| What does 'SIADH' refer to in medical conditions? | Syndrome of inappropriate antidiuretic hormone | Infarction Arachnoiditis Pott’s spine ATT: Antitubercular therapy CBC: Complete Blood Count CECT: Contrast Enhanced CT CRP: C Reactive Protein CSF: Cerebrospinal Fluid E: Ethambutol ESR: erythrocyte sedimentation rate H: Isoniazid ICP: Intracranial pressure LFT: Liver function tests MRI: Magnetic resonance imaging NAAT: Nucleic Acid Amplification Test NCCT: Non-contrast CT NTEP: National TB Elimination Programme PCR: Polymerase Chain Reaction R: Rfimapicin RFT: Renal function tests S: Streptomycin SIADH: Syndrome of inappropriate antidiuretic hormone TBM: Tubercular meningitis Z: Pyrazinamide | 510 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964687_adult-extrapulmonary-tuberculosis-all.pdf | Infarction Arachnoiditis Pott’s spine ATT: Antitubercular therapy CBC: Complete Blood Count CECT: Contrast Enhanced CT CRP: C Reactive Protein CSF: Cerebrospinal Fluid E: Ethambutol ESR: erythrocyte sedimentation rate H: Isoniazid ICP: Intracranial pressure LFT: Liver function tests MRI: Magnetic resonance imaging NAAT: Nucleic Acid Amplification Test NCCT: Non-contrast CT NTEP: National TB Elimination Programme PCR: Polymerase Chain Reaction R: Rfimapicin RFT: Renal function tests S: Streptomycin SIADH: Syndrome of inappropriate antidiuretic hormone TBM: Tubercular meningitis Z: Pyrazinamide | 13 | page=13,block=77 | 0.700 | valid |
| What does the abbreviation USG KUB refer to? | Ultrasonography Kidney, Ureter and Bladder | USG KUB: Ultrasonography Kidney, Ureter and Bladder RR: Rifampicin Resistant URINE AFB: Urine for Acid-fast Bacillus R: Rifampicin RFT: Renal Function Test NTEP: National Tuberculosis Elimination Programme NAAT: Nucleic Acid Amplification Test MDR: Multi Drug Resistant LUTS: Lower Urinary Tract Symptoms LFT: Liver Function Test IVP: Intravenous Pyelogram HDN: Hydronephrosis HDUN: Hydroureteronephrosis H: Isoniazid ESR: Erythrocyte Sedimentation Rate E: Ethambutol DS-TB: Drug Susceptible Tuberculosis DJS: Double J Stent CXR: Chest X- Ray CBC: Complete Blood Count CT: Computed Tomography ATT: Anti-tubercular treatment | 9 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964687_adult-extrapulmonary-tuberculosis-all.pdf | USG KUB: Ultrasonography Kidney, Ureter and Bladder RR: Rifampicin Resistant URINE AFB: Urine for Acid-fast Bacillus R: Rifampicin RFT: Renal Function Test NTEP: National Tuberculosis Elimination Programme NAAT: Nucleic Acid Amplification Test MDR: Multi Drug Resistant LUTS: Lower Urinary Tract Symptoms LFT: Liver Function Test IVP: Intravenous Pyelogram HDN: Hydronephrosis HDUN: Hydroureteronephrosis H: Isoniazid ESR: Erythrocyte Sedimentation Rate E: Ethambutol DS-TB: Drug Susceptible Tuberculosis DJS: Double J Stent CXR: Chest X- Ray CBC: Complete Blood Count CT: Computed Tomography ATT: |
| What is Kussmaul's sign in the context of constrictive pericarditis? | lack of an inspiratory decline in jugular venous pressure | Constrictive pericarditis: Clinical signs for recognition include • Kussmaul's sign (lack of an inspiratory decline in jugular venous pressure) • Elevated & distended jugular veins with a prominent Y descent (second inward deflection of internal jugular pulse due to diastolic inflow of blood into the right ventricle) • Pericardial knock (rare) | 85 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964687_adult-extrapulmonary-tuberculosis-all.pdf | Constrictive pericarditis: Clinical signs for recognition include • Kussmaul's sign (lack of an inspiratory decline in jugular venous pressure) • Elevated & distended jugular veins with a prominent Y descent (second inward deflection of internal jugular pulse due to diastolic inflow of blood into the right ventricle) • Pericardial knock (rare) | 11 | page=11,block=3 | 0.700 | valid |
