Tuberculosis and Pregnancy
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Questions and Answers

What is the effect of pregnancy on tuberculosis if it is under treatment?

  • Pregnancy masks the symptoms of tuberculosis
  • Pregnancy worsens tuberculosis
  • Pregnancy improves tuberculosis
  • Pregnancy has no effect on tuberculosis (correct)
  • What is a risk factor for tuberculosis?

  • Underweight (by at least 15%)) (correct)
  • Upper socioeconomic class
  • Normal body weight
  • Vegetarian diet
  • What is a consequence of tuberculosis on pregnancy?

  • Increased IUD (correct)
  • Term delivery
  • Increased fertility
  • Decreased abortion
  • What is the criterion for a positive TST (tuberculin skin test)?

    <p>PPD ≥5mm</p> Signup and view all the answers

    What is a complication of tuberculosis during pregnancy?

    <p>Preterm delivery</p> Signup and view all the answers

    What is a global health emergency reported by the WHO in 2000?

    <p>MDR-TB</p> Signup and view all the answers

    Which of the following is NOT a consequence of tuberculosis on pregnancy, as described in the text?

    <p>Increased risk of premature rupture of membranes</p> Signup and view all the answers

    Based on the text, which of the following groups is NOT directly identified as a risk factor for tuberculosis?

    <p>Individuals with a history of cigarette smoking</p> Signup and view all the answers

    What is the significance of a tuberculin skin test (TST) result of ≥5mm in an HIV positive individual?

    <p>It suggests a previous exposure to tuberculosis</p> Signup and view all the answers

    Which of the following statements is NOT supported by the text regarding the impact of tuberculosis on pregnancy?

    <p>Tuberculosis can cause a decreased risk of preeclampsia</p> Signup and view all the answers

    The text states that tuberculosis prevalence rises with HIV. Which of the following is NOT a likely explanation for this observation?

    <p>HIV infection directly causes tuberculosis</p> Signup and view all the answers

    Based on the text, which of the following is NOT considered a risk factor for developing tuberculosis?

    <p>Exposure to asbestos</p> Signup and view all the answers

    Study Notes

    Effect of Pregnancy on Tuberculosis

    • Treatment of TB does not worsen during pregnancy if the condition is managed properly.
    • Pregnancy is associated with reduced fertility in women with TB.
    • Increased risks include higher rates of miscarriage and intrauterine death (IUD).
    • TB may relapse during the puerperium (postpartum period) and intensify symptoms.
    • Severe cases of TB during pregnancy lead to higher preterm delivery rates.
    • There is an elevated risk of intrauterine growth restriction (IUGR).
    • Low birth weight is more common among infants born to mothers with active TB.

    Incidence of Tuberculosis in Pregnant Women

    • Pregnant women with TB often reside in socioeconomically disadvantaged areas.
    • The prevalence of TB significantly increases among individuals with HIV.
    • WHO declared a global health emergency in 2000 due to the emergence of multi-drug resistant tuberculosis (MDR-TB).

    Risk Factors for Tuberculosis

    • Family history or previous incidents of TB increase susceptibility.
    • Living conditions linked to low socioeconomic status contribute to higher risk.
    • Immunocompromised individuals, including those with HIV/AIDS, alcoholism, and intravenous drug users, are more prone to TB.
    • A body weight deficiency of at least 15%, diabetes, and jejunoileal bypass surgery heighten the risk of developing TB.
    • Persistent kidney failure can complicate the condition as well.
    • Less frequent forms of extreme lung tuberculosis contribute to overall prevalence.

    Diagnosis of Tuberculosis

    • Tuberculin Skin Test (TST) indicates a positive result with a PPD reading of ≥5mm, particularly in HIV-positive patients.
    • Induration is the key criterion for determining a positive TST reaction.

    Effect of Pregnancy on Tuberculosis

    • Treatment of TB does not worsen during pregnancy if the condition is managed properly.
    • Pregnancy is associated with reduced fertility in women with TB.
    • Increased risks include higher rates of miscarriage and intrauterine death (IUD).
    • TB may relapse during the puerperium (postpartum period) and intensify symptoms.
    • Severe cases of TB during pregnancy lead to higher preterm delivery rates.
    • There is an elevated risk of intrauterine growth restriction (IUGR).
    • Low birth weight is more common among infants born to mothers with active TB.

    Incidence of Tuberculosis in Pregnant Women

    • Pregnant women with TB often reside in socioeconomically disadvantaged areas.
    • The prevalence of TB significantly increases among individuals with HIV.
    • WHO declared a global health emergency in 2000 due to the emergence of multi-drug resistant tuberculosis (MDR-TB).

    Risk Factors for Tuberculosis

    • Family history or previous incidents of TB increase susceptibility.
    • Living conditions linked to low socioeconomic status contribute to higher risk.
    • Immunocompromised individuals, including those with HIV/AIDS, alcoholism, and intravenous drug users, are more prone to TB.
    • A body weight deficiency of at least 15%, diabetes, and jejunoileal bypass surgery heighten the risk of developing TB.
    • Persistent kidney failure can complicate the condition as well.
    • Less frequent forms of extreme lung tuberculosis contribute to overall prevalence.

    Diagnosis of Tuberculosis

    • Tuberculin Skin Test (TST) indicates a positive result with a PPD reading of ≥5mm, particularly in HIV-positive patients.
    • Induration is the key criterion for determining a positive TST reaction.

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    Description

    This quiz covers the effects of tuberculosis on pregnancy, including fertility, abortion, and preterm delivery, as well as the impact of pregnancy on TB treatment. It also discusses the incidence of TB in pregnant women, especially in disadvantaged areas with high HIV prevalence.

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