Mycobact. tuberculosis infection in a HIV infected
patient is treated with:
A. The same antitubercular regimen as HIV
negative patient
B. Four first line antitubercular drugs for 2
months followed by a longer continuation
phase of 7 months with rifampin + isoniazid
C. All 5 first line antitubercular drugs for 9
months
D. Clarithromycin + Ciprofloxacin + Rifabutin
for 12 months

1 Answer

Answer :

B. Four first line antitubercular drugs for 2
months followed by a longer continuation
phase of 7 months with rifampin + isoniazid

Related questions

Description : The drugs used to treat Mycobact. avium complex infection in AIDS patients include the following except: A. Isoniazid B. Clarithromycin C. Ethambutol D. Ciprofloxacin

Last Answer : A. Isoniazid

Description : According to the current WHO guidelines, new (untreated) sputum smear positive cases of pulmonary tuberculosis are to be treated with the following regimen: A. Isoniazid + Rifampin + Pyrazinamide ... D. Isoniazid + Rifampin for 6 months with additional Pyrazinamide during the initial 2 months

Last Answer : C. Isoniazid + Rifampin for 6 months with additional Pyrazinamide + Ethambutol/Streptomycin during the initial 2 months

Description : Multidrug resistant (MDR) tuberculosis is defined as resistance to: A. Any two or more antitubercular drugs B. Isoniazid + any other antitubercular drug C. Isoniazid + Rifampin + any one or more antitubercular drugs D. All five first line antitubercular drugs

Last Answer : C. Isoniazid + Rifampin + any one or more antitubercular drugs

Description : Under the WHO guidelines for treatment of new cases of tuberculosis, when isoniazid + ethambutol are used in the continuation phase instead of isoniazid + rifampin,, the duration of this phase is: A. 2 months B. 4 months C. 6 months D. 8 month

Last Answer : C. 6 months

Description : As per WHO guidelines, treatment of failure or relapse (category II) patients of smear positive pulmonary tuberculosis differs from that of new cases in the following respect(s): A. All 5 first line antitubercular drugs ... are given in the continuation phase instead of two (HR) D. Both 'A' and 'C'

Last Answer : D. Both 'A' and 'C'

Description : If a multibacillary leprosy patient treated with standard fixed duration multidrug therapy relapses, he should be treated with: A. The same rifampin + dapsone + clofazimine regimen B. ... + minocycline C. Clofazimine + ofloxacin + clarithromycin D. Ofloxacin + minocycline + clarithromycin

Last Answer : . The same rifampin + dapsone + clofazimine regimen

Description : ifampin + pyrazinamide for initial 2 months followed by isoniazid + rifampin for another 4 months for the following category of tubercular patients: A. New sputum positive cases of ... pulmonary tuberculosis who have interrupted treatment for more than 2 months D. Tubercular meningitis patients

Last Answer : B. New sputum negative cases of pulmonary tuberculosis

Description : What is true of DOTS strategy for treatment of tuberculosis: A. It consists of an initial intensive phase and a later continuation phase B. The dose of antitubercular drugs is reduced ... patient himself is made responsible for administering antitubercular drugs D. All of the above are correct

Last Answer : A. It consists of an initial intensive phase and a later continuation phase

Description : A patient of pulmonary tuberculosis treated with rifampin + isoniazid + pyrazinamide developed parasthesias, weakness, dizziness, ataxia and depressed tendon reflexes. Which of the following ... with thiacetazone C. Substitute pyrazinamide with ethambutol D. Substitute rifampin with streptomycin

Last Answer : A. Temporarily discontinue isoniazid and add pyridoxine

Description : Clarithromycin is used for the following: A. Multidrug resistant M.tuberculosis infection B. M.avium complex infection in AIDS patient C. M.tuberculosis infection in a patient who develops jaundice due to first line antitubercular drugs D. Both ‘A’ and ‘B’ are correct

Last Answer : B. M.avium complex infection in AIDS patient

Description : Which first line antitubercular drug is only tuberculostatic and not tuberculocidal: A. Rifampin B. Isoniazid C. Ethambutol D. Pyrazinamide

Last Answer : C. Ethambutol

Description : Indicate the second line antitubercular drug that is being preferred to supplement ethambutol + streptomycin in case of hepatotoxicity due to isoniazid/ rifampin/pyrazinamide: A. Ethionamide B. Cycloserine C. Ofloxacin D. Capreomycin

Last Answer : C. Ofloxacin

Description : Addition of pyrazinamide and ethambutol for the first two months to the isoniazid + rifampin therapy of tuberculosis serves the following purpose(s): A. Reduces the total duration of therapy to 6 months B. ... sputum conversion C. Permits reduction of rifampin dose D. Both A' and B' are correct

Last Answer : D. Both ‘A’ and ‘B’ are correc

Description : Choose the correct statement about rifampin: A. It is the most active drug on slow growing tubercle bacilli B. Its antitubercular efficacy is lower than that of isoniazid C. It is active against many atypical mycobacteria D. It does not effectively cross blood-CSF barrier

Last Answer : C. It is active against many atypical mycobacteria

Description : First line antitubercular drugs include the following except: A. Ciprofloxacin B. Streptomycin C. Pyrazinamide D. Ethambutol

Last Answer : A. Ciprofloxacin

Description : The antitubercular action of thiacetazone has the following feature(s): A. It is a low efficacy antitubercular drug B. It is combined with isoniazid to improve anti-tubercular efficacy of the latter C. ... with isoniazid to prevent development of resistant infection D. Both A' and C' are correc

Last Answer : D. Both ‘A’ and ‘C’ are correct

Description : Which of the following antitubercular drugs is not hepatotoxic: A. Isoniazid B. Rifampicin C. Pyrazinamide D. Ethambutol

Last Answer : D. Ethambutol

Description : Antiretroviral therapy is not recommended in asymptomatic HIV infected subjects with CD4 cell count more than 350/µl because of the following reason(s): A. All antiretroviral drugs lose efficacy after ... C. The treated subjects may produce and transmit drug resistant virus D. All of the above

Last Answer : D. All of the above

Description : Which fluoroquinolone is highly active against Mycobact. leprae and is being used in alternative multidrug therapy regimens: A. Norfloxacin B. Ofloxacin C. Ciprofloxacin D. Lomefloxacin

Last Answer : B. Ofloxacin

Description : The HIV titer of an AIDS patient was found to be reduced but still detectable after 6 months of tripple drug anti-HIV therapy. The best course of action in this patient is: A. Continue the ... 2 drugs and continue one previously used drug D. Replace one drug and continue two previously used drugs

Last Answer : B. Replace all 3 drugs with a set of another 3 drugs

Description : The initial regimen for antiretroviral therapy of previously untreated HIV patient consist of: A. Two nucleoside reverse transcriptase inhibitors (NRTIs) + one protease inhibitor (PI) B. Two NRTIs + one non-NRTI C. Three NRTIs D. Any of the above

Last Answer : D. Any of the above

Description : As an antitubercular drug, isoniazid has the following advantages except: A. It is tuberculocidal B. It acts on both extra and intracellular bacilli C. Tubercle bacilli do not develop resistance against it D. It is cheap

Last Answer : C. Tubercle bacilli do not develop resistance against it

Description : Choose the correct statement in relation to treatment of urinary tract infection (UTI): A. Majority of UTIs are caused by gram positive bacteria B. Smaller doses of the antimicrobial agent ... drug gets concentrated in urine D. Most acute UTIs are treated with a combination antimicrobial regimen

Last Answer : B. Smaller doses of the antimicrobial agent suffice for lower UTI

Description : The following antibiotic is highly active against anaerobic bacteria including Bacteroides fragilis: A. Ciprofloxacin B. Clarithromycin C. Clindamycin D. Tobramycin

