8 board-style questions on tuberculosis in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.
A 32-year-old healthcare worker from the Philippines immigrated to the United States 6 months ago. She has no symptoms. As part of her employment screening, a tuberculin skin test (TST) is placed and read at 48 hours showing 12 mm of induration. She has no history of BCG vaccination. Chest X-ray is normal. What is the most appropriate next step?
A 40-year-old man from Ethiopia presents with 3 weeks of productive cough, night sweats, unintentional 5 kg weight loss, and low-grade fevers. Chest X-ray shows a right upper lobe cavitary lesion with surrounding infiltrate. Three sputum samples are sent for acid-fast bacilli (AFB) smear and culture. The initial AFB smear is positive. While awaiting culture and susceptibility results, what is the most appropriate initial treatment regimen?
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