MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse is educating a patient who will be started on an antituberculosis medication regimen. The patient asks the nurse, “How long will I have to be on these medications?” Which statement by the nurse is most informative?
A
“You will need to take the medication for 3 months.
B
“Depending on your symptoms, 3 to 5 months is the most you will take them.”
C
It is important that you take the medication as prescribed for 6 to 12 months.”
D
“Most patients have to take the medication for at least 13 to 18 months “
Explanation: 

Detailed explanation-1: -The standardized regimens for anti-TB treatment recommended by WHO include five essential medicines designated as “first line”: isoniazid (H), rifampicin (R), pyrazinamide (Z), ethambutol (E) and streptomycin (S). Table 2.1 shows the recommended doses for adults and children.

Detailed explanation-2: -Anti-retroviral therapy should ideally be initiated within the first 2 weeks of TB treatment for patients with CD4 cell counts <50/mm3 and by 8-12 weeks of TB treatment initiation for patients with CD4 cell counts ≥50/mm3.

Detailed explanation-3: -Recommended Treatment Regimens The preferred regimen for treating adults with TB remains a regimen consisting of an intensive phase of 2 months of isoniazid (INH), rifampin (RIF), pyrazinamide (PZA), and ethambutol (EMB) followed by a continuation phase of 4 months of INH and RIF.

There is 1 question to complete.