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Kaplan Qbank USMLE



Author12 Posts
  #1

30 yr old male PPD skin test done induration >15mm

next best step??

1) start with INH prophylaxis

2) do chest X ray to rule out active disease and then start with prophylaxis

3) do chest X ray and three consecutive sputum specimen to rule out active disease and then start with prophylaxis?


  #2

3?


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Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.

  #3

3

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If you think you can You can! If you think you cant you are right again!!

  #4

1
CAN T.B. hide itself?

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  #5

i'll go for 2.

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" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "

  #6

if the chest x-ray is normal-prophylaxis.

if the chest x-ray is abnormal then do three consecutive sputum specimens. if positive then give 4 drug TB therapy. if negative, give INH prophylaxis.


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" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "

  #7

Acchilles you are right. I.e. I was wrong.

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If you think you can You can! If you think you cant you are right again!!

  #8

happens to all of us msyamp...and this is just one of those rare moments when you got a question wrong !!smiling face you usually get all of them right...and mesh still hasnt given the answer so i guess we should still wait.




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" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "

  #9

thank you all....

i dont have the ans...came up with this question myself.

thnks achilles for the explanation.....now i think its 2.....earlier it was 3 on my mind....

thanks....

theres another related query but from different topic....about screening of prostate cancer....

---60yr old patient ...DRE rock hard prostate......wat is the next step..??

1) PSA

2) biopsy....

thanks once againsmiling face














  #10

it is PSA. biopsy is done later and also not very sensitive.


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If you think you can You can! If you think you cant you are right again!!

  #11

PSA is the wrong answer

Understand how to answer a question in 45 seconds.

1. PSA is not specific or sensitive or diagnostic

2. Pt. is over 60 years old

3. hard rock solid mass

4. prostate cancer is very prevalent and pts do DIE !!

So what is the answer !!

What do you do with a high PSA ?

What do you do with a low PSA ?

What they really want to ask you is PSA is actually called prostate non-specific antigens?



Please remember the rules of engagement in examination.

It is a real war out there to score 100% perfect score and you got to understand what's going on?

Understand means real understanding of the sensitivity and specificity of PSa and what yoy do with PSA. Read and study Kaplan !




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seeking study partner in USMLE, Canadian MCC OSCE examination

  #12

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