A 34-year-old medical student has fever, chest pain, severe breathlessness, and dry cough. Chest X-ray shows right homogeneous opacity. Ultrasound lung confirms massive pleural effusion on the right side. Which of the following statements are correct? 1. A therapeutic pleural tap should be done to relieve dyspnoea and sent for analysis. 2. If pleural fluid analysis is inconclusive, a thoracoscopy may be done. 3. Thoracoscopy should be done under general anesthesia. Select the correct answer using the code given below:
1 and 2 only
A large symptomatic effusion warrants therapeutic thoracocentesis for both symptom relief and diagnostic fluid analysis (statement 1 correct). If the pleural fluid analysis is inconclusive, medical/video-assisted thoracoscopy with pleural biopsy is the next step (statement 2 correct). However, thoracoscopy is usually performed under local anesthesia with sedation, not general anesthesia (statement 3 incorrect). Hence statements 1 and 2 only are correct.
Important Questions from Tuberculosis
Which of the following investigations may be used for the diagnosis of pulmonary tuberculosis?
1. Nucleic acid amplification
2. Culture in Middlebrook medium
3. Light emitting diode fluorescent microscopy with auramine staining
4. Peripheral blood smear
Select the correct answer using the code given below:
- Recommended first time drug for initial treatment of tuberculosis include all EXCEPT:
The most frequent adverse reaction of significance among people treated for drug-susceptible tuberculosis is:
All adult patients in whom anti-tubercular treatment is being started should undergo baseline assessment of:
- The extrapulmonary sites most commonly involved in tuberculosis are all EXCEPT:
