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Chemotherapy under field conditions

Without access to culture and sensitivity tests

Self assessment of your knowledge


1.A patient with cough and expectoration of 3 weeks says he has had smear positive for AFB and had full course of antitubercular chemotherapy(CAT I)in the previous year. Which of the following line of management will be most appropriate?

a) Start immediately on CAT I regimen
b) Start immediately on CAT II regimen
c)Do a sputum smear examination

2.The drugs used in the continuation phase in CAT II cases is

a) H,R and Z
b) H,R and E
c) H and R

3. A new smear positive case interrupts treatment after 3 weeks returns after 2 months and is found smear positive. Which of the following statements is FALSE

a) His outcome should be considered as default
b) He should be reregistered as new
c)He should be put on CAT II regimen

4. A sputum smear negative not seriously ill patient is put on 2(HRZ)3/4(HR)3The sputum examination at the end of 2 months is found to be positive. The correct line of treatment should be

a)Put on SHRZ3
b)Begin CAT II regimen
c)Continue HRZ3 for one more month and repeat sputum smear

5. All of the following can be considered as treatment failure EXCEPT
a)An initially smear positive case remaining sputum positive after 2 months of treatment
b)An initially smear negative patient who becomes smear positive after 2 months
c)An initially smear positive patient who remains positive at the end of 5 months

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