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Pulmonary tuberculosis — RACP Written MCQ

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ModerateInfectious DiseasesPulmonary tuberculosisRACP Written

A 58-year-old man has cough, night sweats and weight loss. He migrated from Vietnam 20 years ago. Chest X-ray shows right upper lobe cavitation. Three sputum samples are acid-fast bacilli positive. What is the most appropriate management?

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Correct answer: E — Start standard multidrug tuberculosis therapy with public health notification

Cavitary smear-positive pulmonary tuberculosis requires multidrug treatment, airborne precautions and public health notification/contact tracing.

Reference: Therapeutic Guidelines: Antibiotic; Australian infectious diseases practice principles