What is it?
Causes
Testing for
Treatment
Little known facts
100

What part of the body does TB mostly affect?

Lungs

100

How is TB spread?

Through the air (coughing or sneezing).

100

Is there a vaccine for TB?

Yes, but typically not used in the US.

100

How do you treat TB?

With antibiotics

100

If Sally gets a TB skin test today, when should she have it read? 

48-72 hours

200

What are 3 signs of TB?

  • Coughing for more than 3 weeks 
  • Chest pain 
  • Coughing up blood 
  • Difficulty breathing 
  • Shortness of breath 
  • Abnormal chest X-ray 
200

Name 2 ways to prevent the spread of TB.

  • Know the results of your annual TB skin test. 
  • Follow the rules with isolation rooms.  
  • Attend fit-testing sessions for respirators as scheduled.  
  • Be sure to use a fit-tested respirator or PAPR hood prior to entering an isolation room. 
  • Practice proper hand hygiene. 
200

Name two ways to diagnose TB.

  • Physical exam 
  • Mantoux tuberculin skin test 
  • Sputum smear and culture 
  • Chest X-ray 
  • QuantiFERON-TB Gold blood test 
200

How long are TB drugs usually taken?

6-12 months

200

A person with TB is no longer contagious when (name one).

  • His or her cough subsides.  
  • He or she is on adequate drug treatment. 
  • Three consecutive sputum smears are negative. (Although each case varies, this usually happens within 2 weeks of beginning drug treatment.) 
300

Does a person with TB need to be in isolation?

Yes

300

Your resident with TB blows their nose in a tissue.  Does it need to go in a bio-hazard bag?

Yes

300

What is the name of TB skin test we use here at Heritage? 

Mantoux tuberculin

300

Sally is prescribed antibiotics for 6 months for TB.  She feels better after a month and stops taking them.  What is she at risk for?

MDR-TB.

300

Percent of people exposed to TB who will actually become infected.

5-10%

400

Can a surgical mask be worn when working around a patient with TB?

No, the healthcare worker must wear a PAPR hood or a fit-tested respirator.   

400

If you are not sure how to protect yourself when working with a patient, what should you do?

Talk to your supervisor.

400

What does it mean if you have a positive TB skin test?

That the TB pathogen is present in the patient’s body

400

What is MDR-TB?

Multidrug-resistant TB.  Like MRSA, it's more difficulty to treat and can take longer to treat.

400

Name 3 groups of people who have the highest risk of becoming infected with TB.

Intravenous drug users, People born in areas of the world where TB is more common (e.g., Asia, Africa, the Caribbean, and Latin America), People with chronic disease, The elderly, The homeless, The institutionalized.

500

How many mm induration is considered positive in a TB skin test for a normal adult?

15 + mm

500

What bacteria causes TB?

Mycobacterium Tuberculosis

500

What does a positive TB skin test look like?

Firm, swollen.  We do not look at redness.

500

Name the drug typically used to treat TB.

Isoniazid

500

What percent of the World's population is infected with TB?

1/3

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