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49 Cards in this Set
- Front
- Back
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T/F the responsibility of the OIC w/ NEPMU provides technical support as needed to all Navy/Marine Corps units in the AOR
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TRUE (NOT Logistical)
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What aspect of the forearm is the TST given
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VOLAR ASPECT
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Whos is a person with an area of induration to a 5 TU skin test when read 48-72 hrs after administration
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Tuberculin Reactor
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T/F promptly detecting, treating & reproting persons who have drveloped clinically active TB is a pert of the TB summary control
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TRUE
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What is done upon completion of INH preventive therapy
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Document succesful completion in HR
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when are radiographs a requirement for the TB control program
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Anytime active disease is suspected
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How many months at a time is INH supplied
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1 month at a time
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what is the usual reactor rate of newly identified TB ractors
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1% - 2%
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How are the indurations measured after the administration of TB skin test
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At the widest diameter
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if you have somebody tell you they dont need a skin test because they are a reactor but show no documentation, what do you do
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perform a 5 TU PPD skin test
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S/S that indicate INH sensitivity & toxicity
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burning sensation in the hands and feet
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How do you record no indurations
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0mm
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what is the INH therapy for adult reactor with no risk factor
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300mg per day X 9 months
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who can evaluate a PPD ractor
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PMT (can ONLY screen)
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What does a person have if they have s/s, radiographic, or laboratory evidence of pulmonary, minigeal, military, or extra pulmonary TB
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Active disease
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Primary drug for treating TB
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Isoniazid (INH)
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What do medical personnel wear when working in rooms or spaces with somebody who has active TB
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particulate respirator
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what do you put somebody on if they are non compliant to therapy
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Direct observe therapy (DOT)
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what is an indication for a pt to stop taking INH
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unexplained joint aches
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what is not required unless indicated upon completion of tx
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no additional testing
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how long does a command have to submint a medical event report for new cases or suspected new cases
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up to 24 hrs
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what is NAVMED 6224/8
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periodic monitoring
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what is induration for low risk
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15mm
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what is BUMEDINST 6224.8A
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TB control program
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what is the puprose of TB control program
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control TB amon members of Navy, Marine corps and thier beneficiaries
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how often is shipboard personnel required to do TB screening
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Annually
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All of the following are for the program summary except
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DON contracotors should not be assessed for TB control program compliance
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T/F TB can be administered to persons who have recieved Bacillus Calmette Guerin (BCG) immunizations
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True
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Somebody reports past reaction to TB skin test but no result is documented, what do you do
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perform skin test using Mantoux method 5 TU
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what is approved material for TB skin test
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1.0ml TB syringe
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how many milliliters of PPD do you administer for skin test
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0.1ml
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what is the correct method when measuring a reaction of PPD skin test
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measure induration at widest diameter
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how do you document failure to read
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NOT READ
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absence of induration is documented how
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Zeromm or 0mm
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which of the following measurements may be recorded in pts health record
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NOT READ
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what is an area around the site of tuberculin injection that is raised and firm to the touch
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induration
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how many months do you have to record a TB skin test before separating from the navy
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6 months
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what vaccine is used in foreign countries to prevent TB among children
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Bacillus Calmette-Guerin (BCG)
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what is NAVMED 6224/7
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initial TB exposure risk assessment
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what form is used to record adult immunizations
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NAVMED 6230/4
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what is measured in QuantiFERON to determine if pt has TB infection
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Cytokine
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T/F it is safe and reliable to perform TB during pregnancy
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true
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which risk category do recent immigrants from high TB prevalence countries fall in
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medium risk
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whats the induration for high risk
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5mm
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what form is used to document pt education and counseling in regards to LTBI tx
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SF 600
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what are chest x-rays examined for during evaluation for new positive tests of LTBI
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Fibrotic changes
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when do you do additional screening or subsequent testing
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part of contact or outbreak investigation
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what is not required when recording results in health record
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expiration date
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what is TST
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refers to the Mantoux method of skin testing for tuberculosis described in enclosure (1) of BUMEDINST 6224.8
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