PORTFOLIO CONTENT PRETEST San Francisco, California LAST NAME FIRST NAME TUBERCULOSIS SKIN TESTING WORKSHOP POST-TEST 1. A Mantoux skin test is administered: A. B. 2. 6 months or more 7 to 10 days C. D. 2 to 10 weeks 48 to 72 hours Up Down C. D. At 90 degrees to the skin Any direction Immediately 24 hours if contact was recent C. D. 48 to 72 hours 10 weeks after the last exposure Erythema Induration C. Erythema and Induration In what situation is two-step testing used? A. B. C. D. 8. .5 ml 1 ml When reading a PPD, you measure: A. B. 7. C. D. How long after the TB skin test is placed should it be read? A. B. 6. .05 ml .1 ml When placing a PPD, the bevel of the needle should be facing: A. B. 5. Subcutaneously By scratching the skin After TB has been transmitted, how long does it take before TB infection can be detected by the tuberculin skin test? A. B. 4. C. D. In a tuberculin skin test, the correct amount of PPD antigen to use is: A. B. 3. Intramuscularly Intradermally When testing HIV-infected patients When testing new employees in a TB screening program When any patient’s first Mantoux skin test reaction is positive When country western dancing in Texas When measuring a PPD, you measure: A. B. Across the arm (transverse) Down the arm (longitudinal) C. D. The largest measurement The smallest measurement Continued on back side MI 9. Which of the following can cause a false positive skin test reaction? A. B. C. D. 10. A positive reaction to the Mantoux TB skin test means: A. B. C. 11. The person is allergic to the PPD solution The person is infected with the TB germ The person has TB disease If a patient presents with a BCG history, you should: A. B. C. D. 12. Recent TB infection (within the past 10 years) Vaccination with BCG Advanced age Recent tattoo Not place a PPD as it will probably react positive; do a chest x-ray instead Disregard the BCG history if it was given more than one year ago Do nothing, as BCG prevents TB infection and disease Ask patient for proof by showing his/her BCG scar A person with a positive skin test should be referred for: A. B. A chest x-ray Evaluation for preventive therapy C. D. Treatment for active disease Both A and B 13. What induration size is considered a positive PPD reaction for the following three populations: people with HIV infection close contacts of people with infectious TB people with chest x-ray findings suggestive of previous TB disease A. B. 14. 5 or more millimeters 10 or more millimeters C. 15 or more millimeters Which statement is true about the difference between TB infection and TB disease? A. B. C. D. Only individuals with TB disease have tubercle bacilli in their bodies Symptoms occur only with TB disease TB infection is counted as a case but TB disease is not Sputum smears and cultures are positive with TB infection but not with TB disease PLEASE TURN IN YOUR TEST WHEN YOU ARE FINISHED. THANK YOU.