Question of the Week # 149

Posted on May 15, 2011 by Archer USMLE Reviews

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

Filed under: USMLE Test Prep | Tagged: Archer Infectious Diseases, archer usmle step 3 |

10 Responses

lubna, on May 15, 2011 at 10:06 pm said:

E is the answer.

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lubna bati, on May 15, 2011 at 10:07 pm said:

my answer is E

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harpreet mann, on May 15, 2011 at 11:25 pm said:

I think its B cause in low risk patients the positive range is 10mm.Rule of PPD 5, 10 and 15 mm for high risk, low risk and no risk respectively.
cheers,

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usmle, on May 16, 2011 at 1:40 am said:

c??

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siva, on May 16, 2011 at 4:29 am said:

c

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chiafen, on May 16, 2011 at 7:16 am said:

cc

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aman rajpal, on May 16, 2011 at 10:22 am said:

c……

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Judith, on May 18, 2011 at 7:57 pm said:

B

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saju, on June 9, 2011 at 6:07 pm said:

5 mm or more positive in :
1.HIV positive person
2.Recent contacts of TB case
3.Persons with fibrotic change in Xray
4.Pt with organ transplant pts & immunocompromised pts

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manuelchiky, on January 18, 2012 at 12:28 am said:

C

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