Question

A 23-year-old man presents with a 2-month history of hemoptysis, night sweats, fever, and weight loss. Chest X-ray shows right upper lobe cavitation. According to NICE guidelines, which investigation is most appropriate to confirm the diagnosis?

Accepted Answer

Sputum acid-fast bacillus (AFB) testing

Answer

Sputum culture for bacteria

Answer

Mantoux skin test

Answer

Bronchoscopy and biopsy

Answer

Sputum cytology

Practice question

A 23-year-old man presents with a 2-month history of hemoptysis, night sweats, fever, and weight loss. Chest X-ray shows right upper lobe cavitation. According to NICE guidelines, which investigation is most appropriate to confirm the diagnosis?