Cert Pulmonology(SA) Phys Practice Questions - Sub-specialty Certificate in Pulmonology of the College of Physicians of South Africa Exam - Cert Pulmonology(SA) Phys Practice Questions - Sub-specialty Certificate in Pulmonology of the College of Physicians of South Africa Exam

Question 1

According to the South African National Tuberculosis Management Guidelines, how should a 'Trace' result on GeneXpert MTB/RIF Ultra be interpreted in an HIV-positive adult presenting with cough and fever who has no prior history of tuberculosis treatment?

Bacteriologically confirmed active pulmonary tuberculosis requiring initiation of first-line anti-TB therapy False-positive result requiring repeat sputum testing before initiating anti-TB therapy Latent tuberculosis infection requiring isoniazid preventive monotherapy only Nontuberculous mycobacterial colonization requiring no active treatment

Correct Answer:

Bacteriologically confirmed active pulmonary tuberculosis requiring initiation of first-line anti-TB therapy

Question 2

A 34-year-old male with rifampicin-resistant pulmonary tuberculosis (RR-TB) without prior exposure to bedaquiline or linezolid is initiated on the BPaL regimen. Which drug combination constitutes this standardized 6-month all-oral regimen?

Bedaquiline, Pretomanid, and Linezolid Bedaquiline, Prothionamide, and Linezolid Bedaquiline, Pretomanid, and Levofloxacin Bedaquiline, Pyrazinamide, and Levofloxacin

Correct Answer:

Bedaquiline, Pretomanid, and Linezolid

Question 3

A 42-year-old woman receiving BPaL for MDR-TB develops symptomatic peripheral neuropathy and hemoglobin drop to 7.8 g/dL at week 9 of therapy. Linezolid dose was initially 600 mg daily. What is the most appropriate management regarding Linezolid?

Permanently discontinue Bedaquiline and continue Linezolid at 600 mg daily with blood transfusion Replace Linezolid with Ethambutol without dose reduction of other components Increase Linezolid dose to 1200 mg daily to shorten total treatment duration Temporarily interrupt Linezolid until toxicity resolves, then resume at 300 mg daily

Correct Answer:

Temporarily interrupt Linezolid until toxicity resolves, then resume at 300 mg daily

Question 4

A newly diagnosed HIV-positive patient with smear-positive pulmonary tuberculosis has a baseline CD4 count of 28 cells/µL. According to South African National Guidelines, when should Antiretroviral Therapy (ART) be initiated?

Only after complete microbiological cure of tuberculosis After completing 2 months of intensive-phase anti-TB therapy Within 2 weeks of starting anti-tuberculosis therapy On the same day as anti-tuberculosis therapy initiation

Correct Answer:

Within 2 weeks of starting anti-tuberculosis therapy

Question 5

A 29-year-old HIV-infected male with pulmonary TB started ART 3 weeks ago (baseline CD4 18 cells/µL). He presents with worsening fever, cough, new cervical lymphadenopathy, and expanding pulmonary infiltrates on chest radiograph. Sputum Xpert Ultra shows no new drug resistance. What is the most appropriate management step?

Discontinue ART immediately and switch anti-TB drugs to second-line regimen Continue ART and anti-TB therapy, and initiate oral Prednisone (1.5 mg/kg/day) Add broad-spectrum antifungal cover with Fluconazole and stop ART Stop anti-TB therapy and perform immediate lymph node excisional biopsy

Correct Answer:

Continue ART and anti-TB therapy, and initiate oral Prednisone (1.5 mg/kg/day)

Question 1

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Prepare with the Cert Pulmonology(SA) Phys Practice Questions - Sub-specialty Certificate in Pulmonology of the College of Physicians of South Africa Exam practice quiz. This question bank includes 100 questions covering year-old, presents, male, pulmonary, and chest. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Cert Pulmonology(SA) Phys Practice Questions - Sub-specialty Certificate in Pulmonology of the College of Physicians of South Africa Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, male, pulmonary, and chest. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

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Cert Pulmonology(SA) Phys Practice Questions - Sub-specialty Certificate in Pulmonology of the College of Physicians of South Africa Exam

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