3 Weeks Of Cough in Medicine / Internal Medicine — 32yo Man | Respiratory / Pulmonology | SMLE Q#12266
SMLE Question #12266
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-123
Last updated: February 2026
A 32-year-old man presents with 3 weeks of cough, low-grade fever, night sweats, and weight loss. Chest radiograph shows a moderate right pleural effusion. Diagnostic thoracentesis shows an exudative, lymphocyte-predominant pleural effusion. In a high tuberculosis-prevalence setting, which pleural fluid finding is most diagnostic for tuberculous pleural effusion?
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