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Question 31 In the case of antituberculous treatment toxicity, how high should the serum glutamic pyruvate transaminase (SGPT) rise before we should stop treatment?

Question 32 After starting antituberculous treatment, when is the fever expected to subside and the erythrocyte sedimentation rate (ESR) to return to normal?

Question 33 What are the indications of steroids in the treatment of tuberculosis?

Question 34 I am a final-year medical student in India, where tuberculosis in all forms is one of the most common diseases with which we deal. I read that you feel there is no indication for steroids in tuberculosis. Is it not reasonable to give steroids with antitubercular therapy (ATT) in a patient with tuberculous pericarditis, meningitis, peritonitis and ocular manifestations due to tuberculosis, in order to reduce the damage caused by inflammation and fibrosis? If not, what suitable alternatives, other than steroids, would you recommend to reduce damage from postinflammatory fibrosis?

Question 35 What dosage of steroids and duration of treatment should be given to patients with idiopathic pulmonary fibrosis? What are the new drugs, their recommended dosage and duration of treatment?

Question 36 What is the poor prognostic factor in cryptogenic fibrosis: fibrosis or concomitant connective tissue disorder?

Question 37 Are wheezes present in extrinsic allergic alveolitis?

Question 38 Is the measurement of chest expansion with a tape a useful physical examination to indicate the severity of emphysema?

Question 39 In asbestos-related pleural disease (pleural plaques and mesothelioma), how do asbestos fibres get to the pleural space? Question 40 How do you differentiate clinically between thickened pleura and pleural effusion?