Podcast
Questions and Answers
What characterizes primary tuberculosis?
What characterizes primary tuberculosis?
- TB that has become chronic
- TB detected later in adulthood
- TB revealed for the first time (correct)
- TB detected only in children
In primary tuberculosis, where is the localization of inflammation most commonly observed?
In primary tuberculosis, where is the localization of inflammation most commonly observed?
- Pleura
- Peripheral lymph nodes
- Lung tissue (correct)
- Intrathoracic lymph nodes
What components make up the primary tuberculosis complex?
What components make up the primary tuberculosis complex?
- Focus in lungs and pleural effusion
- Focus in the abdominal cavity
- Focus in lung, specific lymphangitis and tuberculosis of regional lymph nodes (correct)
- Only lung infiltration
Which site is most commonly affected by tuberculosis in peripheral lymph nodes?
Which site is most commonly affected by tuberculosis in peripheral lymph nodes?
What does the concept of exogenic superinfection refer to?
What does the concept of exogenic superinfection refer to?
How is endogenic reinfection defined?
How is endogenic reinfection defined?
In disseminated pulmonary tuberculosis, which method of infection spread is not involved?
In disseminated pulmonary tuberculosis, which method of infection spread is not involved?
In hematogenic disseminated pulmonary tuberculosis, the localization of the infection typically occurs in which vessels?
In hematogenic disseminated pulmonary tuberculosis, the localization of the infection typically occurs in which vessels?
Proliferation of survived MBT in alveolar macrophages of airways after inspiration of sputum particles corresponds to which stage of infection?
Proliferation of survived MBT in alveolar macrophages of airways after inspiration of sputum particles corresponds to which stage of infection?
Which stage of infection corresponds to swallowing MBT by alveolar macrophages in a non-immunized organism?
Which stage of infection corresponds to swallowing MBT by alveolar macrophages in a non-immunized organism?
The development of a nonnegative response to TST after infection represents which stage?
The development of a nonnegative response to TST after infection represents which stage?
Reactivation of a TB focus in lung tissue with caseous necrosis suggests which stage of infection?
Reactivation of a TB focus in lung tissue with caseous necrosis suggests which stage of infection?
What does the expectoration of sputum contaminated by MBT and subsequent infection of another person indicate?
What does the expectoration of sputum contaminated by MBT and subsequent infection of another person indicate?
Which type of hypersensitivity is the basis of TB inflammation?
Which type of hypersensitivity is the basis of TB inflammation?
In latent TB infection, which condition describes the infectious process?
In latent TB infection, which condition describes the infectious process?
What is the epidemiologic parameter of infection in TB?
What is the epidemiologic parameter of infection in TB?
Which clinical form of TB typically presents on a Chest X-ray resembling pneumonia?
Which clinical form of TB typically presents on a Chest X-ray resembling pneumonia?
What clinical form of TB is characterized by the predominance of exudative inflammation in the lung?
What clinical form of TB is characterized by the predominance of exudative inflammation in the lung?
Which form of TB is associated with a predominance of productive-proliferative inflammation in the lung?
Which form of TB is associated with a predominance of productive-proliferative inflammation in the lung?
Which clinical form of TB typically results from ineffective chemotherapy courses?
Which clinical form of TB typically results from ineffective chemotherapy courses?
Which form of TB is characterized by the prevalence of caseous necrosis in the lung?
Which form of TB is characterized by the prevalence of caseous necrosis in the lung?
Which clinical form of TB usually has a gradual onset?
Which clinical form of TB usually has a gradual onset?
Which clinical form of TB is most frequently associated with an acute onset?
Which clinical form of TB is most frequently associated with an acute onset?
Which clinical form of TB typically shows a shadow with a definitive low border and an indefinite upper border on imaging?
Which clinical form of TB typically shows a shadow with a definitive low border and an indefinite upper border on imaging?
What is the main thermo-stable component of tuberculin?
What is the main thermo-stable component of tuberculin?
What does tuberculin act as in relation to M.tuberculosis?
What does tuberculin act as in relation to M.tuberculosis?
After contamination with M.tuberculosis, how long does it typically take for the host body to react to the injection of Tuberculin?
After contamination with M.tuberculosis, how long does it typically take for the host body to react to the injection of Tuberculin?
What type of hypersensitivity is the basis of the skin response to the injection of tuberculin?
What type of hypersensitivity is the basis of the skin response to the injection of tuberculin?
What is the most common indication for a Tuberculin Skin Test (TST)?
