Author Question: A patient is taking isoniazid, pyrazinamide, rifampin, and streptomycin to treat TB. The primary ... (Read 70 times)

P68T · **on:** Jul 24, 2018

A patient is taking isoniazid, pyrazinamide, rifampin, and streptomycin to treat TB. The primary care NP should routinely perform:

a. serum glucose and liver function tests (LFTs).
b. bone marrow density and ophthalmologic tests.
c. ophthalmologic, hearing, and serum glucose tests.
d. color vision, serum glucose, and LFTs.

Question 2

A patient has a Mantoux tuberculin skin test with a 12-mm area of induration. The patient has a cough, and a chest radiograph is positive.

The primary care NP should refer this patient to an infectious disease specialist and should plan to monitor a regimen of: a. isoniazid for 6 months.
b. isoniazid and rifapentine.
c. isoniazid, rifapentine, and ethambutol.
d. isoniazid, rifampin, pyrazinamide, and ethambutol.

IAPPLET · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

C
For patients taking isoniazid, obtain periodic ophthalmologic examinations; for patients taking pyrazinamide, perform blood glucose tests.

Answer to Question 2

D
Newly diagnosed patients with active disease should be started on a four-drug regimen.