TB Basics & Transmission
TB Drugs & Toxicity
Antifungals & Teaching
Antiparasitics & Special Populations
CLINICAL JUDGMENT
100

Primary mode of TB transmission

What is airborne droplets (coughing/sneezing)?

100

Major toxicity of rifampin

What is hepatotoxicity (liver damage)?

100

Why fungal infections occur after antibiotics

What is normal flora destruction → yeast overgrowth?

100

Drug used for malaria treatment

What is primaquine?

100

Patient on antibiotics develops oral white patches

What is candida overgrowth (fungal infection)?

200

Why TB thrives in the lungs

What is oxygen-rich environment supports growth?

200

What increases rifampin liver toxicity risk

What are alcohol and acetaminophen?

200

How azoles work

What is destroy fungal cell membrane (ergosterol depletion)?

200

Who commonly uses antimalarials preventatively

What are military personnel & travelers to endemic areas?

200

Patient taking rifampin drinks alcohol daily—priority concern

What is increased risk of liver failure?

300

Sources of TB infection

What are humans, cows (bovine), and birds (avian)?

300

Key symptoms of liver damage to report

What are jaundice, dark urine, clay-colored stools?

300

Key teaching for antifungal lozenges

What is brush mouth first to improve drug contact?

300

Common side effects of anthelmintics

What are diarrhea & abdominal discomfort?

300

Child prescribed ethambutol—nursing action

What is question the order (safety concern)?

400

Why multiple TB drugs are used

What is prevent bacterial resistance?

400

Why ethambutol is avoided in young children

What is risk of vision changes they cannot report?

400

Best time to apply vaginal antifungal cream

What is before bedtime?

400

Serious side effects of griseofulvin

What are liver toxicity & paresthesia?

400

Patient stops TB meds early because they “feel better”—risk

What is drug resistance and treatment failure?

500

Drug that treats BOTH active and dormant TB bacteria

What is isoniazid (INH)?

500

Unintentional weight loss in TB patient indicates

What is worsening disease progression?

500

Life-threatening reaction to fluconazole

What is Stevens-Johnson Syndrome?

500

Why alcohol must be avoided with metronidazole

What is severe reaction (disulfiram-like effect)?

500

Patient taking metronidazole reports dark urine—nursing response

 What is reassure—expected side effect?

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