Infections Flashcards
A 35-year-old female has been recently diagnosed with psoriatic arthritis and has been initiated on leflunomide 100mg once daily for 3 days then reduced to 20mg daily after 3 days. You feel that the patient should be counselled on this new medication. Which of the following would be the most appropriate counselling points to mention to the patient started on leflunomide?
A) Patient should be advised that women of child-bearing age should use effective contraception during treatment for at least 20 weeks after stopping treatment.
B) Effective contraception is essential during the treatment and for at least 2 years after treatment in women.
C) Baseline examination of the eye (fundus photography and spectral domain optical coherence tomography) within 6-12 months of treatment initiation
D) Counsel patient on blood disorders (fever, sore throat, infection, unexplained bleeding and bruising, purpura, mouth ulcers or rashes)
E) Patient should be advised to be screened for latent tuberculosis and viral hepatitis
B) Effective contraception is essential during the treatment and for at least 2 years after treatment in women.
After the a few weeks of treatment from the initial phase for tuberculosis the patient has made you aware that recently his eyesight has been impaired and he feels like he is losing his sight from his left eye. You suspect that his impaired eyesight could be due to the anti-tuberculosis medication. Which of the following anti-tuberculosis medication is the likely cause of the patient’s eye impairment?
A) Aminosalicylic acid
B) Isoniazid
C) Rifampicin
D) Ethambutol
E) Pyrazinamide
D) Ethambutol
