The intraoperational biopsy of mammal gland has revealed the signs of atypical tissue with
Disorder of parenchyma stroma proportion with domination of the last, gland structures of the
Different size and shape, lined with single-layer proliferative epithelium. What is the most
Appropriate diagnosis?
A Fibroadenoma
B Papilloma
C Noninfiltrative cancer
D Infiltrative cancer
E Mastitis
33
Arterial hypertension, hyperglycemia, glucosuria were observed clinically for a long time in the
Patient with upper type of obesity. Death was due to the cerebral haemorrhage. Basophilic
Hypophysis adenoma, hyperplasia of adrenal gland cortex were revealed on pathomorphological
Examination. What is the likely diagnosis?
A Cushing disease
B Diabetes mellitus
C Acromegaly
D Hypophysis nanism
E Adiposogenitalis dystrophy
34
On autopsy it was revealed: large (1-2 cm) brownish-red, easy crumbling formations covering
Ulcerative defects on the external surface of the aortic valve. What is the most likely diagnosis?
A Polypus-ulcerative endocarditis
B Recurrent warty endocarditis
C Acute warty endocarditis
D Fibroplastic endocarditis
E Diffusive endocarditis
35
Purulent endometritis with fatal outcome was progressing in the woman after abortion performed
Not at the hospital. On autopsy multiple lung abscesses, subcapsule ulcers in the kidneys,
Spleen hyperplasia were revealed. What form of sepsis developed in the patient?
A Septopyemia
B Septicemia
C Chroniosepsis
D Lung sepsis
E Urosepsis
36
Autopsy of a woman with cerebral atherosclerosis revealed in the left cerebral hemisphere a
Certain focus that is presented by flabby, anhistic, greyish and yellowish tissue with indistinct
Edges. What pathological process is the case?
A Ischemic stroke
B Multifocal tumor growth with cystic degeneration
C Multiple foci of fresh and old cerebral hemorrhage
D Focal encephalitis
E Senile encephalopathy
37
Autopsy of a 73-year-old man who had been suffering from the coronary heart disease along
With cardiac insufficiency for a long time revealed: nutmeg liver, brown induration of lungs,
Cyanotic induration of kidneys and spleen. What kind of circulation disorder was the cause of
Such effects?
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A General chronic venous congestion
B Arterial hyperaemia
C General acute venous congestion
D Acute anaemia
E Chronic anaemia
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Autopsy of a man who had tuberculosis revealed a 3x2 cm large cavity in the superior lobe of
The right lung. The cavity was interconnected with a bronchus, its wall was dense and consisted
Of three layers: the internal layer was pyogenic, the middle layer was made by tuberculous
Granulation tissue and the external one was made by connective tissue. What is the most likely
Diagnosis?
A Fibrous cavernous tuberculosis
B Fibrous focal tuberculosis
C Tuberculoma
D Acute focal tuberculosis
E Acute cavernous tuberculosis
39
Autopsy of a man who died from ethylene glycol poisoning revealed that his kidneys are a little
Bit enlarged, edematic; their capsule can be easily removed. Cortical substance is broad and
Light-grey. Medullary substance is dark-red. What pathology had this man?
A Necrotic nephrosis
B Acute pyelonephritis
C Acute glomerulonephritis
D Acute tubular-interstitial nephritis
E Lipoid nephrosis
40
A man with a long-term history of bronchial asthma died from asphyxia. Histological examination
Of his lungs revealed that the lumens of bronchioles and minor bronchi contained a lot of mucus
With some eosinophils. There was also sclerosis of interalveolar septa, dilatation of alveole
Lumens. What mechanism accounts for the development of hypersensitivity reaction?
A Reagine reaction
B Cytotoxic reaction
C Immune complex reaction
D Lymphocyte-mediated cytolysis
E Granulomatosis
41
Histologic analysis of uterus mucous membrane revealed twisting glands, serrated and spinned,
They were extended by stroma growth with proliferation of its cells. Formulate a diagnosis:
A Glandular hyperplasia of endometrium
B Acute endometritis
C Leiomyoma
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D Cystic mole
E Placental polyp
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