Test TOM - Ordre Des Médecins Practice Questions - Test Préalable à L'Inscription Au Tableau De L'Ordre Des Médecins (Test TOM, DR Congo) Exam

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A 34-year-old HIV-positive patient on antiretroviral therapy presents with a 3-week history of productive cough, evening fever, drenching night sweats, and a 5 kg weight loss. Sputum GeneXpert MTB/RIF reveals Mycobacterium tuberculosis detected with no rifampicin resistance. What is the standard first-line antituberculosis treatment regimen recommended by the DRC National Tuberculosis Programme (PNLT) for this newly diagnosed drug-susceptible pulmonary tuberculosis case?

2 months of Isoniazid, Rifampicin, Pyrazinamide, and Ethambutol (2RHZE) followed by 4 months of Isoniazid and Rifampicin (4RH) 2 months of Streptomycin, Isoniazid, Rifampicin, and Pyrazinamide (2SHRZ) followed by 6 months of Isoniazid and Ethambutol (6HE) 6 months of daily Levofloxacin, Bedaquiline, Linezolid, and Clofazimine 9 months of Isoniazid and Rifampicin monotherapy (9RH) with pyridoxine

Correct Answer:

2 months of Isoniazid, Rifampicin, Pyrazinamide, and Ethambutol (2RHZE) followed by 4 months of Isoniazid and Rifampicin (4RH)

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