Respiratory medicine: TB preventive treatment: practice question

A General Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Medicine · Respiratory medicine: TB preventive treatment

Sample item

Who should be offered TB preventive treatment after excluding active disease?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Household contacts of pulmonary TB and people living with HIV

TB preventive treatment is advised for household contacts of bacteriologically confirmed pulmonary TB and for people living with HIV, among other risk groups. Regimens include 6 months of isoniazid or 3 months of weekly isoniazid plus rifapentine. Active disease must be excluded first.

Option by option

  • A. All healthy adults

    Universal treatment of healthy adults is not recommended.

  • B. Household contacts of pulmonary TB and people living with HIV (correct)

    Correct. These are priority groups.

  • C. Only contacts with positive sputum

    Preventive treatment is not limited to contacts who have positive sputum.

  • D. Patients cured of TB last month

    Recently cured patients are not a target group.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this General Medicine question

What is the answer to this General Medicine question?

The best answer is B, Household contacts of pulmonary TB and people living with HIV. TB preventive treatment is advised for household contacts of bacteriologically confirmed pulmonary TB and for people living with HIV, among other risk groups.

Why is "All healthy adults" not the answer?

Universal treatment of healthy adults is not recommended.

Why is "Only contacts with positive sputum" not the answer?

Preventive treatment is not limited to contacts who have positive sputum.

Why is "Patients cured of TB last month" not the answer?

Recently cured patients are not a target group.

What concept does this question test?

It tests Respiratory medicine: TB preventive treatment in General Medicine. Regimens include 6 months of isoniazid or 3 months of weekly isoniazid plus rifapentine. Active disease must be excluded first.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Respiratory medicine: TB preventive treatment?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.