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MCQ – 92763

Question

What are the necessary criteria that need to be fulfilled in order to initiate multidrug therapy (MDT) for leprosy?

  1. Hypopigmented patch with sensory loss
  2. Peripheral nerve thickening
  3. Peripheral nerve thickening with sensory loss
  4. Skin biopsy demonstrating bacilli
A. 1, 4
B.

1, 3

C.

1, 3, 4

D.

1, 2, 3, 4

Show Answer

Correct Answer » C

Explanation

Cardinal Signs of Leprosy

Diagnosis of leprosy is made if one or more of the following cardinal signs are present:

  1. Hypopigmented or erythematous skin lesion with definite sensory loss
  2. Thickened peripheral nerve with sensory and/or motor deficit
  3. Demonstration of acid-fast bacilli in slit skin smear or biopsy

Why Statement 2 is Incorrect

Peripheral nerve thickening alone

  • Nerve thickening without sensory or motor impairment is not sufficient for diagnosis.
  • Functional deficit must be present.
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