BCSE Practice Exam 2025 – Complete Study Resource

In the context of tuberculosis (TB) related to airway obstruction, a widened mediastinum can indicate the presence of enlarged lymph nodes or other structures that may be pressing against the airway or major vessels, leading to potential obstructions. When TB affects the mediastinal lymph nodes, it may result in a mediastinal shift or widening due to the increased size of these nodes. This can subsequently affect respiratory function and contribute to airway obstruction symptoms.

Focal opacification typically suggests localized pneumonia or consolidation rather than specific airway obstruction caused by TB. Hilar lymphadenopathy, while potentially seen with TB, does not directly indicate obstruction in the same way as a widened mediastinum. Pleural effusions may occur with TB but are more indicative of fluid accumulation rather than direct obstruction of the airway. Therefore, the widened mediastinum serves as a crucial indicator of the impact of TB on the structures surrounding the airways, validating its significance in this context.