ميدلي بحث
رجوع لأسئلة Antimicrobials 15 / 38
B-624 مطابق للمصدر

A 32-year-old man is evaluated in the office for a 2-month history of fever, night sweats, weight loss, and cough. He works as a pharmacy technician in an extended care facility for veterans. On examination, he has a prominent cough and appears ill. Temperature is 38 °C; other vital signs are normal. Fine crackles are auscultated over the right posterior thorax. The remainder of the physical examination is normal. A chest radiograph shows a right upper lobe infiltrate with a small cavity. A stained sputum specimen is positive for acid-fast organisms; sputum culture results are pending. HIV testing is negative. Which of the following is the most appropriate initial therapy for this patient?

سؤال مجاني 6 من 10 اليوم · اشترك وكمّل بدون حد

اعرض الإجابة

الإجابة والشرح

ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.

الإجابة: C. Isoniazid, rifampin, pyrazinamide, and ethambutol.

✓ مطابق للمصدر TB and Its TTx.pdf · p. 4

Cavitary upper-lobe infiltrate with a positive acid-fast smear = presumed active pulmonary TB; treatment is started without waiting for culture. Active TB is treated with the four-drug RIPE regimen (rifampin, isoniazid, pyrazinamide, ethambutol) for 2 months, then isoniazid + rifampin for 4 months. Isoniazid alone is for latent TB, and a three-drug regimen without rifampin is inadequate.

ليش كل خيار صح أو غلط

  • A ليش غلط

    Never treat TB with a single antibiotic: use multidrug therapy because resistance is a problem. Isoniazid alone is used for latent TB, not active cavitary disease.

    ✓ Step Up To Medicine 6th Edition 2024 (TB and its treatment).pdf · p. 6
  • B ليش غلط

    This regimen leaves out rifampin. Active TB needs all four RIPE drugs in the intensive phase.

    ✓ TB and Its TTx.pdf · p. 4
  • C ليش صح

    Active TB is treated with the four-drug RIPE regimen (rifampin, isoniazid, pyrazinamide, ethambutol) for 2 months, then rifampin plus isoniazid for 4 months.

    ✓ TB and Its TTx.pdf · p. 4
المصدر
TB and Its TTx.pdf · p. 4
Step Up To Medicine 6th Edition 2024 (TB and its treatment).pdf · p. 5
المحاضرة
Antimicrobials · Infectious Diseases · Module B
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