Close help

How to use this Learning Station

On this Learning Station, you can read and test your knowledge. Tap on a book to open its chapter list. In each chapter, you can take a quiz to test your knowledge.

To take tests, you must register with your email address or cell number. It is free to register and to take tests.

For help email or call +27 76 657 0353.

Printed books

Learning is easiest with printed books. To order printed books, email or call +27 76 657 0353.

Visit for information.

Test 8: Tuberculosis

  1. How is tuberculosis commonly spread to children?
    • By urine or stool contaminated drinking water.
    • By droplet spread caused by coughing, sneezing and talking.
    • By direct hand to hand contact.
    • From mother to infant at birth.
  2. Most children infected with Mycobacterium tuberculosis:
    • Do not develop tuberculosis.
    • Get pulmonary tuberculosis.
    • Develop abdominal tuberculosis.
    • Die of tuberculosis.
  3. Which children are at greatest risk of getting tuberculosis?
    • Children over the age of 5 years.
    • Children with asthma.
    • Children with a weak immune system.
    • Children who are obese.
  4. Primary tuberculosis of the lung:
    • Is common.
    • Is seen only in adults.
    • Is highly infectious.
    • Usually causes a high fever and cough.
  5. An important complication of primary tuberculosis in young children is:
    • Tuberculous meningitis.
    • Tuberculosis of the kidney.
    • ‘Cavity’ or ‘open’ tuberculosis of the lung.
    • Tuberculous arthritis (multiple joints infected).
  6. Pulmonary tuberculosis in children usually presents with:
    • Coughing up yellow sputum.
    • Coughing up blood (haemoptysis).
    • A persistent cough lasting 3 weeks or more.
    • Cyanosis and indrawing of the lower chest wall.
  7. What is usually needed to confirm a clinical diagnosis of pulmonary tuberculosis?
    • A blood culture.
    • A chest X-ray.
    • An MRI scan of the lungs.
    • A full blood count.
  8. When doing a Mantoux test, the tuberculin should be injected:
    • Into the skin (intradermal).
    • Under the skin (subcutaneously).
    • With a Heaf gun.
    • With a Tine device.
  9. The result of a Mantoux test strongly suggests tuberculosis:
    • When the induration is less than 5 mm.
    • When the induration is 5 to 9 mm.
    • When the induration is 10 mm or more.
    • Only when ulceration occurs.
  10. When may the Mantoux test be negative in a child with tuberculosis?
    • With severe malnutrition.
    • After chickenpox.
    • In a well child who is HIV positive.
    • During the first month of anti-TB treatment.
  11. How is a sample collected to identify tuberculous bacilli in children?
    • By taking a nasal swab.
    • By examining coughed up sputum.
    • By obtaining an early morning gastric aspirate.
    • By getting the child to spit out saliva.
  12. What is common in children with miliary tuberculosis?
    • Wheezing or stridor.
    • Headache, vomiting and neck stiffness.
    • Enlarged liver and spleen.
    • Jaundice and a rash.
  13. Tuberculous lymph nodes are usually:
    • Very tender.
    • Soft (full of pus).
    • In the axilla (armpit) and inguinal region (groin) only.
    • Non tender and matted (stuck together).
  14. BCG gives good protection against:
    • Primary TB infection.
    • Miliary tuberculosis in well nourished children.
    • Pulmonary tuberculosis.
    • Tuberculous meningitis in under­nourished children.
  15. Usually tuberculosis is treated with:
    • A single drug.
    • 2 drugs.
    • 3 drugs.
    • 4 drugs.
  16. Short course anti-TB treatment is usually given for:
    • A month.
    • 3 months.
    • 6 months.
    • 1 year.
  17. What is the common cause for failure of anti-TB treatment in children?
    • Stopping the medication too soon.
    • Only taking the medication for 5 days a week.
    • Side effects.
    • AIDS.
  18. With the DOTS strategy:
    • Patients do not have to attend a TB clinic while on treatment.
    • Patients are taught to be responsible for their own treatment.
    • Each patient has a treatment supporter.
    • The patient has to stay in hospital for the first 2 months of treatment.
  19. The newborn infants of women with untreated tuberculosis:
    • Should receive prophylactic INH.
    • Must not breastfeed.
    • Should receive BCG after birth.
    • Must be isolated from their mother.
  20. Is tuberculosis a notifiable disease?
    • No.
    • Only if the patients also has AIDS.
    • Only if the patient has multidrug resistant TB.
    • Yes.