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Sepsis. Bacterial infections diseases.

INFECTIOUS DISEASES

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Acute infective endocarditis differs from subacute endocarditis in all the following respects EXCEPT

The time required for the lesion to develop

The nature of the preponderant organism

Embolization and dissemination

@The nature of valvular vegetations

The causative organism

#

At the section of a young man, who died being in comatose condition, were revealed: extensive thromboembolic infarction of the left hemisphere, large septic spleen, immune complex glomerulonephritis, and ulcers in the aortic valve hidden by polyp-like thrombi with staphylococcal colonies. What disease led to the cerebral thromboembolism?

@Septic bacterial endocarditis

Septicemia

Acute rheumatic valvulitis

Septicopyemia

Rheumatic thromboendocarditis

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An autopsy of a 48-year-old man revealed the infarct of the left hemisphere of a brain. A macroscopic study also showed a big septic spleen, immunocomplex glomerulonephritis, ulcers in aortal valve leaflets, covered with polypous thrombi. The latter ones had colonies of staphilococcuses, determined by microscopic study. What disease resulted in cerebral thromboembolism?

@ Septic bacterial endocarditis

Septicemia

Acute rheumatic valvulitis

Septicopyemia

Rheumatic thromboendocarditis

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Extensive thromboembolic infarction of the left cerebral hemispheres, large septic spleen, immunocomplex glomerulonephritis, ulcers on the edges of the aortic valves, covered with polypous thrombus with colonies of staphylococcus were revealed on autopsy of the young man who died in coma. What disease caused cerebral thromboemboly?

Septicemia

Rheumatic thromboendocarditis

Acute rheumatic valvulitis

Septicopyemia

@Septic bacterial endocarditis

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A 32-year-old man with a long history of a drug abuse, presented with a fever, the intoxication and a pyuria. An echocardioscopy revealed massive superimpositions (vegetations) on the heart valves. Microbiological blood test showed a presence of a staphylococcus. The patient died of a thromboembolism of a pulmonary artery. Specify the changes of heart, revealed at post-mortem?

@Polypous-ulcerative endocarditis

Libman-Sacks endocarditis

Diffuse valvulitis

Acute warty endocarditis

Recurrent warty endocarditis

#

A post-mortem revealed on the external surface of the aortal valve the large, 1-2 cm, brownish-red, easily crumbling superimpositions (vegetations). They covered ulcerative defects in the valves. What is the most likely diagnosis?

@Polypous-ulcerative endocarditis

Recurrent warty endocarditis

Acute warty endocarditis

Fibroplastic endocarditis

Diffuse endocarditis

#

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?

Fibroplastic endocarditis

Recurrent warty endocarditis

Diffusive endocarditis

@Polypus-ulcerative endocarditis



Acute warty endocarditis

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A 46-year-old man died of an odontogenic sepsis. An autopsy revealed the marked thickening of semilunar aortic valves. They were whitish, opaque and stiff, with thrombotic masses, 1x1.5 cm in the size on the external surface. What is the most likely form of an endocarditis?

@Polypous-ulcerative endocarditis

Diffuse endocarditis

Acute warty endocarditis

Fibroplastic endocarditis

Recurrent warty endocarditis

#

A 48-year-old patient with a history of croupous pneumonia died of the pulmonary and heart failure. A post-mortem revealed a hyperplasia of a spleen, a thickening and defects of the aortal valve leaflet with large, up to 2 cm in diameter, thrombuses attached to tissues underneath. What is the most likely diagnosis?

@Polypous-ulcerative endocarditis

Acute warty endocarditis

Recurrent warty endocarditis

Diffuse endocarditis

Fibroplastic endocarditis

#

A patient that had used drugs for a long time had fever, the facts of intoxication, pyuria. Echocardioscopy revealed massive stratification on the cardiac valves. Staphylococcus was cultured in the blood. A patient died of pulmonary artery thromboembolism. Indicate on the changes of the heart that were revealed during the section.

