RVCT Self-Study Posttest - Answer Key

_ Your Name RVCT Self-Study Module Posttest June, 2009 ANSWERS For question circle the one best answer How many reports does the RVCT form include? A One report: all the items on the RVCT form are reported at one time B Two reports: the RVCT and one Follow Up Report X C Three reports: the RVCT and two Follow Up Reports D Four reports: the RVCT and three Follow Up Reports For questions – match the description with the RVCT item by writing in the number for the description on the line next to the item Choose the one best answer for each question What is the description for the items listed below? C _ RVCT Item Item Date Reported A A _ Item Date Submitted B Date that the counting authority verifies the case as TB and includes it in the official case count B _ Item Date Counted C Date that a health department first suspects that the patient might have TB Description Date the reporting area sends the RVCT to the counting authority For questions – 20 circle the one best answer for each question Item - Count Status What is needed to determine the count status? A That it is a verified case of TB B That the case is countable (if the case meets the surveillance definition) C Verified that it is not counted somewhere else X D E A, B, and C are all correct Only A and B are correct Item - Count Status Case Study - Manuel Manuel is diagnosed with TB in May 2008 after being evaluated at the health department in Laredo, Texas He successfully completes directly observed therapy on December 10, 2008 In July 2009, Manuel presents to health department again because of cough and fever The clinician recognizes signs of TB disease Manuel’s chest radiograph is consistent with TB disease An AFB culture is positive for M tuberculosis complex and he is started on anti-TB therapy again Should Manuel’s new information be submitted and should his case be countable for 2009 national surveillance? A Yes, his information should be submitted and Yes, it should be counted in the 2009 national surveillance X B Yes, his information should be submitted and No, it should NOT be counted in the 2009 national surveillance C No, his information should NOT be submitted and No, it should NOT be counted in the 2009 national surveillance Note for answer - CDC recommends that programs submit an RVCT for cases that recur within 12 months after completion of therapy These cases are noncountable for area morbidity but will be used to assess program management burden In item Count Status, select verified case: recurrent TB within 12 months Since TB recurred within 12 months after completion of therapy, not select count as a TB case Item 11 - Race Case Study – Arnold Arnold says that his father is Hawaiian and his mother is Filipino He says he is both of those races Which of the following should you check for Arnold’s race? A American Indian or Alaska Native B Asian C Native Hawaiian or Other Pacific Islander D A, B, and C are all correct X E Only B and C are correct Questions – refer to the Case Study – Carmelita Case Study – Carmelita Carmelita was born in Guatemala 10 years ago Her parents met each other in Guatemala and got married Carmelita’s mother was born in New York City and is a U.S citizen Her father is a citizen of Guatemala Item 12 – Country of Birth What should be entered for country of birth for Carmelita? A X B Yes, “U.S.-born,” country of birth United States Yes, ”U.S.-born,” country of birth Guatemala C No, not “U.S.-born,” country of birth United States D No, not “U.S.-born,” country of birth Guatemala Item 14 – Pediatric TB Patients ( 12 months with the patient Choose the one best answer for each question Item 45 – Reason Therapy was Extended for > 12 Months What is the Reason Therapy was Extended for > 12 Months for the following patients? Patient C _ 29 Marie, who is being treated for TB, and her brother Donny travel to Salt Lake City, Utah, to attend their Uncle Andy’s funeral Marie forgets to take her anti-TB medicine along on the trip Furthermore, she does not show up for DOT appointments for the next weeks Reason Therapy Extended > 12 months A Rifampin resistance B Adverse drug reaction C Non-adherence D Failure A _ 30 Geraldo’s initial drug susceptibility results indicate that he has drug resistance to isoniazid and rifampin E Clinical indications – other reasons F Other 11 ... Carmelita? A X B Yes, “U.S.-born,” country of birth United States Yes, ”U.S.-born,” country of birth Guatemala C No, not “U.S.-born,” country of birth United States D No, not “U.S.-born,” country of... No, it should NOT be counted in the 2009 national surveillance Note for answer - CDC recommends that programs submit an RVCT for cases that recur within 12 months after completion of therapy These... record responses to indicate that Hal has miliary TB? A Item 16 - Site of Disease B Item 22 A - Evidence of miliary TB C Item 22 B - Evidence of miliary TB D A, B, and C are correct X E Only B