A 40-year-old previously healthy woman presents with 1 month's history of on and off fever and productive cough occasionally with streaks of blood. She lost 10 kg over 6 weeks. Her Temp 38.2, BP 110/70, HR 100/min, RR 24/min and Spo2 96% on room air. Chest examination reveals normal breath sounds over the right upper lobe. Her chest x ray reveals right upper lobar consolidation Which of the following is the most likely risk factor for developing her pulmonary illness?
سؤال مجاني 2 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: B. Exposure to patient with TB
The subacute fever, haemoptysis, 10 kg weight loss and right upper lobe consolidation are typical of post-primary pulmonary TB, and the classic risk factor is close contact with an active TB patient. Smoking appears only as a minor reactivation risk factor and mainly points to lung cancer, which would not explain a month of fever. Asbestos exposure and a family history of cancer point to malignancy (e.g., mesothelioma), not to this infective picture.
ليش كل خيار صح أو غلط
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A
ليش غلط
Asbestos exposure is the usual risk factor for mesothelioma (a pleural cancer), not for post-primary TB.
✓ Pleural effusion.pdf · p. 8 -
B
ليش صح
Her picture is post-primary (upper lobe) TB, and close contact with active TB patients is a listed exposure risk factor.
✓ TB and Its TTx.pdf · p. 2 -
D
ليش غلط
Smoking is listed only among the other risk factors for reactivation of latent TB, not as the main exposure risk.
✓ TB and Its TTx.pdf · p. 6
- المصدر
- TB and Its TTx.pdf · p. 2
Step Up To Medicine 6th Edition 2024 (TB and its treatment).pdf · p. 2 - المحاضرة
- Tuberculosis · Pulmonology · Module B
- ظهر في
- Respi bank