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Pneumonia and tuberculosis

A practice question in the style of the MCCQE MCQ exam. Choose your answer to see the explanation.

A 31-year-old woman starting rifampin for TB infection takes a combined oral contraceptive. What advice is most important?

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The answer is D: Use a non-hormonal method while on rifampin.

Rifampin is a potent liver enzyme inducer that lowers levels of hormonal contraceptives, warfarin, many antiretrovirals and other drugs. She should use a copper IUD or barrier method during treatment and for some weeks after. Orange urine and tears are expected and harmless.

This question comes from Week 2 of MCC Vault: Respiratory. That week has 124 more exam-style questions like it, 5 short lessons and 154 flashcards. The course starts free with Week 1 and reaches this topic in week 2, as part of a five-month plan with full mock exams along the way.

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