The statement 'Tuberculosis in adults will normally spread to the lungs, lymph nodes, joints and meninges' is:

The statement 'Tuberculosis in adults will normally spread to the lungs, lymph nodes, joints and meninges' is:

• A. True
• B. False
• C. Not sure
• D. Cannot determine

Answer: (B)

The question tests how tuberculosis presents in adults. In adults, TB is most commonly a pulmonary disease—that is, it primarily affects the lungs. While it can spread beyond the lungs to sites such as lymph nodes, bones/joints, or the meninges, this extrapulmonary involvement is not the typical pattern. It occurs in a minority of cases and is more common in certain groups (for example, those with weakened immune systems) but is not the usual course. Therefore the statement that TB in adults will normally spread to the lungs, lymph nodes, joints and meninges overstates the typical presentation.

The question tests how tuberculosis presents in adults. In adults, TB is most commonly a pulmonary disease—that is, it primarily affects the lungs. While it can spread beyond the lungs to sites such as lymph nodes, bones/joints, or the meninges, this extrapulmonary involvement is not the typical pattern. It occurs in a minority of cases and is more common in certain groups (for example, those with weakened immune systems) but is not the usual course. Therefore the statement that TB in adults will normally spread to the lungs, lymph nodes, joints and meninges overstates the typical presentation.