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Tuberculosis — SCE Infectious Diseases MCQ

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HardTuberculosisTuberculosisSCE Infectious Diseases

A patient with drug-susceptible pulmonary tuberculosis converted sputum cultures by month 2 and feels well at month 5. What treatment advice is appropriate?

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Correct answer: A — Complete the standard 6-month drug-susceptible tuberculosis regimen

The best answer is “Complete the standard 6-month drug-susceptible tuberculosis regimen”. Standard drug-susceptible pulmonary TB requires completion of the intensive and continuation phases; early cessation increases relapse and acquired-resistance risk. NICE specifies UK testing, latent-infection treatment and drug-susceptible tuberculosis regimens. Treatment completion is defined by the full intensive and continuation phases, not by symptomatic improvement or early culture conversion alone; premature cessation increases relapse and resistance risk.

Reference: NICE NG33: tuberculosis: https://www.nice.org.uk/guidance/ng33/chapter/Recommendations