As per RNTCP guidelines first do in TB suspect case -
Chest X-ray
Sputum culture
Sputum microscopy
Start short-course chemotherapy
Ans. is 'c' i.e., Sputum microscopy Treatment stratgies in RNTCPo Under the RNTCP active case finding is not pursuedo Case finding is passive.o Patients presenting thremselves with symptoms suspicious of tuberculosis are screened through 2 sputum smear examination.o Sputum microscopic examination is done in designated RNTCP microscopy centres.o It is essential to examine 2 sputum specimens of each patient before a conclusive diagnosis can be made.o If only 1 sputum smear is positive, chest x-ray helps in diagnosis.o Once the diagnosis is confirmed, treatment is started according to DOTS (Directly observed therapy short term).o Patient are expected to collect drugs once a month (not daily) on fixed dates from the nearest treatment centre.
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