L3: TB - Pt 2

Question 1

CP of Primary TB

Answer 1

Question 2

CP of Primary TB

• Symptoms

Answer 2

Question 3

Symptoms of Primary TB

• Asymptomatic

Answer 3

• in the great majority of primary TB infections.

Question 4

Symptoms of Primary TB

• Progressive Primary TB

Answer 4

Question 5

Signs of Primary TB

Answer 5

Question 6

Signs of Primary TB

• None

Answer 6

No signs may be detected.

Question 7

Signs of Primary TB

• Signs

Answer 7

Question 8

The Most Serious Manifestations of Primary TB

Answer 8

due to hematogenous spread leading to
- Millary TB
- TB meningitis.

Question 9

TB medical emergencies in primary pulmonary TB

Answer 9

Question 10

TB medical emergencies in primary pulmonary TB

• Incidence

Answer 10

Usually rare and only occur if the child has low immunity

Question 11

TB medical emergencies in primary pulmonary TB

• TB Pneumonia

Answer 11

Enlargement of the Ghon’s focus may lead to massive bronchogenic spread:
- It affects the entire lobe or lung leading to fatal TB pneumonia.

Question 12

TB medical emergencies in primary pulmonary TB

• Epituberculosis

Answer 12

Enlarged hilar lymph node may compress a bronchus and leads to atelectasis or lung collapse.

Question 13

TB medical emergencies in primary pulmonary TB

• Miliary TB

Answer 13

• Fulminant infection that affect vital organs and may lead to CNS spread & coma

Question 14

CP of Miliary TB

Answer 14

Question 15

CP of Miliary TB

• symptoms

Answer 15

Question 16

CP of Miliary TB

• Signs

Answer 16

Question 17

CP of Post-Primary TB

Answer 17

Question 18

CP of Post-Primary TB

• Symptoms

Answer 18

Question 19

Symptoms of Post-Primary TB

• asymotomatic

Answer 19

discovered accidentally

Question 20

Symptoms of Post-Primary TB

• General Symptoms

Answer 20

Question 21

Symptoms of Post-Primary TB

• Chest Symptoms

Answer 21

Question 22

Chest Symptoms of Post-Primary TB

• None

Answer 22

No symptoms or may be any chest symptom.

Question 23

Chest Symptoms of Post-Primary TB

• Cough

Answer 23

Usually persistent & may be attributed as bronchitis or related by patient to smoking.

• Cough persisting for › 3 weeks even if attributed entirely to cigarette, → should have a chest radiology.

Question 24

Chest Symptoms of Post-Primary TB

• Expectroration

Answer 24

Mucoid, Purlent or Blood stained.

Question 25

Chest Symptoms of **Post-Primary TB** - Hemoptysis

Answer 25

Question 26

Chest Symptoms of **Post-Primary TB** - Chest Pain

Answer 26

a common symptom * May vary from a Dull ache, Chest tightness to pleuritic pian.

Question 27

Chest Symptoms of **Post-Primary TB** - Wheezes & Dyspnea

Answer 27

In patients with endobronchial TB.

Question 28

Signs of **Post-Primary TB**

Answer 28

Question 29

Signs of **Post-Primary TB** - None

Answer 29

No apparent physical signs.

Question 30

Signs of **Post-Primary TB** - general

Answer 30

Question 31

Signs of **Post-Primary TB** - Chest

Answer 31

Question 32

Medical Emergencies in Post Primary Pulmonary Tuberculosis

Answer 32

Question 33

INVx for **TB**

Answer 33

Question 34

INVx for **TB** - Rads

Answer 34

Question 35

.......... suggest an active disease in TB

Answer 35

- Infiltrations - Soft confluent shadows - Cavitations - Effusions

Question 36

....... suggest fibrosis & arrested disease in TB

Answer 36

- Calcifications and linear shadows:

Question 37

Value of Rads in **TB**

Answer 37

Question 38

Bacteriologic Examination in **TB**

Answer 38

Question 39

Bacteriologic Examination in **TB** - Collection of Samples

Answer 39

- Sputum - Laryngeal swabs. - Bronchial lavage. - Gastric aspirate - Biopsy specimen specially in extra-pulmonary TB.

Question 40

Bacteriologic Examination in **TB** - Methods

Answer 40

Question 41

Technique of **Tuberclin Test**

Answer 41

Intradermal injection of 0.1 purified protein derivative & interpretation after 72 hours.

Question 42

Results in **Tuberclin Test**

Answer 42

Question 43

Causes of False -Ve in **Tuberclin Test**

Answer 43

Question 44

Serology in **TB**

Answer 44

**ELISA test:** little use in diagnosis of TB as it has low sensitivity and specificity

Question 45

Blood Ex in **TB**

Answer 45

Question 46

Histopathological Ex in **TB**

Answer 46

Question 47

DDx of **TB**

Answer 47

Question 48

Complications of **TB**

Answer 48

Question 49

Complications of **TB** - Comlications of Cavitary TB

Answer 49

Question 50

Complications of **TB** - Pulmonary Fibrosis

Answer 50

Question 51

Complications of **TB** - Bronchiectasis

Answer 51

Question 52

Complications of **TB** - Complications of Pleural TB

Answer 52

Question 53

Complications of **TB** - Massive Hemoptysis

Answer 53

Question 54

Complications of **TB** - Rf & Cor-Pulmonale

Answer 54

due to end stage pulmonary disease.

Question 55

Complications of **TB** - Amyloidosis

Answer 55

....

Question 56

Complications of **TB** - Sacar Bronchial Carcinoma

Answer 56

....

Question 57

Complications of **TB** - ARDS

Answer 57

may complicate fulminant cases

Question 58

Complications of **TB** - TB of Other Organs

Answer 58

.....