]> 2026-07-31T09:40:51+00:00 WBR0410 0 en Start isoniazid No prophylactic measure needed Yearly PFT’s Yearly PPD Yearly Chest X-ray '''Incorrect''' : Since silicosis can mask the radiographic changes of active TB, chest X-ray is not used as a screening tool for tuberculosis. Primary Care Office 48 year old male presents to the office with 4 month history of fatigue, dry cough and dyspnea. He says his cough and breathing difficulty is getting worse. He denies any fever, weight loss, chest pain and joint pain. He works in a glass factory and his past medical history is significant for hypertension. He is a chronic smoker and alcoholic. On examination pulse is 80/min, BP:130/80 mmHg, temperature 37 degree Celsius and O2 saturation is 93%. Physical examinations are normal and no cervical lymph nodes are noted. Cardiovascular and respiratory system examinations are normal. Chest X-ray show B/L hilar lymphadenopathy and prominent nodules in the upper lobe. After treating with O2, bronchodialotrs the patient feels better. Which of the following would be the best appropriate management in this patient? D Respiratory 2020-10-28T00:28:49Z 2459150.5200116 WBR0410