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A 29 y/o F admits herself for detox center of IV drug use voluntarily. On PE you note IV track marks bilaterally upper extremities, Temp: 36.9C/98.2F, BP: 125/80, RR: 18/min and pulse of 90/min but are otherwise norm. Pat has not had previous TB skin test. Now, TB skin test report 6 mm. Result of serologic test reveal HIV NEG.

Next step in management of your pat?

a) Chest X-ray
b) Isoniazid
c) No additional therapy/or evolution
d) Rifampin, Isoniazid, pyranisamine and ethambutol

__________________________________72sec___________________________________________

a CXR

sorry its c as he is HIV neg

@usmlefa, if the pat here AIDS with CD4 189 cells/μL presents with new headaches & you notice on CT scan head 2 ring enhancing lesions/w mass effect.

Which option least likely to be the etiologic agent?

a) Toxoplasmosis
b) Staphylococcus
c) TB
d) Progressive multifocal leukoencephalopathy
e) 1ry CNS lymphoma



Do not forget all my Q 72sec

usmlefa ?

aa

toxoplasmosis

¡no Times UP.

working on something so late
exam driving me crazy dont know whether i can make it

It says LEAST I'm sorry I didn't see that !! Toxo is the most likely.. Least I think staph..