Download PORTFOLIO CONTENT - Curry International Tuberculosis Center

PORTFOLIO CONTENT
PRETEST
San Francisco, California
LAST NAME
FIRST NAME
TUBERCULOSIS SKIN TESTING WORKSHOP
PRE-TEST
1.
A Mantoux skin test is administered:
A.
B.
2.
6 months or more
7 to 10 days
C.
D.
2 to 10 weeks
48 to 72 hours
Up
Down
C.
D.
At 90 degrees to the skin
Any direction
Immediately
24 hours if contact was recent
C.
D.
48 to 72 hours
10 weeks after the last exposure
Erythema
Induration
C.
Erythema and Induration
In what situation is two-step testing used?
A.
B.
C.
D.
8.
.5 ml
1 ml
When reading a PPD, you measure:
A.
B.
7.
C.
D.
How long after the TB skin test is placed should it be read?
A.
B.
6.
.05 ml
.1 ml
When placing a PPD, the bevel of the needle should be facing:
A.
B.
5.
Subcutaneously
By scratching the skin
After TB has been transmitted, how long does it take before TB infection can be detected by the
tuberculin skin test?
A.
B.
4.
C.
D.
In a tuberculin skin test, the correct amount of PPD antigen to use is:
A.
B.
3.
Intramuscularly
Intradermally
When testing HIV-infected patients
When testing new employees in a TB screening program
When any patient’s first Mantoux skin test reaction is positive
When country western dancing in Texas
When measuring a PPD, you measure:
A.
B.
Across the arm (transverse)
Down the arm (longitudinal)
C.
D.
The largest measurement
The smallest measurement
Continued on back side
MI
9.
Which of the following can cause a false positive skin test reaction?
A.
B.
C.
D.
10.
A positive reaction to the Mantoux TB skin test means:
A.
B.
C.
11.
The person is allergic to the PPD solution
The person is infected with the TB germ
The person has TB disease
If a patient presents with a BCG history, you should:
A.
B.
C.
D.
12.
Recent TB infection (within the past 10 years)
Vaccination with BCG
Advanced age
Recent tattoo
Not place a PPD as it will probably react positive; do a chest x-ray instead
Disregard the BCG history if it was given more than one year ago
Do nothing, as BCG prevents TB infection and disease
Ask patient for proof by showing his/her BCG scar
A person with a positive skin test should be referred for:
A.
B.
A chest x-ray
Evaluation for preventive therapy
C.
D.
Treatment for active disease
Both A and B
13.
What induration size is considered a positive PPD reaction for the following three populations:
 people with HIV infection
 close contacts of people with infectious TB
 people with chest x-ray findings suggestive of previous TB disease
A.
B.
14.
5 or more millimeters
10 or more millimeters
C.
15 or more millimeters
Which statement is true about the difference between TB infection and TB disease?
A.
B.
C.
D.
Only individuals with TB disease have tubercle bacilli in their bodies
Symptoms occur only with TB disease
TB infection is counted as a case but TB disease is not
Sputum smears and cultures are positive with TB infection but not with TB disease
PLEASE TURN IN YOUR TEST WHEN YOU ARE FINISHED. THANK YOU.