Question

41. You need to give an aqueous medication IM in the vastus latcralis. What is the most appropriate needle to use for an adult? a. 2 inch, 25 gauge b. 5/8 inch, 23 gauge c. 1 inch, 18 gauge d. 1 1/2 inch, 23 gaugse e. 5/8 inch, 18 gauge What is a sign or symptom of anaphylaxis? Shortness of breath b. 42. a. Dyspnea and wheezing Throat tightening and difficulty swallowing d. c. Vomiting or diarrhca All of the above e. What is a reason for a false-positive TST result? a. Lung infection with a nontuberulous mycobacteria b. Had a bacillus Calmette-Guérin (BCG) vaccine c. Incorrect administration of the TST d. Incorrect reading of the TST e. All of the above 43. What is not a reason for false-negative TST result? a. Exposed to TB infection 6 wecks ago b. Had TB infection many, many years c. Had an inactivated vaccine 2 weeks ago d. Has a weakened immune system e Patient is less than 6 months old 44. 45. What is true regarding patient preparations for allergy testing? a. Stop long-acting antihistamines for 5 days before the testing. b. Stop all OTC, cold, sleep, and allergy medication 3 days before testing c. Stop all allergy medications and specific reflux medications 3 days before testing. d. All of the above e. A and B What is true regarding the two-step TST testing? a. If the initial TST test is positive, a second test will be given 1 to 3 weeks later. b. Healthcare professionals need a two-step TST test yearly c. If the initial test is negative and the second is positive, the person had a false- negative reaction initially d. All of the above e. B and C 46. What is true regarding blood tuberculin tests? a. Preferred testing for patients who have had the BCG vaccine b. T-Spot TB test is a two-step blood tuberculin test. 47.

Answer 1

ANSWERS :

41. To administer the medication IM in the vastus lateralis 11/2 inch needle 23 gauge is needed. The answer is d

42. Anaphylaxis is a serious allergic reaction which is life threatening. It occurs due when the immune system over reacts to the allergies causing reactions and allergic symptoms. Hence the above given options are suited for anaphylaxis. The answer is e- All of the above.

43. The reason for false TST results due to incorrect reading of the TST. The answer is d