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 |
E is the answer.
my answer is E
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,
c??
c
cc
c……
B
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
C