@Polypous-ulcerative endocarditis

Libman-Sacks endocarditis

Diffuse valvulitis

Acute verrucous endocarditis

Recurrent verrucous endocarditis

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A patient fell ill with diphtheria. On the 2 nd week of the disease acute heart failure developed that caused the death. At the section: the ventricles of the heart are dilated, myocardium is of soft consistence, mottled. Histologically were revealed numerous small focuses of myolysis with small perifocal lymphoid infiltration. What caused acute heart failure?

Metabolic necroses of myocardium

Bacterial myocarditis

Septic myocarditis

Myocardial infarction

@Bacterial exotoxic myocarditis

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A 28-year-old woman died in the postnatal period. A post-mortem revealed a purulent endometritis and thrombophlebitis of a uterus veins, plural abscesses of lungs, kidneys and a spleen. In addition, there were an apostematous myocarditis and purulent meningitis. What is the most likely kind of a sepsis?

@Septicopyemia

Septicemia

Chroniosepsis

The prolonged septic endocarditis

-

#

A 20 year old patient died from intoxication 8 days after artificial illegal abortion performed in her 14-15th week of pregnancy. Autopsy of the corpse revealed yellowish colour of eye sclera and of skin, necrotic suppurative endometritis, multiple pulmonary abscesses, spleen hyperplasia with a big number of neutrophils in its sinuses. What complication after abortion was developed?

Septicemia

Chroniosepsis

Hemorrhagic shock

@Septicopyemia

Viral hepatitis type A

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A 30-year-old woman with a history of abortion presented with purulent endometritis resulted in a death from sepsis. A post-mortem revealed a purulent lymphadenitis, abscesses in lungs, kidneys, a myocardium, a spleen hyperplasia, and dystrophy of parenchymatous organs. Define the clinico-anatomic form of a sepsis.

@Septicopyemia

Septicemia

Septic endocarditis

Granulomatous sepsis

Chroniosepsis

#

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?

Chroniosepsis

@Septicopyemia

Lung sepsis

Septicemia

Urosepsis

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A man with a history of a lower extremity wound, presented with persistent pyesis of a lesion, resulted in death of intoxication. An autopsy revealed a cachexia, dehydration; a brown atrophy of a liver, a myocardium, a spleen and cross-striated muscles. In addition, there was amyloidosis of kidneys. What of the listed diagnoses is most probable?

@ Chroniosepsis

Septicopyemia

Septicemia.

Chemogubov's disease.

Brucellosis

#

At the section of a 18-year-old man the spleen is 580g, of dark-red color with big smear of pulp. Histologically were diagnosed a significant proliferation of reticular cells, presence of a big amount of mature neutrophiles in sinusoid capillaries. How can we term such a spleen?

Sago

@Septic

Porphyry

Cyanotic

Leukosal

#

All the following have been commonly associated with pyogenic brain abscesses EXCEPT

Congenital heart disease

Sinusitis

Lung abscess

@Liver abscess

mastoiditis

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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?

Osteopetrosis

Chronic hematogenous osteomielitis

Osteoporosis

@Acute hematogenous osteomyelitis

-

#

A morphological research of a femur reveled the chronic purulent inflammation of compact substance and a bone marrow with sequesters formation. What is the most likely disease?

@Osteomyelitis

Retikulosarcoma

Multiple (plasma cell) myeloma (Kahler's disease)

Osteoblastoclastoma

Periostitis

#

A 48- year-old man presented with advanced staphylococcal purulent periodontitis, resulted in a purulent inflammation of alveolar process' bone marrow and then a mandible's body. Microscopical investigation showed thinned osteal beams, the necrosis centers and the osteal sequesters, surrounded with a connective tissue's capsule. What is the most likely disease?

@Chronic osteomyelitis

Acute osteomyelitis

Parodontome

Chronic fibrous periostitis

Purulent periostitis

#

A 53- year-old man died of intoxication. An autopsy revealed the enlargement of his hip with some fistulas on a skin. There was yellow - green thick liquid discharge from the fistulas. The gross investigation showed the thickened femur with sequesters formation. A microscopical study determined sequestral cavities, surrounded by granulation and connective tissue with neutrophil infiltration. The bone-marrow channels were obliterated; the compact layer was thickened. What is the most likely diagnosis?

