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Exam questionKROK 2Medicine ยท 2021

A 58-year-old patient, a heavy drinker and smoker, came to a hospital with complaints of constant coughing and shortness of breath. Lately, he has been losing weight. His cervical lymph nodes are enlarged and dense, the tissues above them exhibit no tension. Chest X-ray has shown fibrosis of an upper pulmonary lobe and left-sided pleurisy. The pleural fluid is straw-colored, with protein levels of 52 g/L and a high lymphocyte count. Malignant cells were not detected. Inoculation of the pleural fluid produced no microbial growth one week later. Make the right diagnosis:

Answer options

  1. Bronchiectasis
  2. Sarcoidosis
  3. Pulmonary tuberculosis
  4. Systemic lupus erythematosus
  5. Atypical pneumonia
Correct answer

Pulmonary tuberculosis

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