Pediatric Tuberculosis: An Online Presentation

1. Which strategy yields the greatest number of pediatric TB cases in the U.S.?

	a.	Universal screening of healthy, low risk children by tuberculin skin test (TST).
	b.	Evaluation of children with symptoms suggestive of TB.
	c.	Evaluation of children exposed to contagious adults with TB.
	d.	Skin testing of children with pneumonia.

2. Which of the following regarding diagnosis of TB in children is FALSE?

	a.	Children with radiographic changes consistent with TB usually have a chronic cough.
	b.	Children are difficult to diagnose with TB because they cannot easily cough out sputum.
	c.	Children don’t always have a positive TST at the time of TB diagnosis.
	d.	Children with a positive TST or suspected of having TB should have a focused physical exam looking for possible extrapulmonary TB.

3. A three-year-old child is exposed in a household setting to a parent with smear-positive pulmonary tuberculosis. The child is found to be TST negative with a negative chest radiograph. What would be the most appropriate action?

	a.	Follow the child with a chest radiograph every 6 months for two years.
	b.	Follow the child and repeat the TST in 2-3 months.
	c.	Begin Isoniazid treatment for latent tuberculosis infection.
	d.	Begin Isoniazid treatment in case the child has early latent tuberculosis infection and repeat the skin test in 8-10 weeks.

4. Which of the following statements about treating TB disease in children is TRUE?

	a.	Children generally have a harder time than adults tolerating anti-TB drugs.
	b.	The standard four TB drugs are Isoniazid, Rifampin, Ethambutol and Streptomycin.
	c.	The standard recommended course of treatment for children is 12 months.
	d.	Isoniazid liquid is poorly tolerated by children.

First Name:


Last Name:


Email: