View Full Version : Question of the Week for December 2, 2014

Mon 4th May '15, 6:29pm
A 54-year-old man who immigrated to the United States from Ethiopia 3 years ago presents for routine care. He has no physical complaints and no significant medical history.

A recent screening test for HIV antibody was negative. A tuberculin skin test, placed 48 hours ago, now has 12 mm of induration. The patient received vaccination with bacille Calmette-Guérin at birth.

What is the best next step for this patient?

Induced-sputum smear exams for acid-fast bacilli (https://kc149.infusionsoft.com/app/linkClick/8522/50d51e2459889bba/1084512/5cdb805ebbe1ab62)

Repeat tuberculin skin test with an interferon-γ release assay (https://kc149.infusionsoft.com/app/linkClick/8524/6a225153d497062c/1084512/5cdb805ebbe1ab62)

Chest radiograph (https://kc149.infusionsoft.com/app/linkClick/8526/725198fd2d367608/1084512/5cdb805ebbe1ab62)

Treatment for latent tuberculosis (https://kc149.infusionsoft.com/app/linkClick/8528/a981083393f9d0e4/1084512/5cdb805ebbe1ab62)

Repeat tuberculin skin test (https://kc149.infusionsoft.com/app/linkClick/8530/2e11429afe13a558/1084512/5cdb805ebbe1ab62)