@Chronic purulent osteomyelitis

Acute gematogenic osteomyelitis

Tuberculous osteomyelitis

Parathyroid osteodystrophy

Osteopetrosis

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A 52-year-old man with a 10 years history of chronic osteomyelitis and 3 years a nephritic syndrome, died of uremia. An autopsy revealed dense, white kidneys, with some cicatrices in their cortical layer. They had sebaceous glitter on a cut surface. Specify a pathology of kidneys which has developed.

@Secondary amyloidosis

Primary amyloidosis

Idiopathic amyloidosis

Chronic glomerulonephritis

Chronic pyelonephritis

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A young man died of intoxication on 4th day after eating the crude eggs. An autopsy revealed the stomach and small bowel mucosa inflamed, covered by a mucous exudate. In addition, abscesses were found in lungs, brain and liver. What diagnosis is the most likely?

@Salmonellosis (septic form)

Dysentery

Salmonellosis (typhoid form)

Salmonellosis (intestinal form)

Typhoid

#

In the autopsy of a 56 year-old man the pathologist has found out in terminal fragment of a small bowel some ulcers about 1 cm in areas of lymphoid follicles, coated with greyish necrotic masses. Vidal reaction was positive. Diagnose this disease:

@Typhoid fever.

Paratyphoid

Reccurent fever

Dysentery

Crohn’ disease

#

Multiple oval ulcers along the intestine were revealed on autopsy of the person, who died from diffuse of peritonitis in the distant part of the small intestine. Bottom parts of the ulcers are clear, smooth, formed with muscular or serous covering, edges of ulcers are flat, rounded. There are perforations up to 0,5 cm in diameter in two ulcers. What diseases’ can be diagnosed?

Tuberculosis

Typhus

@Typhoid fever

Dysentery

Cholera

#

Few ulcers from 4 to 5cm in size were revealed in the terminal part of small intestine at the section of a 56-year-old man. The edges of ulcers elevate above the surface of mucous membrane. The walls of ulcers are covered with friable greyish-yellowish masses. The Widal’s reaction is positive. Make a diagnosis.

@Abdominal typhoid

Paratyphoid

Recrudescent typhus

Shigellosis

Crohn’s disease

#

Numerous ulcers of an oval form, located along the distal part of small intestine, were revealed at the section of a man, who died of diffuse peritonitis. Bottoms of ulcers were clean, plain, formed of muscular or serous membrane. The edges of ulcers were even and rotund. Two ulcers had perforative holes with the diameter to 0,5cm. What disease can we suspect?

@Typhoid (abdominal typhoid)

Shigellosis

Cholera

Tuberculosis

Spotted fever

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The death of a 16-year-old patient was caused by diffuse fibrinous-purulent peritonitis. At the autopsy an ulcer was revealed in the lower part of small intestine, which repeated the form of Peyer’s plaque and perforated the wall of the intestine. Microscopically: the picture of lymphoid tissue was erased and superseded by proliferative monocytes that form granulomas. The complication of what disease is meant?

@Abdominal typhoid

Shigellosis

Cholera

Brucellosis

Non-specific ulcerative colitis

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A 16-year-old patient died because of diffuse fibrinopurulent peritonitis. The autopsy in the inferior region of small intestine revealed an ulcer with a form of Peyer's plaque, with the perforation of intestine wall. The microscopic examination revealed lymph tissue pattern vagueness, the displacement of this tissue with proliferating monocytes, which were forming granulomata. Complication of what disease caused the death?

Brucellosis

Nonspecific ulcerative colitis

Cholera

@Typhoid

Dysentry

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A patient died of a diffuse peritonitis. An autopsy revealed in the distal part of a small bowel multiple oval ulcers with rounded edges, which were parallel to the longitudinal axis of the intestine. A bottom of ulcers was clean, smooth and glitter. Base of the ulcers presented either by muscular layer of ileum or its serosa. Two ulcers had perforation apertures 0,5cm in diameter each. What disease resulted on a death of a patient?

