roopashri
Forum Elite
Topics: 16
Posts: 190
|
A 48-year-old Iranian American man comes to the office because of chronic dry cough, weight loss and intermittent temperatures to 38.3°C (101.0°F) for the past 2 months. He has lost 3.5 kg (8 lb) during this time. Today vital signs are: temperature 38.3°C (100.9°F), pulse 90/min, respirations 18/min and blood pressure 120/78 mm Hg. Auscultation of the lungs discloses fine crackles throughout the lung fields. The remainder of the physical examination is normal. Chest x-ray film is shown. Therapy with isoniazid, rifampin, pyrazinamide and ethambutol is begun. Your office staff ask you whether they should be evaluated for exposure to tuberculosis. Which of the following is the most appropriate next step?
A Do nothing for office staff because the patient is unlikely to be infectious
B Monitor the staff during the next few weeks for development of cough or fever, and base further reatment on this information
C Obtain chest x-ray films in 4 weeks of each staff member who came into contact with the patient
D Place a 5-TU PPD skin test in 4 weeks on each staff member who came into contact with the patient
E Prescribe prophylactic isoniazid therapy to all office staff<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
|
| roopashri
Forum Elite
Topics: 16
Posts: 190
|
??D
|
| roopashri
Forum Elite
Topics: 16
Posts: 190
|
anyone?
|
| cyra
Moderator
Topics: 29
Posts: 844
|
i would have gone for D too roopashri...
|
| drsnq
Forum Elite
Topics: 24
Posts: 168
|
me too gone with D
___________________
drsnq
|
| robin082006
Forum Hero
Topics: 471
Posts: 5,125
|
I go with D too
___________________
The Key to Succeed is Patience.
|
| eaguin
Forum Senior
Topics: 9
Posts: 162
|
D tell you if the staff was really exposure
|
| pallav
Forum Elite
Topics: 56
Posts: 180
|
dddddddddddddddddddddddddddd
___________________
"LIFE IS SHORT - PLAY HARD............."
|
| fongch
Forum Elite
Topics: 71
Posts: 316
|
What about E?
|
| saturn
Forum Newbie
Topics: 0
Posts: 3
|
d
|
| smal
Forum Guru
Topics: 140
Posts: 727
|
a ppd will distinguish ppl having th eimmunity to fight TB from thoes who dont.
___________________
remedy for weakness is not brooding over it ,but thinking of strength.
|
| ashfaque
Forum Newbie
Topics: 0
Posts: 142
|
ans D
|
| ManuNastai
Transilvanian..
Topics: 55
Posts: 838
|
come on people!!! what happens then with the pneumophtisiologists? they should get isoniazid all their lives? ppd tests? what's that gonna show? it will be positive for all of them? so what? ask yourself: is tb so contagious?
one day at the hospital there was a old patient with cavitary tb who has a intriguing chest x-ray. she has acute renal failure and the doctor suspected her of uremic ARDS.. i smelled her breath to see if it smelled like amonia and that was 2 months ago. i'm fine. i know it was a stupid thing to do, but.. it's a fact
___________________
"Love is the only inflamation of the heart that drains in the vagina" (translation after Dr Petre Florescu, Professor of Pathology, UMF "Iuliu Hatieganu", Cluj Napoca
|
| ManuNastai
Transilvanian..
Topics: 55
Posts: 838
|
A
___________________
"Love is the only inflamation of the heart that drains in the vagina" (translation after Dr Petre Florescu, Professor of Pathology, UMF "Iuliu Hatieganu", Cluj Napoca
|
| Shovan Das
|
I would also go for A?As tuberculin test does not signify always about the presence of TB,It may also be present who has past h/o TB(Sometimes not known to the patient).
|
| jamdoc
Forum Elite
Topics: 30
Posts: 244
|
agree with manu
___________________
Dont worry.Nobody knows 100%
|
| me007
Forum Guru
Topics: 72
Posts: 803
|
found this
Attached Files:
ohcmgrtb.pdf (20 KB, 41 downloads)
|
|
| |
| | | | | | | | | | | | | | | | | |
