MRCP UK EXAMINATIONS

RESPIRATORY

OLD TUBERCULOSIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A child under 14 years of age who is in close contact with a patient with pulmonary TB who is asymptomatic arrives at the general medicine consultation. Medical conduct must be
A
Remit the assessment by pediatrics
B
Order molecular test, liquid culture, rx.
C
Order molecular test, culture, rx and ppd.
D
bk liquid culture, ppd, chest rx
Explanation: 

Detailed explanation-1: -In the absence of symptoms, usually the only sign of TB infection is a positive reaction to the TB skin test or TB blood test. TB skin testing is considered safe in children and is preferred over TB blood tests for children less than 5 years of age.

Detailed explanation-2: -TB disease in children is treated by taking several anti-TB medicines for 4, 6, or 9 months, depending on the treatment regimen. CDC does not recommend the 4-month rifapentine-moxifloxacin TB treatment regimen for children who are younger than 12 years old or have a body weight below 40 kilograms.

Detailed explanation-3: -Isoniazid preventive therapy Preventive therapy is indicated for an asymptomatic contact or a contact in whom TB disease has been excluded if the contact is less than 5 years of age or who is living with HIV (regardless of age).

Detailed explanation-4: -Close contacts with evidence of extrapulmonary TB should be started on empiric treatment with the same regimen as the index patient, with the possible addition of isoniazid and rifampicin as described above.

There is 1 question to complete.