# Patient requires isolation for suspected ______ tuberculosis.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=168372  
> language: ko  
> subject: Diseases of the respiratory system

## 문제

Patient requires isolation for suspected ______ tuberculosis.

Chicago Med Season 6 Episode 4

## 보기

1. pulmonary **✔ 정답**
2. miliary
3. extrapulmonary
4. latent
5. disseminated

**정답: 1**

## 해설

Pulmonary' TB requires airborne isolation to prevent transmission to healthcare workers and other patients.

## 임상 시나리오

Tuberculosis (TB) Types and Precautions:

1. Pulmonary TB:
- Primary infection in lungs
- Highly contagious through airborne droplets
- Requires negative pressure isolation room
- Symptoms: cough, hemoptysis, chest pain

2. Transmission Prevention:
- N95 respirator masks required
- Airborne isolation precautions
- Proper ventilation systems
- Minimum 12 air exchanges per hour

3. Diagnostic Tests:
- Sputum culture
- Chest X-ray
- PPD skin test
- Interferon-gamma release assays

4. Treatment Duration:
- Minimum 6 months therapy
- Multiple drug regimen
- RIPE therapy (Rifampin, Isoniazid, Pyrazinamide, Ethambutol)

5. Healthcare Worker Protection:
- Annual TB screening
- Fit testing for N95 masks
- Exposure monitoring
- Infection control protocols

## 핵심 개념

- **pulmonary** — relating to or affecting the lungs, referring to tuberculosis infection primarily in the lungs
- **miliary** — characterized by multiple small lesions resembling millet seeds, describing widespread dissemination of TB throughout the body
- **extrapulmonary** — occurring in parts of the body other than the lungs, such as lymph nodes, bones, or other organs
- **latent** — present but not active or causing symptoms, describing TB infection that is dormant in the body
- **disseminated** — spread throughout the body from an original site of infection, affecting multiple organs or systems

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