We had our first exam today

ihalterman

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I scored 48/50. One of the questions bugs me.

Q:You have been told that you must get your annual purified protein derivative (PPD) test for tuberculosis (TB). As a knowledgeable EMT, you recognize that the PPD will:

My A : Reveal if you have active tuberculosis


Correct A: Determine if you have been exposed to TB.

I think my answer is a "More true" statement. A TB test cannot determine if you have been exposed to TB. It can only tell if you have TB. Correct?
 
A positive TB test does not mean you have active TB, it means you have been exposed and carry the antibodies.

Active TB will be determined by chest xray.
 
There is a difference between having TB and having active TB. If I remember correctly, the only(or maybe just best) way to determine if you have active TB is a chest x-ray. The PPD just determines if you have been exposed. If you are positive, they will tell you to get a chest x-ray.

I'm sure I could have explained all that better, but does that make sense?

Oh, and good job on the test. Keep it up.

Edit: Dang, got beat to it.
 
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I scored 48/50. One of the questions bugs me.

Q:You have been told that you must get your annual purified protein derivative (PPD) test for tuberculosis (TB). As a knowledgeable EMT, you recognize that the PPD will:

My A : Reveal if you have active tuberculosis


Correct A: Determine if you have been exposed to TB.

I think my answer is a "More true" statement. A TB test cannot determine if you have been exposed to TB. It can only tell if you have TB. Correct?

Nope, yer incorrect. PPD only tests for exposure.
 
I reread the chapter and, yeah, I was wrong. THanks for the replies
 
Nope, yer incorrect. PPD only tests for exposure.


Err... not really correct either. Purified protein derivative (PPD) tests for a memory B-cell response to TB proteins. So if you've received the vaccine (rare in the US), then you'll produce a response. Similarly, someone who has TB or has been exposed to TB and is immunocompromised might not have a reaction.

If you are positive, they will tell you to get a chest x-ray.

An important caveat is that once you test positive, you might as well skip the PPD test and go straight to x-ray.
 
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