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TB factoids

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
lower respiratory tract is normally sterile if   directly sampled  
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Acceptable sputum spec: <__ squamous epithelial cells/low power field   10  
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Macrophages: Activated phagocytic cells common in ____   fungal, acid-fast & some atypical bacterial infections  
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Eosinophils: Indicative of ____   allergic reaction or parasitic infection  
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Most common cause of bacterial pneumonia (70%)   Streptococcus pneumoniae  
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Lancet shaped gram positive cocci in pairs   Streptococcus pneumoniae  
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Culture never indicated in   chronic bronchitis  
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if you suspect atypical bacteria you should   notify the lab in advance  
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where do you grow leprosy   armidillo foot pads  
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TB infection spread person to person via ____   respiratory droplets in air (cough)  
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Positive PPD Zone Size >= __ mm if no risk factors   15  
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Positive PPD Zone Size >= __ mm if co-morbid risk factors;Diabetes, chronic renal failure, cancer, IVDA, congregate setting, foreign born/immigrant <5yrs from endemic area (Asia, Africa, Latin America), Mycobacteriology lab tech, gastrectomy   10  
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Positive PPD Zone Size >= __ mm if HIV+, contact of TB+ person, organ transplant/immunosuppression, fibrotic CXR, on 15 mg prednison/day, or TNF alpha inhibitor   5  
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substance used for control in PPD test   candida albicans antigen  
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the inability to react to skin tests because of a weakened immune system   anergy  
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more specific test for LTBI & can help exclude BCG or Mycobacterium not TB reactions.   Interferon Gamma Release Assay  
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vaccine against tuberculosis   Bacille Calmette-GuĂ©rin (BCG)  
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Created by: bwyche
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