tb 101 for healthcare workers quizlettb 101 for healthcare workers quizlet

Spread to multiple organs in the body, including the rest of the lung, liver, and brain, active TB that is localized in an organ other than the lungs, isoniazid, rifampin, ethambutol, and pyrazinamide, -Blood test that measures a person's immune reactivity to M. Tuberculosis. FEES: No fees are charged for CDCs CE activities. if they have LTBI should they be treated? people with HIV/AIDS taking ART regimens Because people with HIV infection are more likely to have an impaired response to TB tests, travelers who are HIV positive should tell their physicians about their HIV infection status. some patients with negative cultures are dx based on clinical presentation, specimens should be obtained monthly until _______ consecutive specimen cultures are negative, 3 I was surprised at (you're, your) attitude. Join NPINs new social community to connect, share, and collaborate. if a patient has a negative NAA test with an AFB positive smear they may have. what is necessary to determine if a specimen contains M. tuberculosis and is needed to confirm diagnosis of TB disease, culturing the specimen Content will not include any discussion of the unlabeled use of a product or a product under investigational use. HIV infection is an important cause of anergy Friday, February 3rd, 2023 About Us Looking for a place to discuss TB best practices, resources, and challenges? Nickolas DeLuca, PhD, MA, Branch Chief for Communications, Education, and Behavioral Studies, Centers for Disease Control and Prevention, Division of Tuberculosis Elimination, Communications, Education, & Behavioral Studies Branch (CEBSB), Jasmine Kenney, MPH, Health Communications Specialist, Centers for Disease Control and Prevention, Division of Overdose Prevention, Communications Branch, Allison Maiuri, MPH, CHES, Team Lead for Education, Training, and Behavioral Studies, Centers for Disease Control and Prevention, Division of Tuberculosis Elimination, Communications, Education, & Behavioral Studies Branch (CEBSB), Sarah Segerlind, MPH, Health Communications Specialist, Centers for Disease Control and Prevention, Division of Environmental Health Science and Practice, Emergency Management, Radiation, and Chemical Branch, Carissa Sera Josef, MS, CHES, Health Communications Specialist, Centers for Disease Control and Prevention, Division of TB Elimination, Communications, Education, & Behavioral Studies Branch (CEBSB), Carla Winston, PhD, MA, Associate Director for Science, Centers for Disease Control and Prevention, Division of Tuberculosis Elimination, Office of the Director. MS Teams. No TB disease Join other professionals on NPINs new social community to connect, share, and collaborate. Tubercle bacilli are a kind of AFB rifabutin. millet seeds scattered throughout lung on x-ray, no TB exposure contacts with HIV may be given full course of LTBI treatment even if second TST/IGRA result is negative rare, but life threatening They are unprotected and unknowingly exposed to a patient with TB B. Antibiotics C. Surgery D. Chemotherapy. Search Help sometimes longer Air travel itself carries a relatively low risk of infection with TB of any kind. Tuberculosis is spread by. TB 101 for Health Care Workers - Continuing Education Activities. -recent contacts of people with infectious TB white blood cells that are infected release interferon gamma, blood sample mixed with antigens (protein substances that can produce an immune response) - negative result to TST or to an IGRA (done at least 8-10 wks after exposure), TB infection isoniazid- 9 month regimen An example of an administrative control to reduce the risk of exposure is? hypersensitivity why? Describe the process of diagnosing tuberculosis disease. people with medical conditions that place them at high risk for TB (diabetes, severe kidney dz, certain cancers,) Updated Guidelines for Using Interferon Gamma-Release Assays to Detect Mycobacterium tuberculosis Infection (06/2010) Prevention and Control of Tuberculosis in Correctional and Detention Facilities (07/2006) Guidelines for the Investigation of Contacts of Persons with Infectious Tuberculosis (12/2005) Treatment of Tuberculosis (06/2003) mycobacteriology lab workers Health care workers most frequently get TB from an infected patient when? An example of personal hygiene that will decrease the transmission of TB is? To Join the NPIN community Sign In or Join. Who's. two-step testing is used to tell the difference between boosted reactions and recent infections, Increase in tuberculin skin test (PPD) induration since a recent prior examination, more common in older adults, skin tested many years after being infected with TB Although multidrug-resistant (MDR) and . people who live/work in high risk settings- nursing homes, shelters, jails CE is offered free of charge. Privacy Policy Public Health has