Self-assessment questions

1. List 7 different high-risk groups for MDR-TB who should be referred for testing.

2. How many sputum samples are needed for examination for diagnosis? ___________ When and where are these samples collected? ____________

3. The __________________________________ is an individual form for each MDR-TB suspect that holds a large amount of background information about the patient. The __________________________________ is a record of all TB suspects, including TB and MDR-TB suspects seen at the MDR-TB Treatment Center.

4. List the data recorded in the TB Symptomatics Masterlist before sputum examination.

(For TC staff only)

5. What are the three tests that are generally to be performed to diagnose MDR-TB?

Under what circumstances can a patient be enrolled in treatment without these tests?

6. If an MDR-TB suspect’s DST results show resistance to H, R and E, the __________________ should be completed to present the case to the _____________ in order to make a decision about treatment. (for TC staff only)

7. What should the health worker tell the patient, if an MDR-TB suspect’s DST results show resistance to H, R and E ?

8. If an MDR-TB suspect’s culture result is negative but the patient is clinically deteriorating, what should you do?

9. If culture results show that an MDR-TB suspect is positive for TB and the DST results show resistance to H and R, but the suspect does not return to the health facility, what should the health worker do?

Why is it important for the health worker to take this action?

10. An MDR-TB suspect who is found to have confirmed MDR-TB may have infected other people with MDR-TB. Who should the confirmed MDR-TB patient ask to come to the health facility to be screened for MDR-TB?

Now compare your answers with those on the next page.