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 Best of Five 33

 

   

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BOF: 33

A 45-year-old male homeless alcoholic has been referred to the medical ward after being brought in to casualty. He has a chronic cough productive of sputum, loss of weight, and night sweats. On examination he is unkempt and emaciated. His trachea is deviated to the left and there are crepitations over the apex of the left lung. CXR shows fibrosis and cavitation in the left apex.

The investigation most likely to confirm the diagnosis would be

a)      Sputum examination for acid and alcohol fast bacilli

b)      High resolution CT scan

c)      Fibreoptic bronchoscopy

d)      Mantoux test

e)      Gastric washings

 

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