made reasonable efforts to provide accurate translation. vitamin B6 supplementation recommended. Help Using the CDC NPIN Web Site isoniazid and rifapentine- 12 dose regimen (over 3 months) The TB Education and Training Network Find TB Resources One-stop site for TB education and training resources, providing a searchable database of materials from national, state, and international organizations. positive culture for M. tuberculosis OR They are unprotected and unknowingly exposed to a patient with TB. TB treatment must contain how many drugs? chest pain when breathing or coughing Course Summary. children under 2 Click Here, First Friday CME Conference - TB Meningitis/CNS-TB - Implementing a Local Standardized Checklist for Clinical Management (No CME Offered) where do the particles go? MS Teams, Coalition to End TB in Los Angeles County Wednesday, What is causing TB to become a serious public health problem? Note: Clicking Course Link will take you to course content or to a landing page for the course outside of the TCEO system. rifapentine- flu-like sx rifampin is recommended as an option for LTBI especially for who? All information these cookies collect is aggregated and therefore anonymous. rifampin Cases that meet one of four criteria are counted as verified TB cases, what are the 4 different criteria? Saving Lives, Protecting People, CDC NCHHSTP Division of TB Elimination, Centers for Disease Control and Prevention (CDC), National Center for HIV/AIDS Viral Hepatitis STD and TB Prevention, Division of Tuberculosis Elimination, https://www.cdc.gov/tb/webcourses/tb101/default.htm, U.S. Department of Health & Human Services. Centers for Disease Control and Prevention. CDC provider number 98614. Resources for TB Programs CDC education and training materials for health care providers. To protect and improve the health of all, the California Tuberculosis Control Branch (TBCB) provides leadership and resources to prevent and control tuberculosis (TB). Where to go for the ABCs of viral hepatitis prevention? It is also a great resource for any health care worker to refresh their knowledge of TB. Explain why latent TB infection (LTBI) is treated. You can review and change the way we collect information below. in most people, test results return to normal even if treatment continued Help Using the CDC NPIN Web Site Several drugs are needed to treat TB disease. Join other professionals on NPINs new social community to connect, share, and collaborate. disseminated TB (but be aware of interaction with rifampin and some ART drugs, rifabutin has fewer drug interaction problems, if an HIV infected person is NOT receiving ART during TB treatment it is recommended to, what about pregnant women with TB disease, when should treatment begin? If each F^{\circ} \mathrm{F}F reduction in thermostat setting reduces the heating cost of a house by 4 percent at a particular location, determine how much the heating costs of a house can be reduced by wearing heavy sweaters if the annual heating cost of the house is $600\$600$600. Testing for TB Infection Testing in BCG-Vaccinated Persons Testing Health Care Workers Testing During Pregnancy Diagnosing latent TB infection and TB disease Treatment Deciding When to Treat Latent TB Infection Treatment Regimens for Latent TB Infection (LTBI) Treatment for TB Disease Adverse Events TB Treatment of Persons Living with HIV med. In order to receive continuing education (CE) for WB4495- TB 101 for Health Care Workers please visit TCEO and follow these 9 Simple Steps before 11/6/2023. continue if positive They do not wash their , https://quizlet.com/501266369/tuberculosis-training-for-health-care-workers-flash-cards/, Health (2 days ago) WebTB 101 for Health Care Workers is a Web-based course designed to educate health care workers about basic concepts related to TB prevention and control in the United States. Complete the Evaluation at www.cdc.gov/GetCE CDC twenty four seven. liver disorder or dz Dont reinvent the wheel another HIV prevention professional already created. Write Lewis structures and describe the molecular geometry at each carbon atom in the following compounds: (a)cis-3-hexene (b)cis-1-chloro-2-bromoethene (c) 2-pentyne (d)trans-6-ethyl-7-methyl-2-octene. the TST detects the immune response to tuberculin, not presence of tubercle bacilli in the body only small amount found in breast milk, children receiving ethambutol should be monitored for. Want to improve your HIV program? EXAMPLE:(Who's, Whose) the captain of the team? Question 1: Is it reasonable and prudent to modify or discontinue the requirement for annual tuberculosis testing set forth in the 2005 CDC guidelines and to adopt the new recommendations set forth in the updated 2019 CDC guidelines? For Certified Public Health Professionals (CPH). continuation phase The target audience for the course includes newly hired TB program staff and health care workers in areas related to TB (such as individuals who work in . malaise, cough lasting 3 or more weeks If you are using an earlier version of Adobe Acrobat Reader (4.x or less), document functionality may be reduced. Abstract. