Pulmonary Tuberculosis — RACP Adult Medicine MCQ

Instant feedback + full explanation. One question, done properly.

EasyInfectious DiseasesPulmonary TuberculosisRACP Adult Medicine

A 45-year-old man from South Sudan presents with 3 months of cough, night sweats, and weight loss. CXR shows right upper lobe cavitating consolidation with fibrotic change. What is the most likely CXR diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Tuberculosis

Upper lobe cavitating consolidation with constitutional symptoms in a patient from a TB-endemic region is pulmonary tuberculosis until proven otherwise. Three sputum samples for AFB smear and culture (including NAAT/GeneXpert) should be obtained. Respiratory isolation is required. Standard treatment is 2RHZE/4RH.

Reference: eTG Antibiotic – 2025 – Tuberculosis