Infection Control · single question

The same active-TB patient on isoniazid and rifampin comes with pain and a dental emergency. What should the dentist do?

  1. Treat him in an isolated operatory (airborne precautions)
  2. Delay treatment until he is no longer infectious
  3. Treat in a regular operatory with standard precautions
  4. Prescribe analgesics and antibiotics without dental treatment
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Correct answer: A. Treat him in an isolated operatory (airborne precautions)

  • A. Correct (keyed). A true emergency cannot be deferred, so treatment proceeds with airborne-infection controls — ideally a negative-pressure/isolation room with N95 respirators — to protect others. (Many settings refer such patients to a hospital with proper isolation.)
  • B. An emergency with pain should not simply be delayed.
  • C. Standard precautions alone are insufficient for an infectious airborne disease.
  • D. Pharmacologic management without addressing the source is inadequate for a dental emergency.

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