A patient comes to the clinic to have a Mantoux tuberculin skin test read after 48 hours.The primary care NP notes a 6-mm area of induration.The patient is a young adult with no known contacts and has never traveled abroad.The NP should:

Question

Quizplus · Accepted Answer

A chest x-ray should be obtained on all patients who have a positive purified protein derivative tuberculin test (PPD).The test was read in the appropriate time frame,so repeating the test is not necessary.This patient has a positive PPD.Referral to an infectious disease specialist should be made when the diagnosis is confirmed.

A Patient Comes to the Clinic to Have a Mantoux