The Master Surgeon | Free Multiple Choice Questions (MCQs)

QUESTION NO

218

A 46 years old male presents with breathlessness, productive cough, haemoptysis and night sweats. These symptoms have been ongoing for about 3 months, but he has noticed that his breathlessness is worsening. He also reports having a poor appetite and weight loss. He has no medical or drug history of note. He is a non smoker and does not drink any alcohol. He has worked as an accountant since graduating from University. A chest X ray demonstrates a left upper lobe round opacification with cavitation and pleural effusion. An aspirate was obtained under ultrasound guidance. The protein level was reported as being 40g/L. What is the most likely cause of his symptoms?

Please select one of the following:

Rheumatoid arthritis
Bronchial carcinoma
Cardiac failure
Tuberculosis
Pneumonia

Question By Dr Ley Taing Chan MBBS, BA.