Tuberculosis Control Program

Question 1

What is the instruction number for the TB control program?

Answer 1

BUMEDINST 6224.8B

Question 2

Form # for initial TB exposure risk assessment?

Answer 2

NAVMED 6224/7

Question 3

Form # for interim TB exposure risk assessment?

Answer 3

NAVMED 6224/8

Question 4

Form # for monthly evaluation for treatment?

Answer 4

NAVMED 6224/9

Question 5

What is the name of the bacteria that causes TB?

Answer 5

mycobacterium tuberculosis

Question 6

Members are screened or tested how far in advance before reporting to a commissioned vessel?

Answer 6

6 months

Question 7

Approved material to be used in the routine Mantoux test?

Answer 7

Tween-80 stabilized intermediate strength (5 TU equivalent)

Question 8

What is the preferred and alternative product to be used during PPDs?

Answer 8

Tubersol - 1st

Aplisol- alternative

Question 9

How long after administering TST should it be read?

Answer 9

48-72hrs

Question 10

If PT returns to have TST read after 72hrs, what steps are taken?

Answer 10

Record result as “not read” in SF 601

Re-apply TST to opposite forearm

Question 11

If there is no induration, record TST results as?

Answer 11

0mm

zero mm

Question 12

What is the rate of newly identified LTBI converters?

Answer 12

1-2% of personnel tested per year

Question 13

What steps are taken if conversion rate is two times greater than expected baseline?

Answer 13

Contact NAVENPVNTMEDU for guidance

Question 14

A positive TST reaction in BCG immunized people should be regarded as what?

Answer 14

TB infection

Question 15

If a TST and live virus can not be administered on the same day, how long must PT wait?

Answer 15

4 weeks

Question 16

Are TST administered to pregnant PTs?

Answer 16

Yes

X-ray may also be used to rule out

Question 17

Increase in reaction size of 10mm or more within ? years is considered positive?

Answer 17

3 years

Question 18

What is defined as high risk?

Answer 18

5mm or more with recent close contact of infected persons

Question 19

What is defined as medium risk?

Answer 19

10mm or more in recent immigrants or clinical conditions i.e. lab personnel

Question 20

What is defined as low risk?

Answer 20

15mm or more is positive if NO risk factors

Question 21

What is the ICD-9 code for TB?

Answer 21

V74.1

Screening exam for pulmonary TB

Question 22

What is examined in chest x-rays?

Answer 22

Fibrotic changes

Question 23

What does INH stand for?

Answer 23

Isoniazid

Question 24

What is the report code for disease alert report?

Answer 24

MED 6220-3

Question 25

How much content is in a PPD single dose?

Answer 25

0.1ml (5 TU) PPD

Question 26

A good intradermal injection will be evidenced by?

Answer 26

small, pale, sharply demarcated wheal

Question 27

Measurement of induration between 2mm divisions of the scale should be rounded up or down?

Answer 27

Down

Question 28

Consider searching for an active case of TB in the command if reactors is greater than what %?

Answer 28

2.5%

Question 29

Ignore what vaccine history when evaluating for routine PD?

Answer 29

Bacilus Calmett-Guerin (BCG) | Pos PPD still indicative of TB infection

Question 30

Length of INH treatment?

Answer 30

5mg/kg daily for 9 months | 270 daily doses within 12 months

Question 31

What lab tests should be performed when initial evaluation suggests elevated risk for liver disease or INH induced hepatoxicity?

Answer 31

Alanine Aminotransferase Bilirubin

Question 32

Consider withholding INH if transaminase levels exceed ?

Answer 32

3-5 x upper normal limits

Question 33

ICD-9 code for patients receiving therapy?

Answer 33

V68.1 | Issue of repeat prescriptions

Question 34

What should be used for persons who are at very high risk for developing active TB?

Answer 34

Directly observed therapy

Question 35

What kind of respirator is used by medical providers treating TB PTs?

Answer 35

N95

Question 36

When are MERs submitted for TB?

Answer 36

Within 24hrs of suspected new case | Submit 2nd MER when disease has been ruled in/out

Question 37

What does BAMT stand for?

Answer 37

Blood Assay for M. TB infection

Question 38

What does AHLTA stand for?

Answer 38

Armed Forces Health Longitudinal Technology Application