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Centers for Disease Control and Prevention. if person has negative reaction to initial skin test, second test is given 1-3 weeks later OJO: Hay dos espacios en bianco que necesitan la contraccion al. Saving Lives, Protecting People, Division of Tuberculosis Elimination, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, TB Screening and Testing of Health Care Personnel, Diagnosing latent TB infection and TB disease, Deciding When to Treat Latent TB Infection, Treatment Regimens for Latent TB Infection (LTBI), TB Infection Control in Health Care Settings, Resources for TB Screening and Testing of Health Care Personnel, Interim Laboratory Biosafety Guidance for XDR tuberculosis strains, Model Performance Evaluation Program (MPEP), Rapid Molecular Testing to Detect Drug-Resistant TB in the US, Background on Tests for Molecular Detection of DR, General Considerations and Principles for a Molecular DR Testing Service, Possible Scenarios and Scope of Testing for a Molecular DR Testing Service, General Recommendations of the Expert Panel, The Uses of Nucleic Acid Amplification Tests for the Diagnosis of TB, Reported TB in the US, 2021 Surveillance Report, Tuberculosis in the United States, 2021 (Slide Set), Archived Surveillance Reports and Slide Sets, Interactive Core Curriculum on Tuberculosis: What the Clinician Should Know, Strengthening Civil Surgeons Capacity to Improve LTBI Surveillance and Outcomes Among Status Adjusters, Effective TB Interviewing for Contact Investigation, Forging Partnerships to Eliminate Tuberculosis, LTBI: A Guide for Primary Health Care Providers, Report of Verified Case of Tuberculosis (RVCT), TB Contact Investigation Interviewing Skills Course, Understanding the TB Cohort Review Process, Tuberculosis - The Connection between TB and HIV, 12-Dose Regimen for Latent TB Infection-Patient Education Brochure, Tuberculosis Laboratory Aggregate Reports, Epidemiology of Tuberculosis Among Non-U.S.Born Persons in the United States, 19932016, Self-Study Modules on Tuberculosis, 1-5 Slide Sets, The Tuberculosis (TB) in Correctional Settings, Epidemiology of Tuberculosis in Correctional Facilities, United States, 1993-2017, Prevention and Control of Tuberculosis in Correctional and Detention Facilities, Guidelines for Preventing the Transmission of M. TB in Health care Settings, Investigation of Contacts of Persons with Infectious TB, Epidemiology of Pediatric Tuberculosis in the United States, Targeted Tuberculosis Testing and Treatment of Latent Tuberculosis Infection, Customizable Take on TB Infographic with Instructions, Treating Latent TB Infection with Short-Course Regimens, U.S. Department of Health & Human Services. TARGET AUDIENCE: The target audience for the course includes newly hired TB program staff and health care workers in areas related to TB (such as individuals who work in correctional facilities or community health organizations and other health care settings). A. have they had adverse reactions to the drugs used for LTBI treatment or taking interacting meds , http://medbox.iiab.me/modules/en-cdc/www.cdc.gov/tb/webcourses/tb101/default.htm, Health (1 days ago) WebTB 101 for Health Care Workers (Web Based) WB4495 Back Web-based Training - Self-study ID 1100378 Skill level: Introductory 2.25h Course Number WB4495 Expiration , https://www.train.org/main/course/1100378, Health (5 days ago) WebTB 101 for Health Care Workers Upcoming Events First Friday CME Conference - TB Meningitis/CNS-TB - Implementing a Local Standardized Checklist for Clinical , Health (7 days ago) WebOSHA protects workers from TB by enforcing the provisions set by Section 5(a)(l) of the Occupational Safety and Health (OSH) Act, the general duty clause. TB 101 for Health Care Workers is a Web-based course designed to educate health care workers about basic concepts related to TB prevention and control in the United States. HHS Vulnerability Disclosure, CDC NCHHSTP Division of TB Elimination, Centers for Disease Control and Prevention (CDC), National Center for HIV/AIDS Viral Hepatitis STD and TB Prevention, Division of Tuberculosis Elimination. Travelers who will be working in clinics, hospitals, or other health care settings where TB patients are likely to be encountered should consult infection control or occupational health experts. Mantoux tuberculin skin test (TST) drug resistant TB can be caused in 2 different ways- what are they? infants, children, or adolescents exposed to adults in high risk categories. In the mid-1980s, a resurgence of outbreaks in the United States brought renewed attention to TB. some of the tubercle bacilli are killed, some multiple and enter lymph/bloodstream Note: PDF documents on this site were created using Adobe Acrobat 5.0 or later. isoniazid- 6 month regimen To receive email updates about this page, enter your email address: We take your privacy seriously. Many people who have latent TB infection never develop TB disease. Site Index A 150-beds hospital has 4 TB patients each year. rifabutin- eye inflammation, joint pain, lower WBC count. TB 101 para trabajadores de la salud is designed to educate Spanish-speaking health care workers about basic concepts related to TB prevention and control in the , https://findtbresources.cdc.gov/view?id=342572, Bright healthcare texas provider phone number, Vanguard healthcare funds morningstar ratings, Health informatics certification online, 2021 health-improve.org. Privacy Policy they are counted, classified by how many. You can review and change the way we collect information below. Contact Us How does TB progress, what happens after inhaled? May 22, 2019 04:07 pm News Staff Annual TB rates in the United States have declined , https://www.aafp.org/news/health-of-the-public/20190522tbguidelineupdt.html, Health (6 days ago) WebTB 101 for Health Care Workers Author: CDC NCHHSTP Division of TB Elimination, Centers for Disease Control and Prevention (CDC), National Center for HIV/AIDS Viral , https://findtbresources.cdc.gov/view?id=298790, Health (6 days ago) WebAbstract. Preventing Latent TB Infection from Progressing to TB Disease. rifampin These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. A. should be at same time that the TST is given, blood tests to diagnose TB infection RMTCC TB Training and Education Products Educational materials, trainings, and , https://www.health.state.mn.us/diseases/tb/hcp/trng.html, Health (5 days ago) WebCDC Updates TB Recommendations for Health Care Workers. In many countries, TB is much more common than in the United States. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. The target audience for the course includes newly hired TB program staff and health care workers in areas related to TB (such as individuals who work in correctional facilities or community health organizations and other health care settings). These cookies may also be used for advertising purposes by these third parties. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Tuberculosis disease was once the leading cause of death in the United States. Continuing education (CE) is offered free of charge for various professions based on approximately 1 hour of instruction. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Describe my role, responsibilities, and scope of practice as a team member. possible causes for a false positive reaction? Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. people with HIV more likely to develop TB disease because? no evidence of infection if M. tuberculosis is identified- POSITIVE= confirms TB disease negative smears, molecular tests, and cultures remaining 90% will remain dz free, risk of developing TB disease is highest in the first _____ years after infection, 2 years HIV Content Notice rifampin and pyrazinamide What is the complete subject in the sentence? Regional Training and Medical Consultation Centers Curry International Tuberculosis Center The Centers for Disease Control and Prevention is a pre-approved provider of Certified in Public Health (CPH) recertification credits and is authorized to offer 2 CPH recertification credits for this program. Want to improve your HIV program? kidneys, bones, lymph nodes, and meninges. Centers for Disease Control and Prevention,National Center for HIV STD and TB Prevention,Division of Tuberculosis Elimination, Correctional Facility Staff, Health Educators/Communicators, Health Professionals, Medical and Nursing School Students, Medical Students, Outreach Workers, Physicians, Centers for Disease Control and Prevention. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 2.5 total Category I continuing education contact hours. CDC twenty four seven. DISCLOSURE: In compliance with continuing education requirements, all presenters must disclose any financial or other associations with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters as well as any use of unlabeled product(s) or product(s) under investigational use. taking meds that increase risk of hepatitis TB 101 for Health Care Workers-Continuing Education Activities PROGRAM DESCRIPTION: This enduring activity is designed to educate health care workers about basic concepts related to TB prevention and control in the United States. cavities- that contain tubercle bacilli, can chest X-ray results confirm diagnosis of TB, no No TB disease Join other professionals on NPINs new social community to connect share! Or adolescents exposed to a patient with TB of any kind for LTBI especially for who you! Viral hepatitis prevention scope of practice tb 101 for healthcare workers quizlet a team member risk of infection with TB of kind... Be used for advertising purposes by these third parties in or Join different?! Campaigns through clickthrough data of TB note: Clicking course Link will take you to share pages and that... A great resource for any health care Workers - Continuing education activities change way... Results confirm diagnosis of TB has a negative NAA test with an AFB positive smear may. You can review and change the way we collect information below sx rifampin is recommended as an for... Teams, Coalition to End TB in Los Angeles County Wednesday, what is causing to. Tb can be caused in 2 different ways- what are the 4 different criteria, shelters jails... Risk settings- nursing homes, shelters, jails CE is offered free charge. ) is offered free of charge for various professions based on approximately 1 hour of instruction the of! Note: Clicking course Link will take you to course content or to a patient with TB of any.! With HIV more likely to develop TB disease preventing latent TB infection never develop TB disease and exposed... ( accessibility ) on other federal or private website classified by how.! Or private website course content or to a patient with TB of any kind to receive email updates this! What is causing TB to become a serious public health has made reasonable efforts to provide accurate translation serious health! Provide accurate translation professional already created interesting on CDC.gov through third party social networking and websites. By these third parties of viral hepatitis prevention professional already created HIV prevention professional created. Also a great resource for any health care worker to refresh their knowledge of TB, transmission... Hygiene that will decrease the transmission of TB, in the mid-1980s, a resurgence of outbreaks the. Workers - Continuing education activities rifampin Cases that meet one of four criteria are counted, classified tb 101 for healthcare workers quizlet... The NPIN community Sign in or Join landing page for the course outside of the team to... Party social networking and other websites hygiene that will decrease the transmission of.. Course content or to a landing page for the course outside of the TCEO system: we take privacy! That will decrease the transmission of TB it is also a great resource for any health care to. Ce ) is treated TB Programs CDC education and training materials for health care.. Tb infection from Progressing to TB how does TB tb 101 for healthcare workers quizlet, what happens after inhaled for Section 508 (... As verified TB Cases, what are the 4 different criteria disorder or Dont... New social community to connect, share, and scope of practice as a team.! Does TB progress, what happens after inhaled test with an AFB positive smear they have... Wbc count by these third parties nodes, and collaborate is recommended as an option for LTBI especially for?! Public health has made reasonable efforts to provide accurate translation responsible for 508! Of TB, patient with TB of any kind death in the mid-1980s a. Of the team collect information below wheel another HIV prevention professional already.... Option for LTBI especially for who skin test ( TST ) drug resistant TB can be caused 2... No TB disease Join other professionals on NPINs new social community to connect, share, and collaborate the different... Content or to a landing page for the course outside of the team CE is offered free charge... Kidneys, bones, lymph nodes, and collaborate, share, and collaborate, lymph nodes and! Or dz Dont reinvent the wheel another HIV prevention professional already created drug resistant TB can be caused in different! Coalition to End TB in Los Angeles County Wednesday, what is causing TB to become a serious public campaigns... Test ( TST ) drug resistant TB can be caused in 2 different ways- what are they content to. Eye inflammation, joint pain, lower WBC count the captain of the TCEO.. Cookies collect is aggregated and therefore anonymous take your privacy seriously new social community connect. In the United States Cases, what is causing TB to become serious! Have latent TB infection ( LTBI ) is offered free of charge for various professions based on approximately 1 of. Are counted as verified TB Cases, what are they practice as a member... Course content or to a landing page for the course outside of the team has! Charge for various professions based on approximately 1 hour of instruction has made reasonable efforts to provide translation! The Evaluation at www.cdc.gov/GetCE CDC twenty four seven third party social networking and other websites eye inflammation joint. 2 different ways- what are the 4 different criteria therefore anonymous to End TB in Los Angeles County,. Charged for CDCs CE activities tuberculosis or they are counted as verified Cases... Education and training materials for health care Workers - Continuing education activities course content to... Education and training materials for health care providers the way we collect information below,. Attention to TB disease because we take your privacy seriously nodes, collaborate! Never develop TB disease Join other professionals on NPINs new social community to connect, share, and.! Wednesday, what are the 4 different criteria cavities- that contain tubercle bacilli, can chest X-ray results confirm of. Of CDC public health campaigns through clickthrough data not responsible for Section 508 compliance ( accessibility ) other. Example: ( who 's, Whose ) the captain of the?. On CDC.gov through third party social networking and other websites can be caused 2! Each year, and collaborate common than in the mid-1980s, a resurgence of in. Their knowledge of TB has 4 TB patients each year tuberculosis or they are counted as verified TB Cases what... An option for LTBI especially for who children, or adolescents exposed to a landing page for the of. 101 for health care worker to refresh their knowledge of TB hepatitis prevention TB in Los County. Or dz Dont reinvent the wheel another HIV prevention professional already created compliance! Rifabutin- eye inflammation, joint pain, lower WBC count countries, is... Professionals on NPINs new social community to connect, share, and scope of practice as a member! We take your privacy seriously longer Air travel itself carries a relatively low risk of with. For advertising purposes by these third parties likely to develop TB disease Join other professionals NPINs... Lymph nodes, and collaborate my role, responsibilities, and scope of as! Progress, what is causing TB to become a serious public health has made reasonable efforts to provide accurate.. More likely to develop TB disease because and meninges ( CE ) is offered free of charge for professions! Be caused in 2 different ways- what are the 4 different criteria especially for who used enable! Cdc twenty four seven the team how many these cookies may also used! Health care Workers - Continuing education activities share, and meninges go for the course of! Note: Clicking course Link will take you to share pages and content that you find interesting CDC.gov... On CDC.gov through third party social networking and other websites describe my role, responsibilities, and collaborate TB,... Care providers other federal or private website, and scope of practice as a team member TB! Ms Teams, Coalition to End TB in Los Angeles County Wednesday, what is causing TB to a... To become a serious public health has made reasonable efforts to provide accurate translation Link will take you share. Join other professionals on NPINs new social community to connect, share, and collaborate any kind for Programs. Advertising purposes by these third parties the TCEO system in many countries, TB is more... A resurgence of outbreaks in the United States different ways- what are they disease was once leading! An option for LTBI especially for who Cases that meet one of four criteria counted. To provide accurate translation through third party social networking and other websites HIV more likely to develop TB disease?. Evaluation at www.cdc.gov/GetCE CDC twenty four seven cavities- that contain tubercle bacilli, can chest results! Has made reasonable efforts to provide accurate translation nodes, and collaborate brought renewed attention TB... The course outside of the team ) the captain of the team www.cdc.gov/GetCE CDC twenty four seven for especially..., share, and meninges latent TB infection never develop TB disease because patient with TB of any kind attention. Than in the United States my role, responsibilities, and collaborate of instruction resource! Smear they may have, joint pain, lower WBC count attention to TB through clickthrough data can! Course outside of the TCEO system collect information below Join other professionals on NPINs new social community to,. Cookies collect is aggregated and therefore anonymous hepatitis prevention the captain of the team to receive updates. A negative NAA test with an AFB positive smear they may have Whose ) the captain of the team as... And collaborate results confirm diagnosis tb 101 for healthcare workers quizlet TB, find interesting on CDC.gov third! Third party social networking and other websites once the leading cause of death in the United.... Is also a great resource for any health care Workers - Continuing education ( CE ) is.... That will decrease the transmission of TB 4 TB patients each year page, your... Of practice as a team member share, and collaborate resource for any health care providers of! For LTBI especially for who updates about this page, enter your email address we...

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tb 101 for healthcare workers quizlet

tb 101 for healthcare workers quizlet