| What is pulsus paradoxus in the context of cardiac tamponade? | a decrease in systolic blood pressure by >10 mmHg on inspiration | March/2022 Cardiac tamponade: Clinical signs include • Sinus tachycardia • Hypotension with a narrow pulse pressure • Elevated JVP jugular venous pressure • Muffled heart sounds • Pulsus paradoxus (a decrease in systolic blood pressure by >10 mmHg on inspiration) • Ascites Other complications: • Myopericarditis: Abnormal ejection fraction with evidence of myocarditis and pericarditis (elevated cardiac enzymes & ST elevation on ECG) • Effusive constrictive pericarditis: Mixed clinical picture. Main clue is elevated JVP clinically & right atrial pressure on ECHO in spite of removal of pericardial fluid Essential tests: • Chest X-ray • ECG • Echocardiogram Desirable: • Cardiac enzymes • CT/MRI of Thorax • Pericardiocentesis • Pericardial biopsy | 198 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964687_adult-extrapulmonary-tuberculosis-all.pdf | March/2022 Cardiac tamponade: Clinical signs include • Sinus tachycardia • Hypotension with a narrow pulse pressure • Elevated JVP jugular venous pressure • Muffled heart sounds • Pulsus paradoxus (a decrease in systolic blood pressure by >10 mmHg on inspiration) • Ascites Other complications: • Myopericarditis: Abnormal ejection fraction with evidence of myocarditis and pericarditis (elevated cardiac enzymes & ST elevation on ECG) • Effusive constrictive pericarditis: Mixed clinical picture. |
| What symptom involves difficulty in moving the affected joint? | Painful restriction of involved joint movements | WHEN TO SUSPECT? • Persistent localized pain & swelling >6 weeks • Mono-articular joint involvement • Discharging sinus (+/-) • Fluctuant swelling with or without inflammation • Painful restriction of involved joint movements • Wasting around the area • Fever, cough, weight loss & night pains • History of close contact with TB *Refer to higher centre where advanced diagnostic, & therapeutic facilities including surgical procedures are available. | 178 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964687_adult-extrapulmonary-tuberculosis-all.pdf | WHEN TO SUSPECT? • Persistent localized pain & swelling >6 weeks • Mono-articular joint involvement • Discharging sinus (+/-) • Fluctuant swelling with or without inflammation • Painful restriction of involved joint movements • Wasting around the area • Fever, cough, weight loss & night pains • History of close contact with TB *Refer to higher centre where advanced diagnostic, & therapeutic facilities including surgical procedures are available. | 10 | page=10,block=26 | 0.700 |
| How frequently should follow-ups be scheduled during the first three months of treatment? | 1-2 weeks in 1st month followed by monthly for 3 months | • Frequency of follow up: 1-2 weeks in 1st month followed by monthly for 3 months & then 3 monthly • Eye: Clinical grading of inflammation using fundus photographs & OCT scans (if available) • Steroids: › Topical: Monitor IOP, cataract and any signs of bacterial/ fungal infection › Systemic steroids: Monitor body weight, blood sugar & blood pressure | 26 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964687_adult-extrapulmonary-tuberculosis-all.pdf | • Frequency of follow up: 1-2 weeks in 1st month followed by monthly for 3 months & then 3 monthly • Eye: Clinical grading of inflammation using fundus photographs & OCT scans (if available) • Steroids: › Topical: Monitor IOP, cataract and any signs of bacterial/ fungal infection › Systemic steroids: Monitor body weight, blood sugar & blood pressure | 17 | page=17,block=31 | 0.700 | valid |
| What is one of the aims of the National TB Elimination Programme guidelines for doctors in peripheral health care? | to put resources optimally for the management of these conditions | Ministry of Health and Family Welfare, Government of India To empower the primary, secondary and tertiary care physicians/surgeons of all specialties towards achieving the goal of TB elimination by increasing detection of Paediatric TB and Extrapulmonary TB with disease management protocols and pre-defined referral mechanisms. • To formulate comprehensive algorithms for detection and management of Paediatric and Extrapulmonary TB at primary, secondary and tertiary level health care system • To improve implementation of the National TB Elimination Programme guide lines by doctors working in peripheral health care and also guide the National Programme to put resources optimally for the management of these conditions Graphic Designers DESIGN TEAM EDITORIAL BOARD ICMR STW TEAM ICMR TB UNIT | 658 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964687_adult-extrapulmonary-tuberculosis-all.pdf | • To formulate comprehensive algorithms for detection and management of Paediatric and Extrapulmonary TB at primary, secondary and tertiary level health care system • To improve implementation of the National TB Elimination Programme guide lines by doctors working in peripheral health care and also guide the National Programme to put resources optimally for the management of these conditions Graphic Designers DESIGN TEAM EDITORIAL BOARD ICMR STW TEAM ICMR TB UNIT |
