Healthcare Worker and PPD - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 07-28-2011
podebrad's Avatar
USMLE Forums Addict
 
Steps History: CK+CS
Posts: 138
Threads: 28
Thanked 77 Times in 36 Posts
Reputation: 87
Default Healthcare Worker and PPD

A 37-year-old health care worker had a PPD skin test reactive at 17 mm ten years ago at the end of her internship. She never took the recommended isoniazid. What is appropriate for this patient now?

(A) Two-stage PPD testing
(B) Start isoniazid for the next nine months
(C) Perform a single PPD now
(D) Yearly chest x-rays
(E) Do nothing
Reply With Quote Quick reply to this message



  #2  
Old 07-28-2011
busterbee's Avatar
USMLE Forums Veteran
 
Steps History: 1 + CK
Posts: 218
Threads: 16
Thanked 110 Times in 59 Posts
Reputation: 120
Default

C do a PPD now
Reply With Quote Quick reply to this message
  #3  
Old 07-28-2011
USMLE-Syndrome's Avatar
USMLE Forums Master
 
Steps History: ---
Posts: 1,203
Threads: 180
Thanked 1,251 Times in 441 Posts
Reputation: 1265
Default

Quote:
Originally Posted by podebrad View Post
A 37-year-old health care worker had a PPD skin test reactive at 17 mm ten years ago at the end of her internship. She never took the recommended isoniazid. What is appropriate for this patient now?

(A) Two-stage PPD testing
(B) Start isoniazid for the next nine months
(C) Perform a single PPD now
(D) Yearly chest x-rays
(E) Do nothing
(A) Two-stage PPD testing
(C) Perform a single PPD now
both r wrong once ppd test postive always bepositive in future
so should not repeat
iam confuse btw cxray to exclude active tb and isoniazide that must be given if not active tb
so the answer is

(D) Yearly chest x-rays
Reply With Quote Quick reply to this message
  #4  
Old 07-28-2011
Ace3's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 735
Threads: 89
Thanked 285 Times in 191 Posts
Reputation: 297
Default

Quote:
Originally Posted by podebrad View Post
A 37-year-old health care worker had a PPD skin test reactive at 17 mm ten years ago at the end of her internship. She never took the recommended isoniazid. What is appropriate for this patient now?

(A) Two-stage PPD testing
(B) Start isoniazid for the next nine months
(C) Perform a single PPD now
(D) Yearly chest x-rays
(E) Do nothing
i think c.......... if that is positive then chest xray and if that is positive start isoniazid
Reply With Quote Quick reply to this message
  #5  
Old 07-29-2011
podebrad's Avatar
USMLE Forums Addict
 
Steps History: CK+CS
Posts: 138
Threads: 28
Thanked 77 Times in 36 Posts
Reputation: 87
Default This maybe debatable.

The answer is E

Explanation:

If the patient had not developed tuberculosis because of the previous exposure, she is not going to now unless she becomes immuno compromised. A positive skin test confers a 10% lifetime risk of developing tuberculosis. Almost all of this is within the first two years of developing a positive reaction. There is no point in giving a patient isoniazid now to prevent tuberculosis that would have happened years ago after the initial exposure. Once a tuberculosis skin test is positive, there is no point in ever repeating the test. It will always be positive. There is no benefit to yearly chest x-rays in anyone. Two-stage PPD testing is performed in those who have either never been tested before or who had negative skin tests in the past and it has been longer than a year since the last positive test. The two-stage test is to confirm that the first test is truly negative.
Reply With Quote Quick reply to this message
The above post was thanked by:
Ace3 (07-29-2011), cool_atomic (07-29-2011), USMLE-Syndrome (07-29-2011)



Reply

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Coal Mining Worker Homer88 USMLE Step 2 CK Forum 4 05-26-2011 06:56 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)