• 1.

Which of the following tests requires a blood sample for the diagnosis of active pulmonary TB
• a) Sputum smear microscopy
• b) Liquid culture
• c) Interferon-gamma release assay (IGRA)
• d) None of the above

• 2. Advantages of culture for TB compared to sputum microscopy alone include all of the following EXCEPT:
• a) Obtaining a positive culture can allow for drug-susceptibility testing
• b) Culture can allow for identification of non-tuberculous mycobacterium species
• C) Culture has a higher sensitivity than smear microscopy for diagnosing TB
• d) Culture, particularly by liquid media, can be faster than smear microscopy

• 3. Which of the following diagnostics tests is intended for latent tuberculosis infection?
• a) Sputum smear microscopy
• b) Polymerase chain reaction (PR)
• c) Interferon-gamma release assay (IGRA)
• d) ELISAfor TB antibodies

• 4. For a two year old child with suspected TB, the best clinical specimen for pulmonary TB diagnosis is:
• a) Blood
• b) Sputum
• c) Gastric aspirate
• d) Bronchoalveolar

• 5.The commonest radiologic finding in TB is:

• a) Pleural effusion
• b) Upper lobe consolidation with or without cavities
• c) Pericardial effusion
• d) Lung nodule

• 6.13. Which groups of lymph nodes are most often affected

• -1. cervical

• -2. submandibular

• -3. inguinal

• -4. supra- and subclavian

• -5. Axillary
• 14. Select the radiological definition of cavernous pulmonary tuberculosis:

• -1. untimely detected destructive tuberculosis

• -2. tuberculous process without pronounced infiltration, fibrosis, bronchogenic seedings within 1-2 segments

• -3. presence of elastic cavity in the lung without pronounced infiltration, fibrosis, seeding foci

• -4. destructive form of tuberculosis

• -5. tuberculous process manifested by cystic formations in the lungs

• 15. The main mass method for detecting pulmonary tuberculosis among the adult population:

• -1. sputum bacterioscopy

• -2. plain radiography

• -3. fluorography

• -4. Mantoux test

• -5. bacteriological examination of sputum

• 22. What makes TB hard to diagnose?

• What clinical form can develop into cavernous pulmonary

• tuberculosis as the process progresses?

• -1. primary tuberculosis complex

• •2. miliary tuberculosis

• -3. focal tuberculosis

• -4. infiltrative tuberculosis

• 28. In which segments of the lungs is focal tuberculosis most often
localized?
• -1. in the first
• -2. in the third
• -3. in the fourth
• -4. in the fifth
• 29. The most common variant of healing of the pulmonary
component of the primary tuberculosis complex:
• -1. compaction
• -2. resorption
• -3. calcification
• -4. Cirrhosis
• 30. What signs are not typical for local forms of primary tuberculosis?
• - 1. damage to the lymphatic system
• -2. high degree of specific sensitization of the body
• -3. favorable course with gradual calcification of the affected areas
• -4. steady progression with the formation of cavities and bacterial
excretion
• 26. The most commonly used method of surgical
treatment of pulmonary tuberculosis at present is:
• -1. resection of part of the lung
• -2. cavernotomy
• -3. thoracoplasty
• -4. drainage of the cavity

• 27. In what clinical form and phase of the tuberculosis

process can artificial pneumothorax be imposed for
herapeutic purposes?
• A. focal tuberculosis in the infiltration phase .
• B. cavernous tuberculosis
• C. tuberculoma in the decay phase .
• D. fibrous-cavernous tuberculosis in the infiltration and
• ssemination phase
• 24. How is TB treated?
• A. Antiviral medicines
• B. Antibiotics
• C. Surgery
• D. Chemotherapy

• 25. How is TB diagnosed?

• A. Chest X-ray
• B. Sample of sputum
• C. Skin or blood test
• D. All of the above
• 23. What complication can be most often observed in berculosis of the intrathoracie lymph nodes in children?
• A. pulmonary hemorrhage B.formation of a cavity
• C. atelectasis
• D. pulmonary heart failure

• 17..The most common mechants of secondary iberentests

• A) exogenous superinfection
• b) exogenous reinfection
• c) endogenous reinfection

• 18. Therapeutic bronchoscopy in patients with tuberculosis is indicated

• a) in infiltrative tuberculosis of the bronchus without pronounced stenosis of its lumen
• b) in ulcerative tuberculosis of the wall of the lobar bronchus with the growth of granulation, stenotic its fumen
• c) in local catarrhal endobronchitis
• d) in diffuse hypertrophic endobronchitis

• 19. A patient with active tuberculosis is taking Ethambutol.

• As the nurse you make it priority to assess the patient's?
• A. hearing
• B. mental status
• C. vitamin B6 level
• D. vision

• 20. Your patient, who is receiving Pyrazinamide, report stiffness and extreme pain in the right big toe. The site is extremely red, swollen,
and warm. You notify the physician and as the nurse you anticipated the doctor will order?*
• A. Calcium level
• B. Vitamin B6 level
• C. Uric acid level
• D. Amylase level
• E. Migrant farm workers
• F. People with HIV
• G. All of the above
• 1. Which statement is correct regarding mycobacterium tuberculosis?*

• A. This bacterium is an anaerobic type of bacterin.

• B. It is an alkali bacterium that stains bright red during na acid-fast msear

• test.

• C. It is known as being an aerobic type of bacterin.

