Basic and Clinical Sciences (BCSE) Practice Exam

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Which of the following is not a common sign of TB in children?

  1. Cough

  2. Growth faltering

  3. Headaches

  4. Lymphadenopathy

The correct answer is: Headaches

The presence of cough, growth faltering, and lymphadenopathy are recognized as common signs of tuberculosis (TB) in children. A persistent cough often indicates pulmonary involvement, which is typical in TB cases. Growth faltering can occur due to chronic illness or malnutrition associated with TB, affecting the child's overall development. Lymphadenopathy can also be a prominent feature, as TB can cause swelling of the lymph nodes, particularly in the neck and thoracic areas. Headaches, while not impossible in the context of TB, are not considered a common sign of the disease in children. The manifestations of TB tend to align more closely with respiratory and systemic symptoms rather than neurological ones. As a result, headaches are less frequently associated with pediatric TB and do not align with the direct impact of the bacterium on the respiratory system and overall growth.