Question

A 55-year-old man presents with chronic cough producing small amounts of blood-streaked sputum, weight loss and night sweats. He migrated from a high tuberculosis prevalence country 6 months ago. What is the MOST appropriate initial investigation?

Accepted Answer

Sputum acid-fast bacilli smear and culture plus chest X-ray

Answer

Empirical anti-tuberculous therapy without tests

Answer

CT pulmonary angiogram

Answer

D-dimer test

Answer

Bronchoscopy only

Practice question

A 55-year-old man presents with chronic cough producing small amounts of blood-streaked sputum, weight loss and night sweats. He migrated from a high tuberculosis prevalence country 6 months ago. What is the MOST appropriate initial investigation?