KROK 1 2019 – Question 161 · KROK (Medicine) · Microbiology, Virology, and Immunology
A 6-year-old boy is brought to the pediatrician by his mother, who complains of low-grade fever, chronic cough and night sweats in her child. She describes the cough as productive, producing white sputum that is sometimes streaked with blood. She also says that her son has lost some weight in the last month. His vital signs include blood pressure of 115/75 mm Hg, heart rate of 110/min., respiratory rate of 18/min. and temperature of 36.6°C. On physical examination, the patient is ill looking. Pulmonary auscultation reveals some fine crackles in the right upper lobe. The pediatrician suspects an active infection and performs Mantoux test. Intradermal injection of which of the following substances has been most likely used by pediatrician for screening test in this clinical case?
- A. Bacillus Calmette-Guerin (BCG) vaccine
- B. Tetanus and diphtheria toxoids vaccine (Td)
- C. Diphtheria-tetanus toxoids-acellular pertussis vaccine (DTaP)
- D. Tuberculin
Hint
Ask what kind of hypersensitivity reaction the Mantoux test depends on and which material from the suspected organism has to be injected to provoke it in a sensitized person.
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