Question of the Week # 149

149) A 29 year old internal medicine resident physician has been exposed to a patient with cavitary pulmonary tuberculosis 1 month ago. He denies any symptoms. His physical examination is normal. A tuberculin skin test reaction is positive now at 6mm. His Skin test one year ago was negative. A chest X-ray is within normal limits and chemistry panel is normal. The most appropriate management optiuon for this patient is :

A)     Isoniazid, Pyrazinamide, Rifampin and Ethambutol for 9 months

B)      Observation as  ≥ 10mm is considered positive in health care workers

C)      Isoniazid for 9 months

D)     Rifampin for 9 months

E)      Isoniazid for 6 months

9 Thoughts on “Question of the Week # 149

  1. n. Isidore on May 20, 2011 at 11:21 pm said:

    b?

  2. milan on June 25, 2011 at 10:15 pm said:

    may be c
    b’cos for patient who had contact with active tb pts ppd >5 mm is consider positive.

  3. Yogi on July 30, 2011 at 3:13 pm said:

    would it be B since it is 10 to be considered ppd positive

  4. C for 9 months

WordPress SEO fine-tune by Meta SEO Pack from Poradnik Webmastera
Freelance PHP Developer