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Get the free Tuberculosis (TB) Screening Questionnaire - studenthealth utk

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This document is intended for students at the University of Tennessee, Knoxville, to screen for tuberculosis as part of the registration process and to provide necessary information to the Student
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How to fill out tuberculosis tb screening questionnaire

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How to fill out Tuberculosis (TB) Screening Questionnaire

01
Begin by obtaining the Tuberculosis (TB) Screening Questionnaire form.
02
Fill in your personal information, including your name, date of birth, and contact details.
03
Answer the questions regarding your medical history, including any prior TB infections or treatments.
04
Provide information on any symptoms you might be experiencing, such as cough, fever, or weight loss.
05
Indicate any recent travel to areas where TB is common or exposure to TB-infected individuals.
06
Review your answers for accuracy before submitting the form.
07
Sign and date the questionnaire as required.

Who needs Tuberculosis (TB) Screening Questionnaire?

01
Individuals who have symptoms of TB, such as persistent cough or unexplained weight loss.
02
People who have been in close contact with someone diagnosed with active TB.
03
Individuals who have traveled to regions where TB is prevalent.
04
Healthcare workers or employees in settings where TB exposure may occur.
05
People with weakened immune systems or underlying health conditions that increase the risk of TB.
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People Also Ask about

Frequently Asked Questions (FAQs) What is tuberculosis? What is the difference between TB infection and TB disease? Who can get TB? What are the symptoms of TB? Who should be tested for TB? How can TB be tested for? What is the treatment for TB? What if I have HIV?
Tuberculosis (TB) is caused by a bacterium called Mycobacterium tuberculosis (M. tuberculosis). The bacteria, or germs, usually affect the lungs. TB germs can affect any part of the body, such as the kidneys, spine, or brain.
Frequently Asked Questions (FAQs) What is tuberculosis? What is the difference between TB infection and TB disease? Who can get TB? What are the symptoms of TB? Who should be tested for TB? How can TB be tested for? What is the treatment for TB? What if I have HIV?
Tuberculosis Risk Assessment Have you had a cough lasting more than three weeks? Have you lived with or spent time with anyone who had or may have had TB? Have you lived in or visited any of the following areas for more than a month: Africa, Asia, Mexico, Central or South America, the Caribbean or Eastern Europe?
Tuberculosis Risk Assessment Have you had a cough lasting more than three weeks? Have you lived with or spent time with anyone who had or may have had TB? Have you lived in or visited any of the following areas for more than a month: Africa, Asia, Mexico, Central or South America, the Caribbean or Eastern Europe?
A TB test checks to see if you've been infected with tuberculosis (TB). There are two types of TB tests: a skin test and a blood test. TB skin and blood tests can show if you've ever been exposed to the bacterium that causes TB, but they can't determine if you have a latent (dormant) or active TB infection.
You will have either be a TB skin test or a TB blood test, depending on your health and medical history. TB skin tests are used more often, but blood tests for TB are becoming more common. For a TB skin test (also called a Mantoux tuberculin skin test), you will need two visits to complete the test.
Have you ever had a positive TB skin test? Have you ever been vaccinated with BCG? Have you ever had close contact with persons known or suspected to have active TB disease?

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The Tuberculosis (TB) Screening Questionnaire is a document used to assess an individual's risk of having TB. It includes questions about symptoms, exposure history, and prior TB tests to determine the need for further evaluation.
Individuals who are at risk of tuberculosis, including healthcare workers, international travelers, and certain populations such as students entering healthcare programs, are typically required to file the TB Screening Questionnaire.
To fill out the TB Screening Questionnaire, individuals should answer all questions accurately based on their health history and current symptoms. It may include providing information about any previous TB tests, symptoms experienced, and exposure to TB.
The purpose of the TB Screening Questionnaire is to identify individuals who might be infected with TB, to facilitate early detection and treatment, and to prevent the spread of the disease in the community.
The information required on the TB Screening Questionnaire typically includes personal identification information, recent travel history, exposure to individuals with TB, any existing symptoms such as cough or weight loss, and details about prior TB testing.
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