USMLE Forum Archives - USMLE Step 3 - int med
int med
bingousmle - 07-28-10 01:34
Which of the following individuals with a known history of prior latent tuberculosis infection (without therapy) has the greatest likelihood of developing reactivation tuberculosis?
A. A 28-year-old woman with anorexia nervosa, a body mass index of 16 kg/m2, and a serum albumin of 2.3 g/dL
B. A 36-year-old intravenous drug user who does not have HIV but is homeless
C. A 42-year-old man who is HIV-positive with a CD4 count of 350/μL on highly active antiretroviral therapy
D. A 68-year-old man who worked as a stone mason for many years and has silicosis
E. A 73-year-old man who was infected while stationed in India
bingousmle - 07-28-10 01:34
Which of the following individuals with a known history of prior latent tuberculosis infection (without therapy) has the greatest likelihood of developing reactivation tuberculosis?
A. A 28-year-old woman with anorexia nervosa, a body mass index of 16 kg/m2, and a serum albumin of 2.3 g/dL
B. A 36-year-old intravenous drug user who does not have HIV but is homeless
C. A 42-year-old man who is HIV-positive with a CD4 count of 350/μL on highly active antiretroviral therapy
D. A 68-year-old man who worked as a stone mason for many years and has silicosis
E. A 73-year-old man who was infected while stationed in India
The correct answer and explanation will be available after you answer.
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#1
Re: int med babbu5508 - 07-28-10 03:20 My answer is: d.
hopefully the question is testing about the increased likeliness of developing TB in a patient with silicosis...
#3
Re: int med
bingousmle - 07-28-10 11:08 My answer is: c.
While all the patients listed have an increased risk of developing reactivation tuberculosis, the greatest risk factor for development of active tuberculosis
is HIV positivity.
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