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Tuberculosis Among Homeless Individuals

1. All of the following groups are disproportionately affected by tuberculosis, except for:

A. People experiencing homelessness

B. Children and elderly

C. Foreign-born populations

D. Racial/ethnic minorities

2. Which of the following factors favor TB transmission?

A. Crowded living situations

B. Excessive alcohol use

C. High rates of incarceration

D. All of the above

3. The high TB rates in the homeless population is reflective of the TB rates found in the US before industrialization, suggesting that TB control efforts have failed to address the TB epidemic among those who are most impoverished.

A. True

B. False

4. It is important for health care professionals to be conscious that TB bacteria are spread from person to person when an infectious person:

A. Speaks

B. Laughs

C. Sings

D. All of the above

5. All of the following statements regarding TB are true, except for:

A. TB germs can stay in the air for only a matter of minutes.

B. TB disease can be fatal if not treated properly.

C. Those with latent TB infection do not feel sick or have TB symptoms and cannot spread the bacteria to others.

D. Homeless shelters are among the most likely places for TB transmission since they are conducive to crowding and house populations that are at increased risk of advanced TB disease.

6. A positive reaction to the PPD indicates that the person has active TB disease.

A. True

B. False

7. Because of the possibility of false negatives with either the TST or IGRA, neither test rules out the presence of active TB.  Diagnosing TB requires looking at multiple factors and using clinical judgment.

A. True

B. False

8. TB differs from other diseases because, by law, the onus of completion of therapy is on the health care provider and local health department, not the patient.

A. True

B. False

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