What is the most common indication for a Tuberculin Skin Test (TST)?
For active diagnosis of TB, how frequently is the TST carried out in Russia?
For active diagnosis of TB, how frequently is the TST carried out in Russia?
How much PPD-S is included in a dosage of 0.1 ml?
How much PPD-S is included in a dosage of 0.1 ml?
What defines polyresistance in mycobacterium tuberculosis (MBT)?
What defines polyresistance in mycobacterium tuberculosis (MBT)?
What percentage of new tuberculosis cases in Russia is associated with multidrug-resistant tuberculosis (MDR)?
What percentage of new tuberculosis cases in Russia is associated with multidrug-resistant tuberculosis (MDR)?
What limits the successful treatment of new tuberculosis cases during the initial phase of chemotherapy?
What limits the successful treatment of new tuberculosis cases during the initial phase of chemotherapy?
Which method is used to detect genetic mutants of mycobacterium tuberculosis with resistance to antituberculous drugs?
Which method is used to detect genetic mutants of mycobacterium tuberculosis with resistance to antituberculous drugs?
What is the definition of acquired (secondary) resistance in mycobacterium tuberculosis?
What is the definition of acquired (secondary) resistance in mycobacterium tuberculosis?
In how many weeks can resistance of mycobacterium tuberculosis develop when inadequately chosen anti-tuberculous drugs are used?
In how many weeks can resistance of mycobacterium tuberculosis develop when inadequately chosen anti-tuberculous drugs are used?
How long does multidrug-resistant tuberculosis (MDR-TB) increase the course of antituberculous treatment?
How long does multidrug-resistant tuberculosis (MDR-TB) increase the course of antituberculous treatment?
What location is favored for secondary tuberculosis as seen on a chest X-ray?
What location is favored for secondary tuberculosis as seen on a chest X-ray?
Which type of tuberculosis is more likely to present with a rapid progression of symptoms?
Which type of tuberculosis is more likely to present with a rapid progression of symptoms?
Which type of TB is most associated with cachexia?
Which type of TB is most associated with cachexia?
Expectoration of more than 100 ml of sputum is typically seen in which type of TB?
Expectoration of more than 100 ml of sputum is typically seen in which type of TB?
Which of the following conditions is more likely to cause dyspnea?
Which of the following conditions is more likely to cause dyspnea?
In comparison to infiltrative pneumonia, caseous pneumonia is more characterized by which condition?
In comparison to infiltrative pneumonia, caseous pneumonia is more characterized by which condition?
In the presence of caseous pneumonia, the shift of the mediastinum is associated with which phenomenon?
In the presence of caseous pneumonia, the shift of the mediastinum is associated with which phenomenon?
The presence of two hyperinflated caverns in the left lung with a mediastinum shift suggests which type of TB?
The presence of two hyperinflated caverns in the left lung with a mediastinum shift suggests which type of TB?
Which type of dissemination is characterized by bilateral foci that are 1-2 mm in size?
Which type of dissemination is characterized by bilateral foci that are 1-2 mm in size?
Flashcards
Primary TB
Primary TB
The first time TB is detected in an individual.
Primary TB inflammation localization
Primary TB inflammation localization
The typical site of inflammation in primary TB is in the lymph nodes surrounding the lungs.
Primary Tuberculosis Complex
Primary Tuberculosis Complex
The combination of the initial focus of TB infection in the lungs and the involvement of nearby lymph nodes.
Paraspecific reactions in TB
Paraspecific reactions in TB
Signup and view all the flashcards
TB in peripheral lymph nodes
TB in peripheral lymph nodes
Signup and view all the flashcards
Exogenic super infection
Exogenic super infection
Signup and view all the flashcards
Endogenic reinfection
Endogenic reinfection
Signup and view all the flashcards
Hematogenic disseminated pulmonary TB
Hematogenic disseminated pulmonary TB
Signup and view all the flashcards
1st stage of TB infection
1st stage of TB infection
Signup and view all the flashcards
2nd stage of TB infection
2nd stage of TB infection
Signup and view all the flashcards
3rd stage of TB infection
3rd stage of TB infection
Signup and view all the flashcards
4th stage of TB infection
4th stage of TB infection
Signup and view all the flashcards
5th stage of TB infection
5th stage of TB infection
Signup and view all the flashcards
Delayed-type hypersensitivity
Delayed-type hypersensitivity
Signup and view all the flashcards
Infection rate in TB epidemiology
Infection rate in TB epidemiology
Signup and view all the flashcards
Risk of developing active TB
Risk of developing active TB
Signup and view all the flashcards
What is tuberculin?
What is tuberculin?
Signup and view all the flashcards
What type of antigen is tuberculin?
What type of antigen is tuberculin?
Signup and view all the flashcards
Tuberculin as an allergen
Tuberculin as an allergen
Signup and view all the flashcards
What is the tuberculin skin test (TST)?
What is the tuberculin skin test (TST)?
Signup and view all the flashcards
What is the basis of the skin response to tuberculin?
What is the basis of the skin response to tuberculin?
Signup and view all the flashcards
For what is the TST most commonly used?
For what is the TST most commonly used?
Signup and view all the flashcards
How often is the TST performed in Russia?
How often is the TST performed in Russia?
Signup and view all the flashcards
What are the standard doses of tuberculin?
What are the standard doses of tuberculin?
Signup and view all the flashcards
Polyresistance (combined) TB
Polyresistance (combined) TB
Signup and view all the flashcards
Multidrug Resistant (MDR) TB
Multidrug Resistant (MDR) TB
Signup and view all the flashcards
MDR-TB Prevalence in Russia
MDR-TB Prevalence in Russia
Signup and view all the flashcards
Acquired (secondary) resistance
Acquired (secondary) resistance
Signup and view all the flashcards
PCR for Drug Resistance Detection in MTB
PCR for Drug Resistance Detection in MTB
Signup and view all the flashcards
Time Frame for Drug Resistance Development
Time Frame for Drug Resistance Development
Signup and view all the flashcards
Secondary TB Localization
Secondary TB Localization
Signup and view all the flashcards
Primary TB Localization
Primary TB Localization
Signup and view all the flashcards
Disseminated TB
Disseminated TB
Signup and view all the flashcards
Fibrous-cavernous TB
Fibrous-cavernous TB
Signup and view all the flashcards
Cloud-like Infiltrate
Cloud-like Infiltrate
Signup and view all the flashcards
Infiltrative TB
Infiltrative TB
Signup and view all the flashcards
Exudative TB
Exudative TB
Signup and view all the flashcards
Productive-proliferative TB
Productive-proliferative TB
Signup and view all the flashcards
Caseous TB
Caseous TB
Signup and view all the flashcards
Cachexia
Cachexia
Signup and view all the flashcards
Caseous pneumonia
Caseous pneumonia
Signup and view all the flashcards
Dyspnea
Dyspnea
Signup and view all the flashcards
Caseous pneumonia
Caseous pneumonia
Signup and view all the flashcards
Atelectasis
Atelectasis
Signup and view all the flashcards
Miliary TB
Miliary TB
Signup and view all the flashcards
Hematogenic Disseminated TB
Hematogenic Disseminated TB
Signup and view all the flashcards
Study Notes
Tuberculosis History
- Tuberculosis (TB) is an infectious disease primarily caused by Mycobacterium tuberculosis, with a predilection for lung localization.
- The most ancient recognition of TB likely involved cases of infiltrative TB or TB of peripheral lymph nodes.
- Hippocrates provided an early, systemic description of TB's clinical and epidemiological features.
- Aristotle first proposed the infectious nature of TB.
- Avicenna contributed to the understanding of the clinical manifestations of TB.
- Jacob Monget first described miliary tuberculosis.
- The term "tuberculosis" was initially proposed by Girolamo Fracastorius.
- The famous Russian surgeon Pirogov is linked to the development of surgical treatment methods for TB (and description of specific necrosis cases).
- Koch improved the staining method for M.tuberculosis.
- Calmette and Guerin (also known as C.G) developed a vaccine for TB prevention.
Tuberculosis Etiology and Pathogenesis
- Mycobacterium tuberculosis is a bacteria.
- The primary cause of TB in humans is M. tuberculosis.
- Mycobacterial modifications initially occur due to chemotherapy.
- M. tuberculosis has different forms.
- Koch bacilli can transform into L-forms or virus-like forms.
- TB development is influenced by several factors, including genetic mutations, treatment inadequacies, and treatment interruptions.
Tuberculosis: Diagnostic Features
- The Ziehl-Neelsen method uses acid-fast staining properties of TB to distinguish M. tuberculosis from other bacteria.
- The method involves multiple steps, including staining with carbol-fuchsin, acid-alcohol decolorization, counterstaining, and methylene blue.
- Diagnostic methods of TB include sputum analysis, imaging (e.g., X-ray), and tests like TST and IGRA.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.