Q:

A 25 year old woman has a recent cough, hoarseness and swelling in the neck. There are several nontender swellings on both sides of her neck. She has lost 13kgs. She takes recreational drugs. What is the most probable diagnosis?

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A 25 year old woman has a recent cough, hoarseness and swelling in the neck. There are several

nontender swellings on both sides of her neck. She has lost 13kgs. She takes recreational drugs.

What is the most probable diagnosis?


  1. Thyrotoxicosis
  2. Hyperthyroidism
  3. Vocal cord nodules
  4. Vocal cord nodules
  5. TB

All Answers

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The key is E. TB. [Cough, wt. loss, non-tender cervical lymphadenopathy, and immunodeficient

state as a result of recreational drug use all these favours the diagnosis of TB. Laryngeal involvement

may be the cause of horseness].

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