@Typhoid

Dysentery

Cholera

Tuberculosis

Epidemic typhus

#

An autopsy at the Forensic Pathology Department of an unknown man, with a history of alcohol intoxication, revealed in his small bowel the enlarged Peyer's patches, which protruded above the mucosal surface. They were soft, with irregular surface, which reminded brain's gyri and sulci. The cut surface had a gray-red coloring. For what disease the described changes are characteristic?

@Typhoid

Dysentery

Lambliasis

Amebiasis

Enteritis due to Campylobacter

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A patient presented with a sustained fever, enlarged and painful spleen. On the 10th day of a disease a rash of flat, rose-colored spots appeared. On the 21st hospital day he died after developing peritonitis. An autopsy revealed in the ileum deep ulcers within the area of necrotized group of lymphoid follicles (Peyer's patches). One of ulcers was perforated; there was a fibrinopurulent diffuse peritonitis. What is the most likely disease?

@Typhoid

Dysentery

Intestine amebiasis

Cholera

Salmonellosis

#

A 38-year-old man died of intoxication. A post-mortem revealed in a small bowel an edema of lymphoid follicles groups. The follicles protruded above the mucosal surface like a soft plaques with irregular surface pattern, which reminded brain's gyri and sulci. What diagnosis is most probable?

@Typhoid

Dysentery

Salmonellosis

Acute enteritis

Cholera

#

A 38-year-old man died of diffuse fibrinopurulent peritonitis. A post-mortem revealed an ulcer in a small bowel, which replicated a form of a Peyer's patch and perforated the intestine's wall. Microscopical investigation showed an alteration of lymphoid tissue pattern with replacement of lymphocytes by proliferating monocytes, followed by granulomas formation. The complication of what disease resulted in patient's death?

@Typhoid.

Dysenteries.

Cholera.

Brucellosis

Nonspecific ulcerative colitis.

#

A 44-year-old man presented to a surgery department with diffuse fibrinopurulent peritonitis. An operation revealed an ulcer of ileum with a perforation. An ulcer closure, followed by abdomen cavity drainage was performed. Four days later patient died. At post-mortem iliac ulcers of Peyer's patches, parallel to the longitudinal axis of the intestine, were found. A base of the ulcers was presented by serosa. For what disease such changes are characteristic?

@Typhoid

Intestine tuberculosis

Dysentery

Intestinal tumours

An intestine amebiasis

#

An autopsy of a 45-year-old man revealed in his small bowel the enlarged, hyperemic groups of lymphoid follicles. The follicles protruded above the mucosal surface; their surface reminded child's brain gyri and sulci. Microscopical investigation showed monocytes, histiocytes and reticular cells proliferation. Macrophages formed aggregates (typhoid granulomas), which replaced lymphocytes. For what disease the described changes are characteristic?

@Typhoid

Cholera

Dysentery

Salmonellosis

Amebiasis

#

A 52-year-old woman died in surgery department of a diffuse purulent peritonitis. A post-mortem revealed in a distal part of a small intestine enlarged Peyer's patches, which projected into the intestine's lumen. There surface was covered by brownish-greenish scab. In the centre of some patches were found deep defects, extended to a serous layer. For what disease described intestinal changes are characteristic?

@Typhoid

Dysentery

Intestine tuberculosis

Crohn's disease

Staphylococcal enteritis

#

An autopsy of a 53-year-old man revealed few 4-5cm ulcers. The margins were elevated above the mucosa. The walls of ulcers were covered by the yellowish-grayish crumble masses. The Widal test was positive. Diagnose a disease?

