A 22 year old patient from the West Ukraine complains of laboured nasal breathing.
Morphological examination of biopsy material of nasal mucous membrane revealed lymphoid,
Epithelioid, plasma cells as well as Mikulicz's cells. What is the most probable diagnosis?
A Rhinoscleroma
B Glanders
C Tuberculosis
D Leprosy
E Syphilis
43
Autopsy of a man who had been working as a miner for many years and died from
Cardiopulmonary decompensation revealed that his lungs were airless, sclerosed, their apexex
Had emphysematous changes, the lung surface was greyish-black, the incised lung tissue was
Coal-black. What disease caused death?
A Anthracosis
B Silicosis
C Talcosis
D Asbestosis
E Aluminosis
44
Examination of coronary arteries revealed atherosclerotic calcific plaques that close vessel
Lumen by 1/3. The muscle has multiple whitish layers of connective tissue. What process was
Revealed in myocardium?
A Diffuse cardiosclerosis
B Tiger heart
C Postinfarction cardiosclerosis
D Myocarditis
E Myocardium infarction
45
A 63 year old male patient who had been suffering from chronic diffuse obstructive disease,
Pulmonary emphysema, for 15 years died from cardiac insufficiency. Autopsy revealed nutmeg
Liver cirrhosis, cyanotic induration of kidneys and spleen, ascites, edemata of lower limbs.
These changes of internal organs are typical for the following disease:
A Chronic right-ventricular insufficiency
B Acute right-ventricular insufficiency
C Chronic left-ventricular insufficiency
D Acute left-ventricular insufficiency
E General cardiac insufficiency
46
Microscopical examination of an enlarged cervical lymph node revealed blurring of its structure,
Absence of lymphoid follicles; all the microscopic fields showed cells with roundish nuclei and
Thin limbus of basophil cytoplasm. It is known from the clinical data that other groups of lymph
Nodes are also enlarged as well as spleen and liver. What disease might be suspected?
A Lymphoid leukosis
B Lymphogranulomatosis
C Lymphosarcoma
D Myeloid leukosis
E Multiple myeloma
47
A worker of a cattle farm fell acutely ill and then died from the progressing intoxication. Autopsy
Revealed enlarged, hyposthenic spleen of dark-cherry colour when dissected; excessive pulp
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Scraping. At the base and fornix of brain pia maters are edematous, soaked with blood, dark-red
("scarlet hat"). Microscopic examination revealed serous haemorrhagic inflammation of brain
Tissues and tunics along with destruction of small vessel walls. What is the most likely
Diagnosis?
A Anthrax
B Tularemia
C Brucellosis
D Plaque
E Cholera
48
Histological examination of a skin tissue sampling revealed granulomas consisting of
Macrophagal nodules with lymphocytes and plasmatic cells. There are also some big
Macrophages with fatty vacuoles containing causative agents of a disease packed up in form of
Spheres (Virchow's cells). Granulation tissue is well vascularized. What disease is this
Granuloma typical for?
A Lepra
B Tuberculosis
C Syphilis
D Rhinoscleroma
E Glanders
49
A 40 year old man noticed a reddening and an edema of skin in the area of his neck that later
Developed into a small abscess. The incised focus is dense, yellowish-green. The pus contains
White granules. Histological examination revealed drusen of a fungus, plasmatic and xanthome
Cells, macrophages. What type of mycosis is the most probable?
A Actinomycosis
B Aspergillosis
C Candidosis
D Sporotrichosis
E Coccidioidomycosis
50
A physician examined a patient and found inguinal hernia. Through what anatomic formation
Does it penetrate into the skin?
A Hiatus saphenus
B Anulus femoralis
C Canalis adductorius
D Lacuna musculorum
E Anulus inguinalis superficialis
51
Autopsy of a man who died from burn disease revealed brain edema, liver enlargement as well
As enlargement of kidneys with wide light-grey cortical layer and plethoric medullary area.
Microscopic examination revealed necrosis of tubules of main segments along with destruction
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