MRCP UK EXAMINATIONS

RESPIRATORY

OLD TUBERCULOSIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
How does tuberculosis manifest itself?
A
like tumors
B
like brown spots
C
As yellowing (chlorosis)
D
As blackening (necrosis)
Explanation: 

Detailed explanation-1: -Symptoms such as fever, cough, expectoration, hemoptysis, weight loss and anorexia are common to both tuberculosis and lung cancer. In India, where tuberculosis is spreading in an uncontrolled way, it is not uncommon to find a lung cancer patient being treated for tuberculosis initially.

Detailed explanation-2: -Tuberculous infection of the long bones can mimic benign tumors or locally aggressive tumors like giant cell tumors and at times even malignant tumors like osteogenic sarcoma or chondrosarcomas.

Detailed explanation-3: -The general symptoms of TB disease include feelings of sickness or weakness, weight loss, fever, and night sweats. The symptoms of TB disease of the lungs also include coughing, chest pain, and the coughing up of blood. Symptoms of TB disease in other parts of the body depend on the area affected.

Detailed explanation-4: -A tuberculoma is a clinical manifestation of tuberculosis which conglomerates tubercles into a firm lump, and so can mimic cancer tumors of many types in medical imaging studies. They often arise within individuals in whom a primary tuberculosis infection is not well controlled.

Detailed explanation-5: -It can begin with painless small or round nodules around the neck which may become large in weeks to months. These nodules may drain pus or fluid after few weeks. Other symptoms include, fever, malaise i.e. a feeling of being unwell, sudden weight loss, sweating at night, fatigue, cough.

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