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Exam questionKROK 2Medicine · 2018

A 64-year-old man complains of cough with expectoration consisting of blood-streaked mucus, dyspnea, low grade fever and general fatigue. He has been presenting with these symptoms for 3 months. He has been smoking since early adolescence. Objectively to is 37.4°C, respirations are 26/min., pulse is 82/min., rhythmic, blood pressure is 130/85 mm Hg. The right side of the thorax lags behind in the respiratory process, dull percussion sound and acute decrease of breathing activity are observed there. X-ray shows homogeneous shadow of the lung field on the right with mediastinum displacement towards the affected side. What is the most likely diagnosis?

Answer options

  1. Multiple bronchiectasis
  2. Pleuropneumonia
  3. Exudative pleuritis
  4. Central lung cancer
  5. Pulmonary tuberculosis
Correct answer

Central lung cancer

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