Quiz: TB - MCQs (health)


TB - MCQsOnline version 30 questions and time allocated 30 minutes . by Anupama K 1 A 35-year-old male with cough presents to PHC. CBNAAT shows TB detected, rifampicin resistance detected. What is the next best step? Choose one or more answers a Start DS-TB regimen b Start MDR regimen immediately c Repeat CBNAAT d Wait for culture confirmation 2 A patient on ATT develops jaundice at 3 weeks. Which drug is MOST likely responsible? Choose one or more answers a Ethambutol b Rifampicin c Isoniazid d Pyrazinamide 3 Which sequence is correct under NTEP diagnostic algorithm for presumptive TB? Choose one or more answers a X-ray → CBNAAT → Smear b Smear → Culture → X-ray c CBNAAT → Additional DST → Treatment d Culture → CBNAAT 4 In a district, 70% GPs meet presumptive TB examination ≥30/1000 but notification rate is high (>1/1000). Interpretation? a Good surveillance b Underdiagnosis c High transmission persists d Poor screening 5 A diabetic patient on ATT shows delayed sputum conversion at 2 months. Best a Treatment failure b MDR-TB c Risk factor for delayed response d Stop treatment 6 Which indicator is MOST sensitive to program performance at GP level? a TB mortality b Treatment success c Presumptive TB examination rate d DST rate 7 Which mutation is most commonly detected in rifampicin resistance? a katG b rpoB c inhA d gyrA 8 A patient is smear-negative but symptomatic with suggestive X-ray. CBNAAT negative. Next step? a Ignore b Start ATT c Repeat CBNAAT / culture d Give antibiotics 9 What is the operational definition of “lost to follow-up”? a Missing 1 dose b Missing >1 week c Missing ≥1 month d Missing ≥2 months 10 Which of the following contributes MOST to ongoing TB transmission? a Extrapulmonary TB b Latent TB c Undiagnosed smear-positive TB d Treated TB 11 In MDR regimen, which drug has highest risk of QT prolongation? a Clofazimine b Bedaquiline c Linezolid d Cycloserine 12 A district shows high DST coverage but low treatment success. Likely issue? a Diagnosis b Drug resistance detection c Treatment adherence d Screening 13 Which is the MOST appropriate screening tool in community ACF? a CBNAAT b Chest X-ray + symptom screening c Culture d LPA 14 A patient with TB + HIV has CD4 <200. What is priority? a Delay ATT b Start ART first c Start ATT first, then ART d Only ART 15 Which indicator reflects financial protection under NTEP? a Treatment success b Nikshay Poshan coverage c Notification rate d DST rate 16 Which drug is bactericidal in early phase? a Ethambutol b Isoniazid c Cycloserine d PAS 17 In TB Mukt Panchayat, which combination is CORRECT? a High notification + low DST b Low notification + high success c High mortality + high screening d Low screening + low incidence 18 Which factor MOST affects TB incidence reduction? a Vaccination b Nutrition alone c Early diagnosis + treatment d Isolation only 19 A patient has rifampicin-sensitive TB but is not improving clinically. Next step? a Stop drugs b Repeat CBNAAT/DST c Continue same d Add antibiotics 20 Which parameter best evaluates quality of TB care cascade? a Notification rate b Treatment success rate c Prevalence d Incidence 21 Which population is MOST important for TB elimination strategy? a General population b High-risk groups c Children only d Elderly only 22 A GP shows 100% Poshan coverage but poor outcomes. Interpretation? a Nutrition alone insufficient b Program success c Overdiagnosis d Good control 23 Which test detects both TB and resistance within 2 hours? a Smear b Culture c CBNAAT d LPA 24 What is the MOST critical break point in TB care cascade? a Diagnosis b Treatment initiation c Adherence d Follow-up 25 Which condition leads to false-negative CBNAAT? a High bacillary load b Early disease / low bacillary load c MDR-TB d HIV 26 Which indicator is MOST useful for early outbreak detection? a Mortality b Notification spike c Treatment success d DST 27 Which drug is associated with serotonin syndrome risk? a Linezolid b Bedaquiline c Rifampicin d Ethambutol 28 Which programmatic strategy reduces “missing TB cases”? a Passive case finding b Active case finding c Only treatment d Vaccination 29 Which is the MOST sensitive indicator of program failure at district level? a High mortality b Low DST c Low treatment success d Low screening 30 A district achieves all targets except DST <60%. What is the risk? a Overdiagnosis b Missed drug resistance c Poor nutrition d Low screening

1

A 35-year-old male with cough presents to PHC. CBNAAT shows TB detected, rifampicin resistance detected. What is the next best step?

Choose one or more answers

a

Start DS-TB regimen

b

Start MDR regimen immediately

c

Repeat CBNAAT

d

Wait for culture confirmation

2

A patient on ATT develops jaundice at 3 weeks. Which drug is MOST likely responsible?

Choose one or more answers

a

Ethambutol

b

Rifampicin

c

Isoniazid

d

Pyrazinamide

3

Which sequence is correct under NTEP diagnostic algorithm for presumptive TB?

