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  #1  
Old 06-27-2011
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Drug X Ray Spine, Dx, Rx, Side Effects!

A 29-year-old man with a 3-year history of hip and lower back pain complains of morning stiffness of his back that improves with exercise. He is otherwise healthy and currently not taking any medications. His physical examination
is unremarkable except for a decrease in chest expansion. X-ray of the spine is shown in the image. To prevent potential serious adverse effects associated with the preferred treatment, which test should be administered first?

X Ray Spine, Dx, Rx, Side Effects!-123.jpg
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(A) Blood pressure measurement
(B) Erythrocyte sedimentation rate
(C) Neisseria gonorrhoeae nucleic acid hybridization test
(D) Pulmonary function test
(E) Purified protein derivative skin test
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  #2  
Old 06-28-2011
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D. PFT for Methotrexate???
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Old 06-28-2011
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E) For TB.
Patient to be started on corticosteroids for Ankylosing Spondylitis
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Old 06-28-2011
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both concepts are not correct.!
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Old 06-28-2011
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E) PPD

You treat AS with infliximab, which inhibits TNF-A, and therefore decreases T cell activation, which can make dormant TB reactivate.
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  #6  
Old 06-28-2011
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is this baboo spine?
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  #7  
Old 06-28-2011
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Quote:
Originally Posted by patelMD View Post
E) PPD

You treat AS with infliximab, which inhibits TNF-A, and therefore decreases T cell activation, which can make dormant TB reactivate.
yup...im with you
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Old 06-28-2011
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Quote:
Originally Posted by patelMD View Post
E) PPD

You treat AS with infliximab, which inhibits TNF-A, and therefore decreases T cell activation, which can make dormant TB reactivate.
E) seems to be correct
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  #9  
Old 06-28-2011
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(E) Purifi ed protein derivative skin test
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  #10  
Old 06-28-2011
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(E) Purified protein derivative skin test
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  #11  
Old 06-28-2011
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Quote:
Originally Posted by MANIAKOS View Post
is this baboo spine?
yes, it's bamboo spine

and I agree with PPD test!
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  #12  
Old 06-28-2011
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Correct Answer

the right answer is E. as patel has explained it well enough above.
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