MRCP UK EXAMINATIONS

RESPIRATORY

OLD TUBERCULOSIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Bacteriologically confirmed case of tuberculosis is one that is configured by the positive result of
A
test at ADA
B
Bacilloscopy (direct staining of the sample), culture in liquid medium or molecular test
C
tuberculin
D
All are correct
Explanation: 

Detailed explanation-1: -A bacteriologically confirmed TB case is one from whom a biological specimen is positive by smear microscopy, culture or WHO-approved rapid diagnostics (such as Xpert MTB/RIF).

Detailed explanation-2: -Extrapulmonary tuberculosis (EPTB) refers to any bacteriologically confirmed or clinically diagnosed case of TB involving organs other than the lungs (e.g. pleura, lymph nodes, abdomen, genitourinary tract, skin, joints and bones, meninges).

Detailed explanation-3: -A clinically diagnosed TB case is one who does not fulfil the criteria for bacteriological confirmation but has been diagnosed with active TB based on other clinical evidence such as chest x-ray and where a clinician has decided to give the patient a full course of TB treatment.

Detailed explanation-4: -Ziehl-Neelsen stain, the current feasible microbiological method for the diagnosis of tuberculosis, often needs a large amount of cerebrospinal fluid specimen but shows a low detection rate of M.

There is 1 question to complete.