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Review Question - QID 107421

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QID 107421 (Type "107421" in App Search)
A 21-year-old U.S. born first year medical student with no prior hospital or healthcare work presents to the physician for a routine physical exam. The patient is HIV negative, denies drug use, and denies sick contacts. The physician places a purified protein tuberculin test in the patient's right forearm intradermally. What is the proper time to read the test and induration diameter that would indicate a positive test result?

24 hours and 18mm diameter

0%

0/11

36 hours and 7mm diameter

18%

2/11

48 hours and 11mm diameter

36%

4/11

72 hours and 16mm diameter

36%

4/11

96 hours and 14mm diameter

0%

0/11

Select Answer to see Preferred Response

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The patient is at low risk of tuberculosis (TB) and thus a positive tuberculin test would be an induration greater than or equal to 15mm in diameter read at 48-72 hours.

Reaction size for the tuberculin test is determined 48-72 hours and can remain positive for up to a week. Negative readings after 72 hours are unreliable. A positive test result is greater than or equal to 15mm induration for persons with no risk factors; greater than or equal to 10mm induration for persons with diabetes, malignancy, silicosis, immigrants from high prevalence countries who arrived within five years, and persons who use illicit drugs; greater than or equal to 5mm induration for patients with HIV, fibrotic changes from previous TB, and recent contact with persons with active TB.

Incorrect Answers:
Answer 1-2: This is not a long enough waiting period to read a tuberculin test.
Answer 3: This is the correct time to read the test. However, 11mm is not a large enough induration for a patients at low risk of latent TB to be considered positive
Answer 5: 96 hours is too long to accurately read the tuberculin test. A repeat test will need to be performed to rule out TB

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