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Old 06-08-2012
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Question HIV positive patient got exposed to TB patient...!!!! another PPD q

A 38-year-old, HIV-positive woman finds out that someone at her
workplace has tuberculosis. Her PPD at employee health is
negative. Her chest x-ray is now normal, and her PPD last year
was negative. What should you do next for her?
(A) Nothing further is required
(B) Repeat the PPD in three months
(C) Start isoniazid and stop in three months if the tuberculosis
skin test (PPD) is negative
(D) Start isoniazid for a full nine months
(E) Yearly chest x-rays
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Old 06-08-2012
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Quote:
Originally Posted by tyagee View Post
A 38-year-old, HIV-positive woman finds out that someone at her
workplace has tuberculosis. Her PPD at employee health is
negative. Her chest x-ray is now normal, and her PPD last year
was negative. What should you do next for her?
(A) Nothing further is required
(B) Repeat the PPD in three months
(C) Start isoniazid and stop in three months if the tuberculosis
skin test (PPD) is negative
(D) Start isoniazid for a full nine months
(E) Yearly chest x-rays

A.............?????
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Old 06-09-2012
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D, dont ask why !!!
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Old 06-09-2012
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(A) Nothing further is required
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Old 06-09-2012
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Quote:
Originally Posted by bisho View Post
D, dont ask why !!!
WHY

ans is INH 9 months

qbank says there are 2 exceptions where exposure->INH*9months is okay without PPD

one is kids < 2 years
second is AIDS patient because they are so anergic ?????????????????????????????????

god bless me
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Old 06-09-2012
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The point is if you see words immunosuppresion+ positive PPD/TB exposure in the question. The answer is INH for 9 months.
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