Choose one or more answers

a

X-ray → CBNAAT → Smear

b

Smear → Culture → X-ray

c

CBNAAT → Additional DST → Treatment

d

Culture → CBNAAT

4

In a district, 70% GPs meet presumptive TB examination ≥30/1000 but notification rate is high (>1/1000). Interpretation?

a

Good surveillance

b

Underdiagnosis

c

High transmission persists

d

Poor screening

5

A diabetic patient on ATT shows delayed sputum conversion at 2 months. Best

a

Treatment failure

b

MDR-TB

c

Risk factor for delayed response

d

Stop treatment

6

Which indicator is MOST sensitive to program performance at GP level?

a

TB mortality

b

Treatment success

c

Presumptive TB examination rate

d

DST rate

7

Which mutation is most commonly detected in rifampicin resistance?

a

katG

b

rpoB

c

inhA

d

gyrA

8

A patient is smear-negative but symptomatic with suggestive X-ray. CBNAAT negative. Next step?

a

Ignore

b

Start ATT

c

Repeat CBNAAT / culture

d

Give antibiotics

9

What is the operational definition of “lost to follow-up”?

a

Missing 1 dose

b

Missing >1 week

c

Missing ≥1 month

d

Missing ≥2 months

10

Which of the following contributes MOST to ongoing TB transmission?

a

Extrapulmonary TB

b

Latent TB

c

Undiagnosed smear-positive TB

d

Treated TB

11

In MDR regimen, which drug has highest risk of QT prolongation?

a

Clofazimine

b

Bedaquiline

c

Linezolid

d

Cycloserine

12

A district shows high DST coverage but low treatment success. Likely issue?

a

Diagnosis

b

Drug resistance detection

c

Treatment adherence

d

Screening

13

Which is the MOST appropriate screening tool in community ACF?

a

CBNAAT

b

Chest X-ray + symptom screening

c

Culture

d

LPA

14

A patient with TB + HIV has CD4 <200. What is priority?

a

Delay ATT

b

Start ART first

c

Start ATT first, then ART

d

Only ART

15

Which indicator reflects financial protection under NTEP?

a

Treatment success

b

Nikshay Poshan coverage

c

Notification rate

d

DST rate

16

Which drug is bactericidal in early phase?

a

Ethambutol

b

Isoniazid

c

Cycloserine

d

PAS

17

In TB Mukt Panchayat, which combination is CORRECT?

a

High notification + low DST

b

Low notification + high success

c

High mortality + high screening

d

Low screening + low incidence

18

Which factor MOST affects TB incidence reduction?

a

Vaccination

b

Nutrition alone

c

Early diagnosis + treatment

d

Isolation only

19

A patient has rifampicin-sensitive TB but is not improving clinically. Next step?

a

Stop drugs

b

Repeat CBNAAT/DST

c

Continue same

d

Add antibiotics

20

Which parameter best evaluates quality of TB care cascade?

a

Notification rate

b

Treatment success rate

c

Prevalence

d

Incidence

21

Which population is MOST important for TB elimination strategy?

a

General population

b

High-risk groups

c

Children only

d

Elderly only

22

A GP shows 100% Poshan coverage but poor outcomes. Interpretation?

a

Nutrition alone insufficient

b

Program success

c

Overdiagnosis

d

Good control

23

Which test detects both TB and resistance within 2 hours?

a

Smear

b

Culture

c

CBNAAT

d

LPA

24

What is the MOST critical break point in TB care cascade?

a

Diagnosis

b

Treatment initiation

c

Adherence

d

Follow-up

25

Which condition leads to false-negative CBNAAT?

a

High bacillary load

b

Early disease / low bacillary load

c

MDR-TB

d

HIV

26

Which indicator is MOST useful for early outbreak detection?

a

Mortality

b

Notification spike

c

Treatment success

d

DST

27

Which drug is associated with serotonin syndrome risk?

a

Linezolid

b

Bedaquiline

c

Rifampicin

d

Ethambutol

28

Which programmatic strategy reduces “missing TB cases”?

a

Passive case finding

b

Active case finding

c

Only treatment

d

Vaccination

29

Which is the MOST sensitive indicator of program failure at district level?

a

High mortality

b

Low DST

c

Low treatment success

d

Low screening

30

A district achieves all targets except DST <60%. What is the risk?

a

Overdiagnosis

b

Missed drug resistance

c

Poor nutrition

d

Low screening

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TB - MCQsOnline version

by Anupama K

A 35-year-old male with cough presents to PHC. CBNAAT shows TB detected, rifampicin resistance detected. What is the next best step?

A patient on ATT develops jaundice at 3 weeks. Which drug is MOST likely responsible?

Which sequence is correct under NTEP diagnostic algorithm for presumptive TB?

In a district, 70% GPs meet presumptive TB examination ≥30/1000 but notification rate is high (>1/1000). Interpretation?

A diabetic patient on ATT shows delayed sputum conversion at 2 months. Best

Which indicator is MOST sensitive to program performance at GP level?

Which mutation is most commonly detected in rifampicin resistance?

A patient is smear-negative but symptomatic with suggestive X-ray. CBNAAT negative. Next step?

What is the operational definition of “lost to follow-up”?

Which of the following contributes MOST to ongoing TB transmission?

In MDR regimen, which drug has highest risk of QT prolongation?

A district shows high DST coverage but low treatment success. Likely issue?

Which is the MOST appropriate screening tool in community ACF?

A patient with TB + HIV has CD4 <200. What is priority?

Which indicator reflects financial protection under NTEP?

Which drug is bactericidal in early phase?

In TB Mukt Panchayat, which combination is CORRECT?

Which factor MOST affects TB incidence reduction?

A patient has rifampicin-sensitive TB but is not improving clinically. Next step?

Which parameter best evaluates quality of TB care cascade?

Which population is MOST important for TB elimination strategy?

A GP shows 100% Poshan coverage but poor outcomes. Interpretation?

Which test detects both TB and resistance within 2 hours?

What is the MOST critical break point in TB care cascade?

Which condition leads to false-negative CBNAAT?

Which indicator is MOST useful for early outbreak detection?

Which drug is associated with serotonin syndrome risk?

Which programmatic strategy reduces “missing TB cases”?

Which is the MOST sensitive indicator of program failure at district level?

A district achieves all targets except DST <60%. What is the risk?