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

10 Responses

  1. E is the answer.

  2. my answer is E

  3. 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.

  4. c??

  5. c

  6. cc

  7. c……

  8. 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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