Pulmonology: Tuberculosis and DOTS

1. Cerebral tuberculosis focus is called
a) Simmond’s
b) Simmons
c) Richs
d) Wigard’s

2. Which of the following are seriously ill TB patients except:
a) Pericardial
b) Bilateral pleural
c) Peritoneal
d) GIT
e) Pott’s disease
f) TB osteomyelitis of long bones
g) Genitourinary

3. All the following second line TB drugs are bacteriocidal except:
a) Capreomycin
b) Cycloserine
c) Kanamycin
d) Thiacetazone

4. Time interval for occurance of genitourinary TB after primary infection is:
a) 1-2 yrs
b) 5-15 yrs
c) 20-30 yrs
d) >50 yrs

5. Live TB bacteria is identified by:
a) Sputum smear
b) BACTEC
c) PCR
d) ELISA

6. Wigard’s focus is infection of TB of:
a) Brain
b) Hilar LNE
c) Eye
d) Endothelium

7. Treatment default is for:
a) >1 month
b) >2 months
c) >3months
d) >4 months

8. Class IV DOTS regimen is for:
a) Relapse
b) MDR
c) Chronic cases
d) HIV patients

9. A chronic case of TB is diagnosed when:
a) Sputum positive after 5 months of ATT
b) Sputum positive after retreatment for treatment failure
c) Patient who has sequelae and TB focus sfter ATT
d) Immunosuppressed patient with positive sputum

10. A Class I DOTS patient after 3 months of ATT was subjected to sputum examination was found to be positive then you will:
a) Diagnose chronic TB
b) Diagnose MDR TB
c) Continue ATT for 1 more month and repeat sputum examinatio
d) Diagnose treatment failure

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