• D. It's an acid-fact bacterium that stains bright green ngidur an acdi-fast

• Smear test

• 2. Your patient with a diagnosis of aeltnt tuberculosisinfectionneedsa bronchoscopy. During transport t oendoscopy,thepatientwillneedtowe
• A. N-95 mask
• B.Surgical mask
• C. No special PPE is needed
• D. Face mask with shield

• 3.Your patient with a dingnosis of latent tuberculosis infection needs a bronchoscopy. During transport to endoscopy, the will need to wear??
• A. N95 mask
• B. Surgical mask
• C. No special PPE is needed
• D. Face mask with shield

• 4. Which statement is correct regarding mycobacterium fuberculosis?*

• A. This bacterium is an anaerobic type of bacteria.

• B. It is an alkali bacterium that stains bright red during an acid-fast smear test.
• .C It is known as being an aerobic type of bacterig
• D. It's an acid-fact bacterium that stains bright green during an acid-fast smear test.

• 5. A 52-year old female patient is receiving medical treatment for a

• possible tuberculosis infection. The patient si aU.S. resident but grew-
• up in a foreign country. She reports that as achild she received hte GCB
• vaccine (bacille Calmette-Guerin vaccine). Which physician's order
• below would require the nurse to ask the doctor for an order clarification?*
• A. PPD (Mantoux test)
• B. Chest X-ray
• C. QuantiFERON-TB Gold (QFT)
• D. Sputum culture
• 6. You're teaching a group of olng-etn carehtlahe
• symptoms will you include in your education
• givers about the signs and symptoms of
• tuberculosit. What sim ent
• A. Cough for maximum
• of 6 weks
• B. Night sweats
• C. Weight gain
• D. Hemoptysis
• E. Chills F .F Fever
• G.Chest pain

• 7. A 48-year old homeless man, who is living in a local homeless

• shelter dna i s a n I V drug user, has arrived to the clinic to have his
• PD skin teastsessed.Whatisconsideredapositiveresult?
• A .5 m minduration
• B. 1 5 mm induration
• C. 9m m induration
• D .10mminduration

• 8.patient has a PPD skin test (Mantoux test). As the nurse you tell the patient to report back to the office in
• so the results can be interpreted?
• A. 24-48 hours
• B. 12-24 hours
• C. 48-72 hours

• 9. Your patient is diagnosed with a latent tuberculosis infection

• the correct statements that reflect this condition:
• A. "The patient will not need treatment unless it progresses to an tive tuberculosis infection."
• B."The patient is not contagious and will have no signs and symptoms ."
• C."The patient will have a positive tuberculin skin test or IGRA test
• D."The patient will have an abnormal chest x-ray."
• E."The patient's sputum will test positive for mycobacterium
• 1. smear on a patient with possible tuberculosis. How will you collect this?*
• A. Collect 2 different sputum specimens 12 hours apart
• B. Collect 3 different sputum specimens (one in the morning, afternoon, and at night)
• days
• C. Collect 3 different sputum specimens on 3 different
• days
• D. Collect 2 different sputum specimens on 2 different

• 2.A patient receiving medical treatment for an active tuberculosis infection asks when she can
starting going out in public again. You respond that she is no longer contagious when: *
• A. She has 3 negative sputum cultures
• B. Her signs and symptoms improve
• C. She has completed the full medication regime
• D. Her chest x-ray is normal
• E. She has been on tuberculosis medications for about 3 weeks

• 3.As the nurse you know that one of the reasons for an increase in multi-drug-resistant
tuberculosis is:*
• A. Incorrect medication ordered
• B. Increase in tuberculosis cases nationwide
• C. Incorrect route of drug ordered
• D. Noncompliance due to duration of medication treatment needed
• 4.Your patient, who is receiving Pyrazinamide, report stiffness and extreme pain in the right big toe. The site is extremely red, swollen, and warm. You
notify the physician and as the nurse you anticipated the doctor will order?*
• A. Calcium level
• B. Vitamin B6 level
• C. Uric acid level
• D. Amylase level

• 5.You note your putient's sweat and urine is oranges, cati belosure the patient and educate him that which medication below is causing this finding?"
• A. Ethambutol
• B. Streptomyein
• C. Isoniazid
• D. Rifampin

• 6.patient with active tuberculosis is taking Ethambutol. As the nurse you make it priority to assess the patient's?*
• A. hearing
• B. mental status.
• C. vitamin B6 level
• D. vision

• 7.patient taking Isoniazid (INH) should be monitored for what deficiency?*

• A. Vitamin C
• B. Calcium
• C. Vitamin B6
• D. Potassium

• 8. A patient is taking Streptomycin. Which finding below requires the nurse to notify the physician?*
• A. Patient reports a change in vision.
• B. Patient reports a metallic taste in the mouth.
• C. The patient has ringing in their ears.
• D. The patient has a persistent dry cough.

• 9.How do you get TB?

• A. Through the air
• B. Through sexual contact
• C. Through contaminated food
• D. Through blood
• A and C
• 12.12. What makes TB hard to dingnose?
• A. Symptoms aren't always obvious
• B. Symptoms come and go
• Ç. The disease may take years to become active
• D. A and B

• 13. What are the symptoms of active TB?

• A. Weight loss
• C B. Night sweats
• C. Loss of appetite
• D. All of the above

• 14.How is TB diagnosed?
• A. Chest X-ray
• B. Sample of sputum
• C. Skin or blood test
• D. All of the above

• 15.How is TB treated?
• A. Antiviral medicines
• B. Antibiotics
• C. Surgery
• D. Chemotherapy

• 16. What is causing TB to become a serious public health problem?

• A. The rise in number of people with HIV infection
• B. An increasing number of immigrants from areas of the world where TB is common
• C. An increasing number of homeless people
• D. People who don't take their TB treatment correctly
• E. All of the above

• 17.Who in the should receive a vaccine for TB?

• A. Infants
• B. Teens
• C. Adults under age 65
• D. Adults over age 65
• E. None of the above