NTP Guidelines 6th edition

Question 1

Presumptive tuberculosis

Answer 1

2 weeks or longer of any of the following

Cardinal symptoms
Cough
Unexplained fever
Unexplained weight loss
Night sweats OR

Chest X-ray finding suggestive of TB

Question 2

Adults defined as

Answer 2

> = 15 years old

Question 3

New

Answer 3

1.Refers to a patient who has never had treatment for TB
2. Who has taken anti-TB drugs for less than 1 month

Question 4

Previously treated for TB

Answer 4

who has received one moth or more of anti TB drugs in the past

Question 5

Turnaround time

Answer 5

Time from collection of first sputum to initiation of treatment for TB

Desired turn around time: 5 days

Question 6

A rapid diagnostic test such as Xpert MTB/RIF

Answer 6

Primary diagnostic test for PTV and EPTB in adults and children

Question 7

Alternative diagnostic test if xpert is not accessible

Answer 7

Smear microscopy (brightfield or fluorescence microscopy)
Loop mediated isothermal amplification (TB LAMP)

Question 8

Only contraindication to collecting sputum for bacteriological diagnosis of TB

Answer 8

Massive hemoptysis (expectoration of large volumes of blood from the respiratory tract)

Question 9

Volume of sputum

Answer 9

1 ml for Xpert MTB/RIF and TB LAMP
3-5 ml for SM