Question 1

Leonard is completing a 6-month regimen to treat tuberculosis.Monitoring of a patient on TB therapy includes:&#10;A) Monthly sputum cultures&#10;B) Monthly chest x-ray&#10;C) Bronchoscopy every 3 months&#10;D) All of the above

Accepted Answer

Monthly sputum cultures are necessary to monitor the effectiveness of TB therapy by detecting the presence or absence of TB bacteria in the lungs. Chest x-ray may be done at the beginning of the treatment to assess the extent of illness, but not required monthly. Bronchoscopy is an invasive procedure and not necessary for routine monitoring of TB therapy.

Question 2

Goals of treatment when treating tuberculosis include:&#10;A) Completion of recommended therapy&#10;B) Negative PPD at the end of therapy&#10;C) Completely normal chest x-ray&#10;D) All of the above

Accepted Answer

Completion of recommended therapy

Question 3

Compliance with directly observed therapy (DOT)can be increased by:&#10;A) Convenient clinic times&#10;B) Incentives such as food,clothing,and transportation costs&#10;C) Offering gifts for compliance&#10;D) All of the above

Accepted Answer

All of the options listed (convenient clinic times, incentives, and gifts) can help increase compliance with directly observed therapy (DOT) by making it easier and more rewarding for patients to adhere to their treatment regimen.

Question 4

Kaleb has extensively resistant tuberculosis (TB).Treatment for extensively resistant TB would include:&#10;A) INH,rifampin,pyrazinamide,and ethambutol for at least 12 months&#10;B) INH,ethambutol,kanamycin,and rifampin&#10;C) Treatment with at least two drugs the TB is susceptible to&#10;D) Levofloxacin

Accepted Answer

Extensively drug-resistant TB (XDR-TB) is resistant to at least four of the core anti-TB drugs. Treatment involves using at least two drugs to which the TB strain is susceptible, often including newer or second-line drugs.

Question 5

Lila is 24 weeks pregnant and has been diagnosed with tuberculosis.Treatment regimens for a pregnant patient with TB would include:&#10;A) Streptomycin&#10;B) Levofloxacin&#10;C) Kanamycin&#10;D) Pyridoxine

Accepted Answer

Pyridoxine is the only drug listed that is commonly used in the treatment of TB for pregnant patients. Streptomycin, kanamycin, and levofloxacin are all considered to be potentially harmful to the fetus and are not recommended during pregnancy. Pyridoxine, also known as vitamin B6, is often given alongside other TB medications to prevent nerve damage caused by those medications.

Question 6

Bilal is a 5 year old who has been diagnosed with tuberculosis.His treatment would include:&#10;A) Pyridoxine&#10;B) Ethambutol&#10;C) Levofloxacin&#10;D) Rifabutin

Accepted Answer

Pyridoxine (Vitamin B6) is often given to children receiving isoniazid for tuberculosis to prevent peripheral neuropathy, a potential side effect of isoniazid.

Question 7

The principles of drug therapy for the treatment of tuberculosis include:&#10;A) Patients are treated with a drug M.tuberculosis is sensitive to&#10;B) Drugs need to be taken on a regular basis for a sufficient amount of time&#10;C) Treatment continues until the patient's PPD is negative&#10;D) All of the above

Accepted Answer

The answer of The principles of drug therapy for the...

Question 8

Isabella has confirmed tuberculosis and is placed on a 6-month treatment regimen.The 6-month regimen consists of:&#10;A) 2 months of four drug therapy (INH,rifampin,pyrazinamide,and ethambutol)followed by 4 months of INH and rifampin&#10;B) 6 months of INH with daily pyridoxine throughout therapy&#10;C) 6 months of INH,rifampin,pyrazinamide,and ethambutol&#10;D) Any of the above

Accepted Answer

The 6-month treatment regimen for tuberculosis commonly involves an initial 2 months of four drug therapy (INH, rifampin, pyrazinamide, and ethambutol) followed by 4 months of INH and rifampin. This is the recommended regimen by the World Health Organization (WHO) and has been shown to be effective in the treatment of tuberculosis. Option B is not the standard 6-month regimen and option C includes all four drugs for the entire 6 months, which is not necessary in most cases.

Question 9

Drug resistant tuberculosis (TB)is defined as TB that is resistant to&#10;A) Fluoroquinolones&#10;B) Rifampin and isoniazid&#10;C) Amoxicillin&#10;D) Ceftriaxone

Accepted Answer

Drug resistant tuberculosis is defined as tuberculosis that is resistant to rifampin and isoniazid. These two drugs are considered first-line drugs for the treatment of TB.

Question 10

Ezekiel is a 9 year old who lives in a household with a family member newly diagnosed with tuberculosis.To prevent Ezekiel from developing TB he should be treated with:&#10;A) 6 months of INH and rifampin&#10;B) 2 months of INH,rifampin,pyrazinamide,and ethambutol,followed by 4 months of INH&#10;C) 9 months of INH&#10;D) 12 months of INH

Accepted Answer

According to the American Thoracic Society and Centers for Disease Control and Prevention (CDC) guidelines, children under the age of 10 who have been exposed to someone with active TB and have not previously been treated for latent TB infection should be treated with a 9-month course of daily isoniazid (INH) to prevent the development of TB disease. Combination therapy with other medications is not typically recommended for this age group.

Deck 45: Tuberculosis