@Typhoid

Paratyphoid

Recurrent typhus

Dysentery

Crohn's disease

#

At the section of a man, who was ill with abdominal typhoid, the following changes in small intestine were traced: enlarged aggregated lymphoid follicles, elevated above the surface of the mucous membrane, of gray-red color, succulent; their surface had the outlook of convolutions and grooves. The microscopical exam revealed the formation of typhoid granulomas. What stage of abdominal typhoid is this picture typical for?

Formation of ulcers

Necrosis

@Brain-like swelling

Clean ulcers

Healing

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An autopsy revealed groups of enlarged, hyperemic lymphoid follicles in small bowel. The follicles protruded above the mucosal surface; their surface reminded brain's gyri and sulci. The cut surface of follicles was succulent; with gray-red coloring. Microscopical investigation showed monocytes and histiocytes proliferation. Macrophages formed aggregates (typhoid granulomas). Name a morphological stage of typhoid.

@Medullar swelling

Necrotic

Formation of ulcers

Pure ulcers

Healing

#

An autopsy of a 45-year-old man, who died on the 5th day of typhoid fever, revealed groups of enlarged, hyperemic lymphoid follicles in small bowel. The follicles protruded above the mucosal surface; their surface reminded brain's gyri and sulci. Microscopical investigation showed hyperemia, edema and granulomas formation. Specify, what period of local changes of typhoid is the most likely?

@Stage of medullar swelling

Necrotic stage

Stage of healing

Stage of pure ulcers

Stage of ulcers' formation

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An autopsy of a 48-year-old man, with a history of typhoid fever, revealed groups of enlarged lymphoid follicles in small bowel. The follicles protruded above the mucosal surface; they had a grey- red coloring, juicy appearance and a surface, which reminded gyri and sulci. Microscopical investigation showed granulomas formation. Specify, what of the listed stages of typhoid is the most likely?

@Medullar swelling.

Necrotic.

Formation of ulcers.

Pure ulcers.

Healing.

#

A 42-year-old patient, with a history of dysentery, presented with symptoms of paraproctitis. What is the most probable stage of local changes presented in that case?

@Formation of ulcers

Fibrinous colitis

Follicular colitis

Catarrhal colitis

Stage of healing

#

A post-mortem of a patient, who died of diffuse fibropurulent peritonitis, revealed in the wall of a small bowel multiple oval ulcers with rounded edges, which were parallel to the longitudinal axis of the intestine. A base of the ulcers presented either by muscular layer of ileum or its serosa. Two ulcers had perforation apertures 0,3cm in diameter each. Define a typhoid stage.

@Stage of pure ulcers

Stage of "dirty ulcers" formation

Necrotic stage

Stage of a medullar swelling

Stage of healing

#

A man, with 4 weeks history of the typhoid, presented with symptoms of 'acute abdomen'. He died soon of intoxication. At post-mortem a pathologist found a perforation of iliac wall and diffuse purulent peritonitis. For what stage of disease the described complication is characteristic?

@Stage of pure ulcers

Stage of a medullar swelling

Necrotic stage

Stage of healing of ulcers

Bacteriemia

#

A post-mortem of a 57-year-old male, with a history of typhoid, revealed a dense, fragile whitish-yellowish color of the rectus abdominis and hip muscles. They reminded a stearin candle. The described changes are the result of:

@Zenker's necrosis

Fibrinoid necrosis

Caseous necrosis

Colliqative necrosis

Apoptosis

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A 48-year-old patient with severe typhoid developed an acute renal failure, resulted in a lethal outcome of a disease. An autopsy revealed enlarged and swollen kidneys. On a cut section, the cortex was pale grey, while pyramids were dark red. A histological investigation showed that in the majority of tubules the lumen was narrowed, epithelial cells were enlarged and lost their nuclei; glomeruli were collapsed. A renal stroma was edematous with a small leukocytic infiltration and fine hemorrhage. What pathology of kidneys presented in that case?

@Necronephrosis

Acute pyelonephritis

Acute glomerulonephritis

Pyonephrosis

Hydronephrosis

#

A patient with suspicion on epidemic typhus was admitted to the hospital. Some arachnids and insects have been found in his flat. Which of them may be a carrier of the pathogen of epidemic typhus?

