Tuberculosis (TB) Control Guidelines & Symptom Screening Tool Examination

Information about the Examination:

The examination (exam) consists of 30 true/false questions which test the participant’s understanding of information presented in the TB Control Guidelines & Symptom Screening Tool. True/False questions are automatically scored and the participant immediately notified when a question has been answered correctly. To pass this course, participants must score 80% (answer 24/30 questions correctly) or better.

Participants are encouraged to take their time, as this is not a timed test. Participants are further encouraged to retake the examination if initial & subsequent attempts, to successfully complete the examination, prove to be unsuccessful. If participants have difficulty answering questions, they may refer back to the training lessons, during the examination, for further clarification. Use the links below to refer back they will open in a new window. Do not use the back button or close out this page during your test because all answers will be lost and you will have to start over. Participants will not be able to change a test answers after the response has been rendered.

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Upon successful completion of the examination, participants will receive an electronic Certificate of Completion. Please print a copy for your records. A copy of the certificate will also be e-mailed to the Division of Substance Abuse Services.

1. The purpose of the TB Control Guidelines is to provide guidance and instruction to identify and prevent tuberculosis (TB) disease and latent TB infection (LTBI).
True False
2. Only new employees and volunteers who provide direct care services are screened annually for symptoms of active & latent TB disease.
True False
3. TB Symptom Screening Tool administrators should emphasize that service recipients should use the same name for all health visits and should be asked about other aliases that they may have used at other medical facilities or at places of employment
True False
4. A persistent fever of 98.9 º - 99.9º F may be a sign or symptom of Active TB.
True False
5. Persistent fatigue; characterized as a lessened capacity for work, reduced efficiency of accomplishment, and being weary or tired could be a sign or symptom of active TB.
True False
6. TB screening and testing records of employees, volunteers, and service recipients are not considered personal medical information and are therefore not protected by HIPAA.
True False
7. A prolonged, productive cough that lasts 3 weeks or longer which may be accompanied by thick, cloudy & sometimes bloody phlegm may be a sign or symptom of active TB.
True False
8. Questions posed in Section I of the Screening Tool should be open-ended. “Tell me about the last time you remember having a cough” is an example of an open ended discussion question.
True False
9. A sudden increase in appetite, especially at night, may be a sign or symptom of active TB.
True False
10. Chest pain which may present as a sharp pain or dull ache may be a sign or symptom of active TB.
True False
11. Severe hot flashes occurring in the daytime as a result of physical exertion and resulting in drenching sweat, that soaks clothes, may be a symptom of active TB.
True False
12. If Section I of the TB Screening Tool indicates that the volunteer, employee, or service recipient exhibits any signs and symptoms of active TB, a physician must be notified immediately.
True False
13. All new employees and volunteers must be screened with the “TB Symptom Screening Tool,” after beginning employment.
True False
14. If Section I of the TB Symptom Screening Tool indicates that the volunteer, employee, or service recipient exhibits no signs and symptoms of active TB but Section II indicates that the patient has a documented history of previous positive TB skin test (TST), treatment for LTBI must be recommended, if not previously completed.
True False
15. Alcohol and drug treatment facilities must counsel all employees and volunteers annually regarding the symptoms and signs of active TB disease.
True False
16. Any alcohol or drug treatment program employee or volunteer with symptoms suggestive of active TB disease must be referred for medical evaluation and cleared to return to work in the facility for provision of direct care services.
True False
17. All alcohol and drug treatment facilities must screen all prospective service recipients for symptoms suggestive of active TB disease prior to each admission for alcohol and drug treatment services.
True False
18. Any alcohol or drug treatment program employee or volunteer reported by a health care provider to the health department as having suspected or confirmed active TB disease may continue to work until the employee or volunteer is determined to be non-infectious by the State TB Control Officer of the Tennessee Department of Health.
True False
19. Prospective recipients of all alcohol and drug treatment services who present without symptoms of active TB, have no documentation of a previously positive TST, and have no documentation of testing for LTBI within the past six (6) months must be appropriately tested for LTBI within five (5) business days of initiation of alcohol and drug treatment services.
True False
20. All new employees and volunteers must be screened with the “TB Symptom Screening Tool” prior to beginning employment or providing volunteer services, and appropriately tested for LTBI within three (3) business days of beginning employment or providing volunteer services.
True False
21. If Section I of the TB Symptom Screening Tool indicates that the volunteer, employee, or service recipient exhibits no signs and symptoms of active TB and Section II indicates that the patient has a documented history of previous negative TST, in the past 12 months, then you should refer for TST placement and reading.
True False
22. All alcohol and drug treatment facilities must provide case management activities to ensure that employees, volunteers, and service recipients diagnosed with LTBI receive appropriate medical evaluation, counseling about the risk of LTBI progressing to active TB disease, and LTBI treatment.
True False
23. Only trained alcohol and drug treatment personnel or medical personnel are permitted to administer the “TB Symptom Screening Tool” to program employees, volunteers, or service recipients.
True False
24. A copy of the completed “TB Symptom Screening Tool” must be maintained in the file of the employee, volunteer, or service recipient, as applicable.
True False
25. A new employee or volunteer without symptoms of active TB and without documentation of a previously positive TST should be tested within three (3) business days for latent TB infection (LTBI) utilizing the two-step Mantoux method.
True False
26. A new employee or volunteer without symptoms of active TB and presenting documentation of a previously positive TST should be tested with either the TST or an IGRA.
True False
27. Volunteers, employees, and service recipients should be allowed to complete the TB Screening Tool on their own.
True False
28. All recipients of alcohol and drug treatment services must be appropriately tested for LTBI within ten (10) business days of receiving alcohol and drug treatment services.
True False
29. Alcohol and drug treatment facilities must counsel all service recipients about the symptoms and signs of active TB disease during their first week of receiving alcohol and drug treatment services.
True False
30. All new employees and volunteers should receive education about signs and symptoms of active TB disease within three (3) business days of beginning employment.
True False
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