If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

 BOF 10

 

   

Home
Preparing for MRCP
Best of Five 1
Best of Five 2
Best of Five 3
Best of Five 4
BOF( Guest )
MRCP Part 2 BOF
MRCP Part 2 Images
PACES
MRCP theory examination topics
Books for MRCP
MRCP Courses
EMQS
OSCEs
Medical Finals & OSCE Courses
Recommended Reading
Forum
Links
ydr search engine
FAQ
Contributions
Authors
Privacy Policy
Contact

 

amazon astore

ACES for PACES

Medical Revision

Clinical Skills Blogspot

 

 

 

Google
Web ydr.org.uk
acesforpaces.com medicalrevision.org

BOF: 10

A 55-year-old male comes for his follow up appointment to the respiratory clinic. He has been diagnosed as having pulmonary tuberculosis and has been discharged from hospital 2 weeks prior to clinic attendance on a regime that consists of rifampicin, isoniazid, ethambutol, pyrazinamide and pyridoxine. He is a homeless alcoholic who has been housed in a hostel.

He says he does not feel well, no appetite, he is losing weight and has a productive cough. His urine is clear and not discoloured.

On examination he looked unwell, had lost weight and examination of the respiratory system revealed fine crepitations in both upper zones.

The chest x-ray shows shadowing in the upper lobes that are more extensive than the changes seen whilst he was an inpatient.

In this patient which one of the following would be the best option to follow:

a)      Take repeat samples of sputum for culture and sensitivity and adjust treatment according to the sensitivities

b)      Add streptomycin to his treatment regime

c)      Start him on steroids

d)      Give him treatment as directly observed therapy (DOT)

e)      Add ciprofloxacin

Back
Up
Next

Up ] Answer BOF 10 ]