MRCP UK EXAMINATIONS

RESPIRATORY

OLD TUBERCULOSIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Main physical assessment to diagnose pulmonary tuberculosis
A
bronchi
B
lung alveoli
C
middle lobe bronchi
D
Trachea
Explanation: 

Detailed explanation-1: -Chest x-ray. Interferon-gamma release blood test, such as the QFT-Gold test to test for TB infection (active or infection in the past) Sputum examination and cultures. Thoracentesis (procedure to remove fluid from the space between the lining of the outside of the lungs and the wall of the chest)

Detailed explanation-2: -Symptoms of pulmonary TB are nonspecific and include anorexia, fatigue, anemia, weight loss, fevers, and night sweats. Cough is usually productive, and hemoptysis may occur. Pleural involvement may lead to chest pain and dyspnea. Physical examination findings include rales and signs of consolidation.

Detailed explanation-3: -Pertinent elements of the physical exam for tuberculosis disease include general characteristics such as height, weight, temperature, heart rate, respiratory rate, and blood pressure; a thorough pulmonary examination; inspection and palpation of lymph nodes; and inspection for scars of scrofula and prior chest surgery.

Detailed explanation-4: -This causes major damage to the tissue, which gets destroyed. Lung tissue is usually very thin and almost sponge-like because it is filled with air in the alveoli, where oxygen is exchanged from the air into the blood. The lung tissue affected by TB bacilli first becomes hard, making the oxygen exchange impossible.

Detailed explanation-5: -There are two kinds of tests used to detect TB bacteria in the body: the TB skin test (TST) and TB blood tests. A positive TB skin test or TB blood test only tells that a person has been infected with TB bacteria. It does not tell whether the person has latent TB infection (LTBI) or has progressed to TB disease.

There is 1 question to complete.