American College of Physicians: Internal Medicine — Doctors for Adults ®

MKSAP ® 15
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Answer

From the June 1998 ACP Observer, copyright © 1998 by the American College of Physicians.

A 29-year-old respiratory therapist in your hospital seeks advice regarding a positive PPD. She was negative on her employment PPD screen two years ago. Chest X-ray is negative. You should recommend:

Answer: C. Recent converter, hospital employee should be treated prophylactically, regardless of age. The CDC recommended duration of prophylaxis is 6 to 12 months for HIV-negative individuals, and 12 months for HIV-positive individuals.

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