Saunders Respiratory Practice

Which of the following is NOT a typical sign or symptom of tuberculosis (TB)?

1. Night sweats

2. Mucopurulent sputum

3. Afternoon low grade fever

4. Shortness of breath at rest

The correct answer is: Shortness of breath at rest

Shortness of breath at rest is typically not a primary sign or symptom associated with tuberculosis (TB) in its early stages. While TB can affect lung function and lead to various respiratory symptoms, it often presents with more common signs such as persistent cough, night sweats, fever, and significant sputum production. Night sweats, mucopurulent sputum, and afternoon low-grade fever are classic symptoms of TB. Night sweats occur due to the body's immune response to the infection. Mucopurulent sputum is common, especially in cases where there is lung erosion due to the disease. Afternoon low-grade fever is also commonly noted in TB patients, as it reflects the chronic nature of the infection. Shortness of breath at rest typically suggests more advanced lung disease or acute conditions, which may develop later in the course of TB but is not a hallmark symptom seen in the initial presentation. Thus, it stands out as not being a typical sign or symptom of tuberculosis itself.