A 56-year-old man has a three-month history of a productive cough with blood-tinged sputum, following his return from India. it's associated with lethargy, night sweats, and decreased appetite. on examination, his chest has good air entry bilaterally with no added sounds and his temp is 37.3C. Which of the following is the most likely diagnosis?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: B. Tuberculosis
Three months of productive cough with blood-tinged sputum plus constitutional symptoms (lethargy, night sweats, poor appetite) after return from a high-burden area (India) is classic pulmonary TB. A normal chest exam does not exclude it. PE is acute, bronchitis does not cause night sweats or weight loss, and pneumonia is acute with signs.
ليش كل خيار صح أو غلط
-
A
ليش غلط
Pulmonary embolism is sudden in onset (pleuritic pain, dyspnea, hemoptysis, tachycardia), not a three-month cough with night sweats.
✓ view-material.pdf · p. 99 -
B
ليش صح
Chronic cough with constitutional symptoms in someone who has returned from a high-risk area such as India should make you think of TB.
✓ Pulmonary tuberculosis.pdf · p. 28 -
D
ليش غلط
Typical pneumonia starts suddenly and gives crackles and bronchial breathing, whereas this man has a three-month course and a normal chest exam.
✓ Pulmonology 🫁.pdf · p. 15
- المصدر
- Pulmonary tuberculosis.pdf · p. 28
Pulmonary tuberculosis.pdf · p. 9 - المحاضرة
- Tuberculosis · Pulmonology · Module B
- ظهر في
- Respi bank