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+--- Thread: Archer review Question 247 - misshyd (/showthread.php?tid=603774)
Archer review Question 247 - misshyd - ArchivalUser - 08-03-2011
247 ) A 32 year old hispanic woman with past medical history of HIV infection on Anti-retroviral therapy evaluated in your office because she is concerned about her potential exposure to Tuberculosis. Her father has come to visit her from Mexico and he was diagnosed with cavitary tuberculosis of left lung three week ago. He is currently receiving multi-drug anti-tuberculosis therapy. The patient says she has been taking care of her father at home since the diagnosis was made. A Tuberculin skin test is administered and is negative after 72 hours. Patient denies any fever, cough, chest pain or weight loss. Which of the following is most appropriate management ?
A) Re-assurance
B) Repeat PPD in 3 months
C) Start Isoniazid
D) Chest X-ray
E) Repeat PPD in one year
0 - ArchivalUser - 08-03-2011
C) Start Isoniazid
0 - ArchivalUser - 08-03-2011
mishhyd ......poop..
0 - ArchivalUser - 08-03-2011
medicine_king, i do not speak with people who are branded as eunuchs!
0 - ArchivalUser - 08-03-2011
C.
0 - ArchivalUser - 08-03-2011
poop..
0 - ArchivalUser - 08-03-2011
The criteria are as follows:
Household and other close contacts of potentially infectious cases of pulmonary TB regardless of age or tuberculin status
Newly infected persons or documented tuberculin skin test converters regardless of age (within two years of a negative PPD)
Persons with a positive PPD (>5 mm) and an abnormal chest radiograph without active TB
Persons with positive PPD (>10 mm) and in special clinical situations:
silicosis
prolonged therapy with corticosteroids (equivalent of (20 mg of prednisone for at least one month)
immunosuppressive therapy of other types
endoreticular malignancies (leukemia, lymphoma)
end stage renal disease
rapid weight loss or chronic undernutrition
insulin-requiring diabetes mellitus
0 - ArchivalUser - 08-03-2011
correct shigella, good explanation
recently castrated eunuchs ( the eunuch who calls himself king) must know these at the minumum
.............sorry, i can not help but react. This retarded eunuch (med_king) is a pain in the neck! What do you guys suggest? how to ignore this retard? Should i meditate?
0 - ArchivalUser - 08-03-2011
i was imitating misshyd's reaction!!! how is it , king? I think you should stop harassing misshyd medicine_king
0 - ArchivalUser - 08-03-2011
by the way why does misshyd call you eunuch med_king?