Hours after performing tuberculin test (Mantoux test) to a child a 10 mm papule appeared on



The spot of tuberculin introduction. What hypersensitivity mechanism underlies these changes?

A Cellular cytotoxicity

B Anaphylaxis

C Antibody-dependent cytotoxicity

D Immune complex cytotoxicity

E Granulomatosis

      62

Colonoscopy of a patient ill with dysentery revealed that mucous membrane of his large intestine

Is hyperemic, edematic, its surface was covered with grey-and-green coats. Name the

Morphological form of dysenteric collitis:

A Fibrinous

B Catarrhal

C Ulcerous

D Purulent

E Necrotic

      63

A patient has been syffering from diarrhea for 5 day. On the fith day colonoscopy revealed that

Membrane of rectum was inflamed, there were greyish-green films closely adhering to the

Subjacent tissue. What is the most probable diagnosis?

A Dysentery

B Typhoid fever

C Nonspecific ulcerous colitis

D Salmonellosis

E Crohn's disease

      64

Autopsy of a 48 y.o. man revealed a round formation 5 cm in diameter with clear-cut outlines in

The region of the 1st segment of his right lung. This formation was encircled with a thin layer of

Connective tissue full of white brittle masses. Make a diagnosis of the secondary tuberculosis form:

A Tuberculoma

B Caseous pneumonia

C Acute cavernous tuberculosis

D Acute focal tuberculosis

E Fibrous cavernous tuberculosis

      65

A man had worked in a coal mine for over 20 years. After his death autopsy revealed that his

Lungs were dense, grayish-black and had large areas of neogenic connective tissue containing

A lot of microphages with black pigment in the cytoplasm. What is the most likely diagnosis?

A Anthracosis

B Anthracosilicosis

C Silicoanthracosis

D Talcosis

E Siderosis

      66

Skin of a man who died from cardiac insufficiency has an eruption in form of spots and specks.

There are also bedsores in the area of sacrum and spinous vertebral processes. Microscopical

Examination of CNS, skin, adrenal glands revealed in the vessels of microcirculatory bed and in

Small arteries destructive-proliferative endothrombovasculitis with Popov's granulomas;

Interstitial myocarditis. What diagnosis corresponds with the described picture?

A Spotted fever

B Q fever

C Enteric fever

D Nodular periarteritis

E HIV

      67

Autopsy of a 17 year old girl who died from pulmonary failure revealed a small area of caseous

Necrosis in the inferior lobe of the right lung, and occurences of caseous necrosis in the

Bronchopulmonary, bronchial and bifurcational lymph nodes. What is the most probable

Postmortem diagnosis?

A Primary tuberculosis

B Hematogenous progression of primary tuberculosis

C Hematogenous tuberculosis with predominant lung affection

D Tuberculoma

E Caseous pneumonia under secondary tuberculosis

      68

Autopsy of a man who died from the sepsis in his femoral bone revealed phlegmonous

Inflammation that affected the marrow, haversian canals and periosteum. Under the periosteum

There are multiple abscesses, adjoining soft tissues of thigh also have signs of phlegmonous

Inflammation. What pathological process was described?

A Acute hematogenous osteomyelitis

B Osteoporosis

C Chronic hematogenous osteomielitis

D Osteopetrosis

E -

      69

An experimental animal was first sensibilized whereupon an antigen dose was introduced

Subcutaneously. This injection resulted in the development of a fibrinous inflammation with

Alteration of vessel walls, basal substance and fibrous structures of connective tissue in form of

Mucoid and fibrinoid swelling and necrosis. What immunological reaction took place?

A Immediate hypersensitivity

B Delayed-type hypersensitivity

C Reaction of transplantation immunity

D Normergic reaction

E Granulomatosis

      70

Examination of a 55 year old woman revealed under the skin of submandibular area a movable

Slowly growing pasty formation with distinct borders 1,0x0,7 cm large. Histological examination

Revealed lipocytes that form segments of diffrent forms and sizes separated from each other by

Thin layers of connective tissue with vessels. What is the most probable diagnosis?

A Lipoma

B Fibroma

C Angioma

D Liposarcoma

E Fibrosarcoma

      71


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