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A 6-year-old boy is brought to the pediatrician by his mother, who complains of low-grade fever, chronic cough and night sweats in her child. She describes the cough as productive, producing white sputum that is sometimes streaked with blood. She also says that her son has lost some weight in the last month. His vital signs include blood pressure of 115/75 mm Hg, heart rate of 110/min., respiratory rate of 18/min. and temperature of 36.6°. On physical examination, the patient is ill looking. Pulmonary auscultation reveals some fine crackles in the right upper lobe. The pediatrician suspects an active infection and performs Mantoux test. Intradermal injection of which of the following substances has been most likely used by pediatrician for the screening test in this clinical case?

Питання КРОК 1 (медицина) · тест з варіантами та поясненням · Medus

EN: A 6-year-old boy is brought to the pediatrician by his mother, who complains of low-grade fever, chronic cough and night sweats in her child. She describes the cough as productive, producing white sputum that is sometimes streaked with blood. She also says that her son has lost some weight in the last month. His vital signs include blood pressure of 115/75 mm Hg, heart rate of 110/min., respiratory rate of 18/min. and temperature of 36.6°. On physical examination, the patient is ill looking. Pulmonary auscultation reveals some fine crackles in the right upper lobe. The pediatrician suspects an active infection and performs Mantoux test. Intradermal injection of which of the following substances has been most likely used by pediatrician for the screening test in this clinical case?

Варіанти відповідей

  1. Tuberculin
  2. Diphtheria-tetanus toxoids-acellular pertussis vaccine (DTaP)
  3. Bacillus Calmette-Guerin (BCG) vaccine
  4. Tetanus and diphtheria toxoids vaccine (Td)

Answer options (EN)

  1. Tuberculin
  2. Diphtheria-tetanus toxoids-acellular pertussis vaccine (DTaP)
  3. Bacillus Calmette-Guerin (BCG) vaccine
  4. Tetanus and diphtheria toxoids vaccine (Td)

Правильна відповідь

Tuberculin

Пояснення

Проба Манту - внутрішньошкірне введення туберкуліну (Purified Protein Derivative, PPD) для виявлення сенсибілізації до збудника туберкульозу. При підозрі на активний туберкульоз (кашель, кров у мокротинні, втрата маси тіла, хрипи) саме ця проба використовується для скринінгу. DTaP, БЦЖ та Td - вакцини, не діагностична проба.

Зустрічається в буклетах

Усі буклети КРОК 1 · Підготовка до КРОК