METHOD FOR PPD?

Back 3

MANTOUX METHOD

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PPD CHECKS FOR THOSE INFECTED WITH?

Back 4

MYCOBACTERIUM TUBERCULOSIS

Front 5

MOST COMMON ACTIVE DISEASE?

Back 5

PULMONARY TUBERCULOSIS

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INTERMEDIATE STRENGTH V LOW STRENGTH?

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5 TU VS 1 TU

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NON REACTOR IN MM?

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5 MM OR LESS

Front 8

TB CONTROL PROGRAM CONSISTS OF (4)?

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SCREENIN, PREVENTION, MANAGEMENTS OF DISEASE AND CONTACT INVESTIGATIONS

Front 9

CXR'S REQIRED ON?

Back 9

INITIAL TB REACTORS

Front 10

FOREIGN BORN PERSONS APPLYING FOR WHAT MUST BE SCREENED?

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PERMANENT ENTRY INTO THE US

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RESERVE WITH DUTY IN OF HOW MANY DAYS MUST BE TESTED?

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IN EXCESS OF 30 DAYS

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OPERATIONAL UNITS MUST BE TESTED?

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ANNUALLY

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TRIENNIAL SCREENING FOR?

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PERSONNEL IN LOW RISK AREAS.

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TEST MUST BE CONDUCTED WITHIN HOW LONG BEFORE SEPARATION?

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WITHIN 1 YEAR BEFORE SEPARATION

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NEEDLE/SYRINGE SIZE?

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1ML SYRINGE AND 25 GAUGE NEEDLE

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EXAMINE SITE WITHIN HOW LONG?

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48 TO 72 HOURS.

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PERSON RETURNS MORE THAN 72 HOURS WITH ZERO TO 14MM RXN?

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"NOT READ" AND RE DO

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RETURNS AFTER 72 HOURS BUT BEFORE 10 DAYS WITH 15MM OR GREATER?

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RXN IS SIGNIFICANT, IF UNCERTAIN IF 15MM OR GREATER RE DO

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PERSON RETURNS AFTER 10 DAYS OR MORE?

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"NOT READ", RE DO

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VACCINE AGAINST TB?

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BACILLUS CLAMETTE-GUERIN VACCINE

Front 21

BCG VACCINE CAUSES RXN HOW LARGE? HOW LONG BEFORE IT DISAPPEARS?

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10MM, 8 YEARS

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5MM OR GREATER RXN TO 1TU IS EQUAL TO _MM ON A 5TU TEST?

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10MM

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PEOPLE WITH RXN OVER 10MM ARE/ARE NOT CANIDATES FOR INH?

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ARE

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RXNS <10MM MUST GET INH IF?

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HIV, CLOSE CONTACT TO ACTIVE DISEASE, PREVIOUS UNTREATED, INJECTING DRUG USERS,

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REACTOR LESS THAN 35 WITH WHAT RISK FACTORS WILL GET TREATED?

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FOREIGN BORN FROM HIGH PREVELANCE AREA, RESIDENTS OF CORRECTIONAL FACILITIES.

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REACTOR LESS THAN 35 WITH HOW STRONG OF A RXN MUST GET TREATED?

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15mm

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INH DOSE FOR ADULTS? CHILDREN?

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300MG OR 10MG/KG

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REACTORS WITH NO RISK FOR DEVELOPMENT OF TB SHOULD BE TREATED HOW LONG?

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6 MONTHS

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REACTORS WITH RISK FACTORS INCLUDING HIV SHOULD BE TREATED HOW LONG?

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12 MONTHS

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MEDICAL CONTRAINDICATIONS TO INH INCLUDE (3)?

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PREVIOUS HX OF INH LIVER INJURY, HX OF SEVER RXN TO INH, ACUTE OR ACTIVE LIVER DISEASE.

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CXR FOR NEW ID'ED REACTORES WITH INDURATION HOW LARGE?

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GREATER THAN OR EQUAL TO 10MM

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BASE LINE LFT FOR ALL REACTORS HOW OLD?

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35 OR GREATER

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HIV TEST MUST BE COMPLETED ON WHO?

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ALL NEWLY ID'ED AD REACTORS

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HOW MUCH INH SHOULD BE GIVEN AT ONE TIME?

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1 MONTH

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FOLLOW UP LFTS SHOULD BE CONDUCTED HOW OFTEN? FOR WHO (5)?

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1, 2 AND 3 MONTHS AFTER STARTING INH
>35, THOSE TAKING PHENYTOIN, HEAVY DRINKERS, CHRONIC LIVER DISEASE, PREGNANT

Front 36

IF SOMONE MISSED MORE THAN 1 MONTH BUT HAS COMPLETED MNORE THAN 3 MONTHS?

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RESTART WITH THE GOAL OF COMPLETING ATLEAST 3 MORE MONTHS

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IF SOMEONE COMPLETED LESS THAN 3 MONTHS BEFORE MISSING MORE THAN A MONTH?

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RESTART WITH STRICT SUPERVISION TO COMPLETE 6 MONTHS.