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Tuberculosis in Infancy and Childhood > More Tb, ETC. > Flashcards

Flashcards in More Tb, ETC. Deck (39):
1

How many weeks from illness can TST be positive

2-12 weeks

2

Treatment for Cat IA Tb

2HRZE/10HR

3

Treatment for Cat I Tb

2HRZE/4HR

4

Treatment for Cat II

2HRZES/1HRZE/5HRE

5

Treatment for Category IIa

2HRZES/1HRZE/9HRE

6

Treatment for Cat I, indications

New Pulmonary TB
New Miliary TB
New EPTB (except CNS/ bones or joints)

7

Treatment for Cat IA Tb, indications

CNS TB, TB of Bones or joints

8

Treatment for Cat II, indications

Retreatment of Rif susceptible PTB and EPTB (except CNS/ bones or joints)

9

Treatment for Category IIa, indications

Retreatment of Rif susceptible CNS, bones or joints

10

MC radiologic finding in primary Tb

Lymphadenopathy

11

Congenital Tb, definition

TB lesion + 1 or more of the ff: 1) present within the first week of life, 2) a primary hepatic complex or caseating hepatic granuloma, 3) TB infection of the placenta or endometrial TB in the mother; or exclusion of the possibility of postnatal transmission by excluding TB in other contact

12

Skin finding in cutaneous Tb

Papulonecrotic tuberculids

13

MCC of TB enteritis

Ileum

14

Corticosteroids are given in miliary Tb for

Prevention of microalveolar block

15

Major factors for recurrence of febrile seizures

1) Age <1 2) fever <24h before seizure 3) temp 38-39

16

Minor factor for recurrence of febrile seizures

1) Family hx

17

DOC cholera

Doxycycline

18

Major risk factor for poor prog in meningococcemia

Seizure

19

Surgical closure of cleft LIP is usually performed

3 months of age, satisfactory weight gain, free of any oral respiratory, or systemic infection

20

MC technique used in cleft lip repair

Millard-rotation-advancement technique

21

Initial repair of cleft lip may be revised when

4 or 5 yrs old

22

Immediate problem in an infant born with a cleft lip or palate

Feeding

23

Goals of cleft palate surgery

1) Union of cleft segments 2) Intelligible and pleasant speech 3) Reduction of nasal regurgitation 4) Avoidance of injury to growing maxilla

24

In an otherwise healthy child, closure of the palate is usually done when

Before 1 yr old, to enhance normal speech development

25

Indications for INH preventive therapy (IPT)

1) All children with HIV that was exposed 2) <5 with exposure to bacteriologically proven TB regardless of TST 3) <5 with exposure to clinically proven TB AFTER A TST POSITIVE

26

When to repeat CXR after Tb treatment

2 months

27

When is Hep A most infectious

2 weeks before and 7 days after jaundice appears

28

Rabies: Incubation period

1-3 months

29

Rabies: 2 clinical forms

1) Encephalitic/furious 2) Paralytic/dumb

30

In Encephalitic/furious rabies, death almost always occurs within ___ days in developing countries

1-2

31

T/F Neither rabies Ig nor rabies vaccine provides benefit once symptoms have appeared

T

32

Associated with clearance of salivary viral load and survival in rabies infection

Appearance of normal antibody response by 7 days

33

Rabies prophylaxis in someone with dog abrasions that did not bleed

Rabies VACCINE only

34

Neonate diagnosed with congenital Tb, what to do?

Give INH while waiting for diagnostics

35

MC cardiac pathology in CRS

PDA

36

MDR-TB length of treatment

At least 18 months

37

Day care teacher with PTB, what to do?

INH all children x 3 months, then do TST

38

Definitive diagnosis for tb adenitis

Culture

39

Drugs used for MDRTB prophylaxis

Pyrazinamide and Fluoroquinolone