Destruction of the tissue structure of the node, absence of the lymph follicles, sclerotic and
Necrosis parts, cell constitution of the node is polymorphous, lymphocites, eosinophiles,
Atypical cells of the large size with multiple-lobule nuclei (Beresovsky-Shternberg cells) and
Onenucleus cells of the large size are present. What is the most likely diagnosis?
A Lymphogranulomatous
B Acute lympholeucosis
C Chronic lympholeucosis
D Berkitt's lymphoma
E Fungous mycosis
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A female patient suffering from bronchial asthma had got a viral infection that provoked status
Asthmaticus with fatal outcome. Histological examination of lungs revealed spasm and edema of
Bronchioles, apparent infiltration of their walls with lymphocytes, eosinophils and other
Leukocytes; labrocyte degranulation. What mechanism of hypersensitivity underlies the
Described alterations?
A Reagin reaction
B Inflammatory
C Autoimmune
D Immune complex
E Immune cytolysis
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On autopsy of the 40-year-old woman suffering from rheumatic arthritis, the enlarged solid
Spleen was revealed. On section its tissue is of the mahogany color with enlarged follicles, which
Look like semi-transparent grayish-whitish grains. What pathological process is the most likely?
A Sago spleen
B Glaze spleen
C Waxy spleen
D Hyaline spleen
E Porphyric spleen
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Local lymphonodules enlarged near the infected wound. Increased amount of macrophages,
Lymphocytes, lymphatic follicles in the cortical layer and large amount of plasma cells were
Revealed on histological examination. What process in the lymphatic nodules represent these
Histological changes?
A Antigen stimulation
B Acquired insufficiency of the lymphoid tissue
C Innate insufficiency of the lymphoid tissue
D Tumour transformation
E Hypersensibility reaction
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On autopsy of the man with alcohol abuse for a long time it was revealed: dense, small-knobby,
Small size liver. Microscopically: small pseudo-lobules, divided with thin layers of connective
Tissue with lymphomacrophagial infiltrates; hepatocytes in the state of globular fatty dystrophy.
What is the most likely diagnosis?
A Alcohol cirrhosis
B Chronic active alcohol hepatitis
C Chronic persistent alcohol hepatitis
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D Toxic liver dystrophy
E Fatty hepatosis
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An 8-year-old child was admitted to the infectious department with fever (up to 38oC) and
Punctuate bright-red skin rash. The child was diagnosed as having scarlet fever. Objectively:
Mucous membrane of pharynx is apparently hyperaemic and edematic, the tonsils are enlarged
And have dull yellowish-grey foci with some black areas. What inflammation is the reason for the
Pharynx alterations?
A Purulent necrotic
B Fibrinous
C Haemorrhagic
D Serous
E Catarrhal
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A 30-year-old patient with bacteriologically proved dysentery developed the signs of paraproctitis. What is the stage of local changes in this patient?
A Ulceration stage
B Fibrinous colitis
C Follicular colitis
D Catarrhal colitis
E Healing of the ulcers stage
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A patient who has been abusing tobacco smoking for a long time has got cough accompanied by
Excretion of viscous mucus; weakness after minor physical stress, pale skin. The patient has
Also lost 12,0 kg of body weight. Endoscopic examination of biosy material his illness was
Diagnosed as squamous cell carcinoma. Name a pathological process that preceded formation
Of the tumour:
A Metaplasia
B Hypoplasia
C Hyperplasia
D Necrosis
E Sclerosis
30
Diagnostic scraping was performed to the woman with dysfunctional uterine bleeding. Multiple
Convoluted glands, ganglially dilated cavities of some glands were revealed histologically in the
Scrape. Name the type of general pathological process.
A Glandulo-gangliac hyperplasia
B Atrophy
C Metaplasia
D Displasia
E Hypertrophic excrescence
31
Tuberculine was injected intracutaneously to the child for tuberculin test. Marked hyperemia,
Tissue infiltration developed on the place of injection in 24 hours. What mechanism caused
These modifications?
A Cells cytotoxity
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B Reagin type cytotoxity
C Antibody cytotoxity
D Granuloma formation
E Immunocomplex cytotoxity
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