Microscopy of the coronary artery of a dead 53-year-old patient revealed luminal occlusion due
To a fibrous plaque with some lipids. The most likely form of atherosclerosis in this case is:
A Liposclerosis
B Lipidosis
C Prelipid stage
D Atheromatosis
E Ulceration
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Autopsy of the patient revealed bone marrow hyperplasia of tubular and flat bones (pyoid
Marrow), splenomegaly (6 kg) and hepatomegaly (5 kg), enlargement of all lymph node groups.
What disease are the identified changes typical for?
A Chronic myelogenous leukemia
B Chronic lymphocytic leukemia
C Multiple myeloma
D Polycythemia vera
E Hodgkin's disease
125
A 60-year-old patient with a long history of atherosclerosis and a previous myocardial infarction
Developed an attack of retrosternal pain. 3 days later the patient was hospitalized and then died
Of progressive cardiovascular insufficiency. At autopsy a white fibrous depressed area about 3
Cm in diameter with clear boundaries was found in the posterior wall of the left ventricle and
Interventricular septum. The dissector evaluated these changes as:
A Focal cardiosclerosis
B Myocardial ischemia
C Myocardial infarction
D Myocarditis
E Myocardial degeneration
126
A male patient is 28 years old. Histological study of a cervical lymph node revealed a change of
Its pattern due to the proliferation of epithelioid, lymphoid cells and macrophages having nuclei in
Form of a horseshoe. In the center of some cell clusters there were non-structured light-pink
Areas with fragments of nuclei. What disease are these changes typical for?
A Tuberculosis
B Hodgkin's disease
C Actinomycosis
D Tumor metastasis
E Syphilis
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At autopsy the occipital lobe of brain was found to have a cavity 2,5x1,5 cm large filled with a
Transparent liquid. The cavity had smooth brownish walls. What process had developed in the
Brain?
A Cyst on the site of a hemorrhage
B Softening of the cerebrocortical grey matter
C Brain abscess
D Paracephalia
E A cyst on the site of the softening of the cerebrocortical grey matter
128
Study of the biopsy material revealed a granuloma consisting of lymphocytes, plasma cells,
Macrophages with foamy cytoplasm (Mikulicz cells), many hyaline globules. What disease can
You think of?
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A Rhinoscleroma
B Leprosy
C Syphilis
D Tuberculosis
E Actinomycosis
129
Autopsy of a 78-year-old patient revealed that retroperitoneal tissue was soaked with blood, the
Abdominal aorta had a sacciform protrusion including a defect with irregular edges. The wall of
The aorta was here and there of stone-like density. This is the complication of the following
Disease:
A Atherosclerosis
B Essential hypertension
C Systemic vasculitis
D Visceral syphilis
E Marfan syndrome
130
A 40-year-old patient with the progressing staphylococcal purulent periodontitis developed
Purulent inflammation of bone marrow spaces of the alveolar process, and then of the body of
Mandible. Microscopy revealed thinning of bone trabeculae, foci of necrosis, bone sequesters
Surrounded by the connective tissue capsule. What is the most likely diagnosis?
A Chronic osteomyelitis
B Acute osteomyelitis
C Parodontome
D Chronic fibrous periostitis
E Purulent abscess
131
Days after quinsy a 15-year-old child presented with morning facial swelling, high blood
pressure, "meat slops" urine. Immunohistological study of a renal biopsy sample revealed
Deposition of immune complexes on the basement membranes of the capillaries and in the
Glomerular mesangium. What disease developed in the patient?
A Acute glomerulonephritis
B Acute interstitial nephritis
C Lipoid nephrosis
D Acute pyelonephritis
E Necrotizing nephrosis
132
A diseased child has a high fever, sore throat, swelling of submandibular lymph nodes.
Objectively: pharyngeal mucosa is edematous, moderately hyperemic, the tonsils are enlarged,
Covered with grayish membrane tightly adhering to the tissues above. Attempts to remove the
Membrane produce the bleeding defects. What disease are these presentations typical for?
A Diphtheria
B Catarrhal tonsillitis
C Scarlet fever
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D Meningococcal disease
E Measles
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