MRCP UK EXAMINATIONS

RESPIRATORY

PULMONOLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 40-year-old male patient came with complaints of coughing up blood for 2 days, previously the patient had had a cough for 1 month and it was getting worse, the patient complained of a decrease in appetite, from the physical examination, crackles were found on the right and left apex. GeneXpert examination obtained + M.tb, Rifampicin sensitive. What is the appropriate therapy given?
A
OAT 2RHZE+4RH
B
OAT 2RHZS + 4R3H3
C
OAT 2RHZES + RHZE + 5RHE
D
OAT 2RHZES + 4RHS
E
OAT 2RH + 4RHE
Explanation: 

Detailed explanation-1: -Clinical manifestations of bronchiectasis are as follows: Cough and daily mucopurulent sputum production, often lasting months to years (classic) Blood-streaked sputum or hemoptysis from airway damage associated with acute infection. Dyspnea, pleuritic chest pain, wheezing, fever, weakness, fatigue, and weight loss.

Detailed explanation-2: -When a metallic taste is paired with coughing, you may have an upper respiratory infection like a cold. This can cause your phlegm to contain traces of blood. Repeatedly coughing up phlegm often brings small amounts of blood into the mouth and onto the taste buds, leading to a distinct metallic taste in your mouth.

Detailed explanation-3: -When evaluating a patient with chronic cough, fever, and weight loss, the differential diagnosis commonly includes lung cancer, M tuberculosis infection, HIV, COPD, and interstitial lung disease.

Detailed explanation-4: -A person with pneumonia may have a dry cough or a cough that produces thick sputum that is yellow, green, brown, or blood-stained. This is a viral or bacterial infection that leads to the swelling of lung tissue. Other common symptoms include: breathing difficulty.

There is 1 question to complete.