Last Answer : C. Clindamycin

Description : Concurrent use of an aminoglycoside antibiotic should be avoided with the following antibiotic: A. Ampicillin B. Vancomycin C. Ciprofloxacin D. Rifampin

Last Answer : B. Vancomycin

Description : Chemoprophylaxis for tuberculosis is recommended in the following category of subjects except: A. Mantoux positive child in the family of a tuberculosis patient B. All Mantoux positive adult ... tuberculosis patient who show Mantoux conversion D. HIV positive subjects with a positive Mantoux test

Last Answer : B. All Mantoux positive adult contacts of tubercular patient

Description : The following antibiotic is a first line drug for treatment of Mycobacterium avium complex infection in AIDS patients: A. Clindamycin B. Clarithromycin C. Roxithromycin D. Erythromycin

Last Answer : B. Clarithromycin

Description : When caring for a patient with an uncomplicated, mild urinary tract infection (UTI), the nurse knows that recent studies have shown which of the following drugs to be a good choice for ... to be significantly more effective than TMP-SMX in community-based patients and in nursing home residents.

Last Answer : a) Levofloxacin (Levaquin) Levofloxacin, a floroquinolone, is a good choice for short-course therapy of uncomplicated, mild to moderate UTI. Clinical trial data show high patient compliance with the 3-day regimen (95.6%) and a high eradication rate for all pathogens (96.4%).

Description : A woman aged 25 years is diagnosed to be suffering from pulmonary tuberculosis. She is also 8 weeks pregnant. Antitubercular therapy for her should be: A. Started immediately B. Delayed till end of first trimester C. Delayed till end of second trimester D. Delayed till after confinement

Last Answer : . Started immediately

Description : The WHO guidelines for treatment of tuberculosis with short course chemotherapy under the DOTS strategy categorise patients on the basis of the following: A. Site and severity of the disease B. Sputum smear positivity/negativity C. History of earlier antitubercular drug use D. All of the above

Last Answer : D. All of the above

Description : Which disease can not be treated at all with any of the drugs known thus far (a) Malaria (b) Lyme (c) Tuberculosis (d) HIV

Last Answer : Ans:(b)

Description : Occurrence of the following adverse reaction absolutely contraindicates further use of rifampin in the treatment of tuberculosis: A. Respiratory syndrome B. Cutaneous syndrome C. Flu syndrome D. Abdominal syndrome

Last Answer : A. Respiratory syndrome

Description : The following regimen is preferred for nonsurgical termination of pregnancy in the first 7 weeks: A. Intravenous oxytocin infusion B. Intramuscular carboprost C. Intravaginal mifepristone followed by intraamniotic dinoprost D. Oral mifepristone followed by oral misoprostol

Last Answer : D. Oral mifepristone followed by oral misoprosto

Description : Which one of the following drugs is most likely to be effective against multidrug – resistant strains of M tuberculosis, including those resistant to streptomycin? (a) Amikacin (b) Clarithromycin (c) Gentamicin (d) Meropenem (e) Spectinomycin

Last Answer : Ans: A

Description : Fixed dose combination formulations are not necessarily appropriate for: A. Drugs administered in standard doses B. Drugs acting by the same mechanism C. Antitubercular drugs D. Antihypertensive drugs

Last Answer : C. Antitubercular drugs

Description : A diabetic develops a severe perineal infection with skin necrosis, subcutaneous crepitance, and drainage of a thin, watery, grayish and foul-smelling fluid. Management should consist of: a. Gram stain ... normal, healthy tissue can be achieved e. A colostomy is of little benefit in this situation

Last Answer : Answer: a, b, c, d The presence of severe perineal infection (referred to as Fournier gangrene when this process involves the perineum and scrotum in males) is associated with a ... often provides improved wound care and patient management, although it is not invariably a positive outcome