| What is the goal of empowering physicians and surgeons under the Ministry of Health and Family Welfare's initiative? | achieving the goal of TB elimination by increasing detection of Paediatric TB and Extrapulmonary TB with disease management protocols and pre-defined referral mechanisms | Ministry of Health and Family Welfare, Government of India To empower the primary, secondary and tertiary care physicians/surgeons of all specialties towards achieving the goal of TB elimination by increasing detection of Paediatric TB and Extrapulmonary TB with disease management protocols and pre-defined referral mechanisms. • To formulate comprehensive algorithms for detection and management of Paediatric and Extrapulmonary TB at primary, secondary and tertiary level health care system • To improve implementation of the National TB Elimination Programme guide lines by doctors working in peripheral health care and also guide the National Programme to put resources optimally for the management of these conditions Graphic Designers DESIGN TEAM EDITORIAL BOARD ICMR STW TEAM ICMR TB UNIT | 158 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964687_adult-extrapulmonary-tuberculosis-all.pdf | Ministry of Health and Family Welfare, Government of India To empower the primary, secondary and tertiary care physicians/surgeons of all specialties towards achieving the goal of TB elimination by increasing detection of Paediatric TB and Extrapulmonary TB with disease management protocols and pre-defined referral mechanisms. |
| What should be done if advanced diagnostic and therapeutic facilities are needed? | *Refer to higher centre where advanced diagnostic, & therapeutic facilities including surgical procedures are available. | WHEN TO SUSPECT? • Persistent localized pain & swelling >6 weeks • Mono-articular joint involvement • Discharging sinus (+/-) • Fluctuant swelling with or without inflammation • Painful restriction of involved joint movements • Wasting around the area • Fever, cough, weight loss & night pains • History of close contact with TB *Refer to higher centre where advanced diagnostic, & therapeutic facilities including surgical procedures are available. | 329 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964687_adult-extrapulmonary-tuberculosis-all.pdf | WHEN TO SUSPECT? • Persistent localized pain & swelling >6 weeks • Mono-articular joint involvement • Discharging sinus (+/-) • Fluctuant swelling with or without inflammation • Painful restriction of involved joint movements • Wasting around the area • Fever, cough, weight loss & night pains • History of close contact with TB *Refer to higher centre where advanced diagnostic, & therapeutic facilities including surgical procedures are available. | 10 |
| What does 'NTEP' stand for in the context of tuberculosis management? | National TB Elimination Programme | Infarction Arachnoiditis Pott’s spine ATT: Antitubercular therapy CBC: Complete Blood Count CECT: Contrast Enhanced CT CRP: C Reactive Protein CSF: Cerebrospinal Fluid E: Ethambutol ESR: erythrocyte sedimentation rate H: Isoniazid ICP: Intracranial pressure LFT: Liver function tests MRI: Magnetic resonance imaging NAAT: Nucleic Acid Amplification Test NCCT: Non-contrast CT NTEP: National TB Elimination Programme PCR: Polymerase Chain Reaction R: Rfimapicin RFT: Renal function tests S: Streptomycin SIADH: Syndrome of inappropriate antidiuretic hormone TBM: Tubercular meningitis Z: Pyrazinamide | 382 | definition | 0.940 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1725964687_adult-extrapulmonary-tuberculosis-all.pdf | Infarction Arachnoiditis Pott’s spine ATT: Antitubercular therapy CBC: Complete Blood Count CECT: Contrast Enhanced CT CRP: C Reactive Protein CSF: Cerebrospinal Fluid E: Ethambutol ESR: erythrocyte sedimentation rate H: Isoniazid ICP: Intracranial pressure LFT: Liver function tests MRI: Magnetic resonance imaging NAAT: Nucleic Acid Amplification Test NCCT: Non-contrast CT NTEP: National TB Elimination Programme PCR: Polymerase Chain Reaction R: Rfimapicin RFT: Renal function tests S: Streptomycin SIADH: Syndrome of inappropriate antidiuretic hormone TBM: Tubercular meningitis Z: Pyrazinamide |