***2019 (quick)*** BUMEDINST 6224.8B TUBERCULOSIS CONTROL PROGRAM Flashcards Preview

*** OCCUPATIONAL REFERENCES - SEPT 2014 *** > ***2019 (quick)*** BUMEDINST 6224.8B TUBERCULOSIS CONTROL PROGRAM > Flashcards

Flashcards in ***2019 (quick)*** BUMEDINST 6224.8B TUBERCULOSIS CONTROL PROGRAM Deck (40)
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1
Q

TB Instruction?

A

6224.8B

2
Q

Initial TB exposure risk assessment?

A

NAVMED 6224/7

3
Q

Interim TB exposure risk assessment?

A

NAVMED 6224/8

4
Q

Monthly evaluation for treatment?

A

NAVMED 6224/9

5
Q

Bacteria causing TB?

A

Mycobacterium tuberculosis

6
Q

Screen or test how long before reporting to commissioned vessel?

A

6 Months

7
Q

NAVENPVNTMEDU

A

Navy Environmental Preventive Medicine Unit

8
Q

PPD

A

Purified Protein Derivative

9
Q

Approved material for routine Mantoux test?

A

Tween-80-stabilized intermediate strength (5 TU equivalent)

10
Q

Preferred PPD product?

A

Tubersol (Aplisol is 2nd choice)

11
Q

TST should be read when?

A

48-72 hrs

12
Q

If pt returns beyond 72 hrs for reading?

A

Record the result as “not read” on SF 601 and apply TST on opposite forearm

13
Q

If there is no induration, record result as?

A

“0 mm” or “zero mm”

14
Q

Rate of newly-identified LTBI converters?

A

1-2% of personnel tested per year

15
Q

If conversion rate is two times greater than expected baseline?

A

Contact NAVENPVNTMEDU for guidance

16
Q

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

A

TB infection

17
Q

A TST may be placed the same day as live-attenuated virus or?

A

At least four weeks later

18
Q

TST for pregnant service members?

A

Considered safe and reliable (may still rule out with x-ray)

19
Q

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

A

3

20
Q

High risk?

A

5mm or more w/recent close contact of infected patients

21
Q

Medium risk?

A

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

22
Q

Low risk?

A

15mm or more is positive if NO risk factors

23
Q

ICD-9-M code for TB?

A

V74.1 “Screening Exam for Pulmonary Tuberculosis”

24
Q

Examine chest x-rays for?

A

Fibrotic changes

25
Q

INH?

A

Isoniazid

26
Q

Disease Alert Report?

A

MED 6220-3

27
Q

PPD single dose amount?

A

0.1 ml (5 TU) PPD

28
Q

A good intradermal injection will be evidenced by?

A

Small, pale, sharply demarcated wheal

29
Q

Measurement of induration between two millimeter divisions of the scale should be rounded up or down?

A

DOWN

30
Q

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

A

2.5%

31
Q

Ignore what vaccine history when evaluating for routine PPD?

A

Bacillus Calmett-Guerin (BCG)

Positive PPD still indicative of TB infection

32
Q

INH, length of treatment?

A

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

33
Q

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

A

Alanine Aminotransferase and bilirubin

34
Q

Consider withholding INH if transaminase levels exceed?

A

3-5 times the upper normal limit

35
Q

ICD-9-M (Internaltional Classification of Disease) code for patients receiving therapy?

A

V68.1 (issue of repeat prescriptions)

36
Q

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

A

DOT (Directly observed therapy)

37
Q

Wear what particulate respirator in TB rooms?

A

N95 (minimum)

38
Q

Suspected new cases?

A

Submit medical event report w/in 24 hrs. Submit second report when disease is ruled in/out.

39
Q

BAMT

A

Blood Assay for M. Tuberculosis infection

40
Q

AHLTA

A

Armed Forces Health Longitudinal Technology Application

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