MRCP UK EXAMINATIONS

RESPIRATORY

OLD TUBERCULOSIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
(True/False; From Microbiology Faculty):Regarding the pathogenesis of tuberculosis:
A
Mode of transmission is by inhalation.
B
The vast majority of M. tuberculosis infected individuals will not develop active tuberculosis.
C
Reactivation of tuberculosis can be triggered by immunosuppression.
D
Co-infection with HIV reduces the risk of developing active tuberculosis
E
M. tuberculosis encounter the dendritic cells in the trachea.
Explanation: 

Detailed explanation-1: -After antibiotic treatment, reactivation of the infection can occur spontaneously or in response to immunosuppressive agents, such as glucocorticoids.

Detailed explanation-2: -Transmission of TB is by inhalation of infectious droplet nuclei containing viable bacilli (aerosol spread). Mycobacteria-laden droplet nuclei are formed when a patient with active pulmonary TB coughs and can remain suspended in the air for several hours. Sneezing or singing may also expel bacilli.

Detailed explanation-3: -Immunosuppression during Active Tuberculosis Is Characterized by Decreased Interferon- Production and CD25 Expression with Elevated Forkhead Box P3, Transforming Growth Factor-, and Interleukin-4 mRNA Levels.

Detailed explanation-4: -Reactivation tuberculosis, as the name suggests, is the reactivation of contained mycobacterial infection. Reactivation Tb is the most common form of active tuberculosis, representing 90% of the cases.

There is 1 question to complete.