Description : ndicate the anti-HIV regimen that is generally reserved for advanced cases of AIDS or for repeated treatment failures: A. Two nucleoside reverse transcriptase inhibitors (NRTIs) + one protease inhibitor (PI) B. Three NRTIs C. Two NRTIs + one non-NRTI D. One NRTI + one non-NRTI + one PI

Last Answer : D. One NRTI + one non-NRTI + one PI

Description : Select the antimicrobial agent that can be used to treat with both methicillin resistant and vancomycin resistant Staphylococcus aureus infection: A. Clarithromycin B. Clindamycin C. Linezolid D. Lincomycin

Last Answer : C. Linezolid

Description : The following does not apply to cancer chemotherapy: A. Each treatment with a cytotoxic drug kills a constant number of malignant cells B. Drugs are generally used at maximum tolerated ... D. Combination regimens using several drugs in succession are superior to single drug used continuously

Last Answer : A. Each treatment with a cytotoxic drug kills a constant number of malignant cells

Description : A patient of congestive heart failure was being treated with furosemide and digoxin. He developed urinary tract infection. Which of the following antimicrobials should be avoided: A. Ampicillin B. Gentamicin C. Norfloxacin D. Cotrimoxazole

Last Answer : B. Gentamicin

Description : The drug isoniazid is used widely in contemporary medicine to a. Treat tuberculosis. b. Prevent fungal overgrowth in the intestine. c. Clear away wound infections. d. Eliminate infections due to gram-negative bacteria.

Last Answer : a. Treat tuberculosis.

Description : Bacteriostatic drugs are unlikely to effect cure of bacterial infection in the following category of patients except: A. Diabetic patients B. Patients with allergic disorders C. Patients on corticosteroid therapy D. Subacute bacterial endocarditis patient

Last Answer : B. Patients with allergic disorders

Description : An AIDS patient treated with zidovudine + lamivudine + nelfinavir developed intolerable adverse effects. Then: A. Dose of all three drugs should be reduced to half B. All three drugs should be stopped or substituted simultaneously C. The drugs should be stopped one by one D. Two drugs sh

Last Answer : B. All three drugs should be stopped or substituted simultaneously

Description : In an asthma patient treated with systemic corticosteroids, bronchodilator drugs: A. Are not needed B. Are contraindicated C. May be used on ‘as and when required’ basis D. Are ineffective

Last Answer : C. May be used on ‘as and when required’ basis

Description : Isoniazid is a primary antitubercular agent that (a) Requires pyridoxine supplementation (b) May discolor the tears, saliva, urine or feces orange-red (c) Causes ocular complications that are reversible if ... (d) May be ototoxic and nephrotoxic (e) Should never be used due to hepatotoxic potential

Last Answer : Ans: A

Description : The following is true of anti-H.pylori therapy except: A. It is indicated in all patients of peptic ulcer B. Resistance to any single antimicrobial drug develops rapidly C. Concurrent ... efficacy of the regimen D. Colloidal bismuth directly inhibits H.pylori but has poor patient acceptability

Last Answer : A. It is indicated in all patients of peptic ulcer

Description : In the short course regimen for treatment of tuberculosis, pyrazinamide and ethambutol are used for: A. Initial one month B. Initial two months C. Last two months D. Throughout the course

Last Answer : B. Initial two months

Description : A patient of liver cirrhosis with ascitis was treated with hydrochlorothiazide 50 mg twice daily. He responded initially, but over a couple of months the diuretic action gradually diminished ... Add spironolactone 50 mg thrice daily D. Substitute hydrochlorothiazide by spironolactone 50 mg 6 hourly

Last Answer : C. Add spironolactone 50 mg thrice daily

Description : A patient of CHF was treated with furosemide and digoxin. He became symptom-free and is stable for the last 3 months with resting heart rate 68/min in sinus rhythm but left ventricular ... medication as before C. Continue the diuretic but stop digoxin D. Continue digoxin but stop the diuretic

Last Answer : A. Stop above medication and start an ACE inhibitor