TB + Pregnancy

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TB + Pregnancy

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starcraftbw
Forum Senior

Topics: 13
Posts: 166

09/26/07 - 02:27 PM

Pt is a 25 y/o with 6 wks of pregnacy who has PPD+ test on pre-natal care. CXR shows upper lobe cavity nodule and sputum culture for AFB is positive for active TB. what's your management?

a) INH + Rifampin + ethambutol + B6

b) INH + rifampin + ethambutol + pyrazinamide + B6

c) INH + rifampin + ethambutol + streptomycin + B6

d) INH + B6 only and combo 4 drugs after delivery

e) Treat after delivery

f) ID consultation

Doc750
transfer:step 3 prison
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Topics: 52
Posts: 634

09/26/07 - 02:30 PM

A

___________________
Experience is a hard teacher because she gives the test first, and the lesson afterwards.

Dr.D
Forum Senior
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Topics: 22
Posts: 191

09/26/07 - 02:35 PM

Doc750
transfer:step 3 prison
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Topics: 52
Posts: 634

09/27/07 - 05:06 AM

????

___________________
Experience is a hard teacher because she gives the test first, and the lesson afterwards.

starcraftbw
Forum Senior

Topics: 13
Posts: 166

09/27/07 - 05:34 AM

^^ok boss, you're right...... the answer is A........ but why not B or C?

vibrio
Forum Newbie

Topics: 3
Posts: 18

09/27/07 - 05:43 AM

guys why not answer is B.why to exclude pyrazinamide?

Kamsi
Forum Guru

Topics: 103
Posts: 347

09/27/07 - 05:47 AM

A

pyrazinamide is teratogenic while streptomycin causes congenital deafness

doyoudig
Forum Guru

Topics: 144
Posts: 613

09/27/07 - 06:57 AM

agreed both are teratogenic

starcraftbw
Forum Senior

Topics: 13
Posts: 166

09/27/07 - 07:05 AM

I hope we all get this one right if it comes out smiling face

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