Question

A 30-year-old man presents with fever, night sweats and a painless enlarged left cervical lymph node for 6 weeks. FBC is normal, ESR is elevated, and chest X-ray shows mediastinal widening. What is the most appropriate diagnostic investigation?

Accepted Answer

Excisional lymph node biopsy

Answer

Fine-needle aspiration cytology of the node

Answer

Empirical antibiotics and review

Answer

Bone marrow biopsy only

Answer

PET scan only

Practice question

A 30-year-old man presents with fever, night sweats and a painless enlarged left cervical lymph node for 6 weeks. FBC is normal, ESR is elevated, and chest X-ray shows mediastinal widening. What is the most appropriate diagnostic investigation?