MRCP UK EXAMINATIONS

RESPIRATORY

OLD TUBERCULOSIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
These are cases where a bacilloscopy should be performed
A
All respiratory symptomatic or probable cases
B
As a control for patients already diagnosed with tuberculosis
C
Suspected extrapulmonary tuberculosis
D
None of the above
Explanation: 

Detailed explanation-1: -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-2: -Bacteriological confirmation of TB is necessary to test for resistance to first-line and second-line anti-TB drugs; such testing can be done using rapid molecular tests, phenotypic susceptibility testing or reference-level genetic sequencing ( 2).

Detailed explanation-3: -The Mantoux tuberculin skin test (TST) or the special TB blood test can be used to test for M. tuberculosis infection.

Detailed explanation-4: -good ventilation: as TB can remain suspended in the air for several hours with no ventilation. natural light: UV light kills off TB bacteria. good hygiene: covering the mouth and nose when coughing or sneezing reduces the spread of TB bacteria.

There is 1 question to complete.