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
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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
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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
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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
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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
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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?
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A Spotted fever
B Q fever
C Enteric fever
D Nodular periarteritis
E HIV
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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
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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 -
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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?
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A Lipoma
B Fibroma
C Angioma
D Liposarcoma
E Fibrosarcoma
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