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BOF: 30

A 30-year-old male presents with a chronic cough productive of copious amounts of thick yellow sputum and occasional haemoptysis. He also complains of bad breath and recurrent episodes of fever. On examination he has clubbing and on auscultation over the lung bases coarse crepitations are heard.

The test that would identify the cause of his condition would be:

a)      Sweat electrolytes

b)      Sinus x-ray

c)      Bronchoscopy

d)      High resolution CT scanning

e)      Bronchography

Answer:

d)

The patient has bronchiectasis. High resolution CT scanning would be the investigation of choice. It would show bronchial dilatation and wall thickening.

        Bronchiectasis

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