@Lice

Bed-bugs

Cockroaches

Spiders

Houseflies

#

A sick man with high temperature and a lot of tiny wounds on the body has been admitted to the hospital. Lice have been found in the folds of his clothing. What disease can be suspected?

Malaria

@Epidemic typhus

Tularemia

Plague

Scabies

#

A young man presented with rash in the form of roseolas and small hemorrhages (petechias) on a skin of a stomach, thorax and petechial rash on eyes conjunctiva. Lesion of his brain soon resulted in his death. A microscopical investigation revealed in destructive-proliferative endo-trombovasculitis in medullar oblongata and pons of a brain, also in a skin, kidneys and myocardium. What is the most likely disease?

@Epidemic typhus

Sepsis

Periarteritis nodosa

Systemic Lupus Erythematosus

Brucellosis

#

A patient died as a result of a heart failure. Macroscopically traces of a pre-existed rash in the form of maculae and spots were recognized. A gross investigation revealed decubituses at the areas of breeches and spinous processes of vertebra. Microscopical study showed a destructive-proliferative endo-trombovasculitis and Popov's granulomas in the central nervous system, in a skin, and adrenals. An interstitial myocarditis was diagnosed in his heart. What is the most likely disease?

@Epidemic typhus

Q fever

Typhoid fever

Periarteritis nodosa

HIV-infection

#

A 48-year-old male presented with a sustained high fever, severe headache, a dyspnea, palpitation. A physical investigation revealed a pediculosis, a rash in the form of roseolas and small hemorrhages (petechias) on his thorax skin. In addition, decubituses of legs and foot gangrene were also determined. He died of a heart failure. A histological study showed in the medullar oblongata a hyperemia, stasis, perivascular plasmocytes infiltrates and a proliferation of a microglia (Popov's granuloma). What is the most likely diagnosis?

@Epidemic typhus

Antrax meningocephalitis

Meningococcal meningitis

Typhoid fever

Rubella

#

A patient complained of fever, severe headache, dyspnoae, and heartbeating. Physical exam revealed pediculosis, roseola and petechia on the skin of the thorax, bedsores of shanks, and a gangrene of a foot. The patient died with the signs of heart failure. Histologically in the medulla tissue hyperemia, stases, perivascular ferrules of plasmatic cells, and focuses of microglial proliferation (Popov’s granulomas) were detected. What is your diagnosis?

Siberian (anthrax) meningoencephalitis

@Epidemic typhus

Meningococcal meningitis

Abdominal typhoid

German measles

#

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?

@Spotted fever

HIV

Enteric fever

Q fever

Nodular periarteritis

#

A patient died 3 days after the operation because of perforated colon with the manifestations of diffuse purulent peritonitis. The autopsy demonstrated: colon mucos membrane was thickened and covered with a fibrin film, isolated ulcers penetrated into different depth. Results of histology: mucous membrane necrosis, leukocytes infiltration with hemorrhages focuses. The complication of what disease caused the patient's death?

Nonspecific ulcerative colitis

Typhoid

Crohn's disease

Amebiasis

@Dysentery

#

Histological investigation of a rectum revealed large areas of necrosis in mucosa. Necrotic masses were impregnated by fibrin, resulting in membrane formation. Mucous and submucous on periphery of necrotic zones were hyperemic, edematous, with hemorrhages and leukocytic infiltration. What is the most likely diagnosis?

@Dysentery

Cholera

Amebiasis

Typhoid

Salmonellosis

#

A male patient, with 5 days history of diarrhea, had a colonoscopy. The investigation revealed a colon mucosa inflammation with grey-green membranes, intimately connected with tissue underneath. What is the most likely diagnosis?

@Dysentery

Typhoid

Nonspecific ulcerative colitis

Salmonellosis

Crohn's disease

#

An autopsy of a child, with a history of diarrhea, revealed an exicosis and a widespread fibrinous colitis. A mucosal smear imprint study showed gram-negative rod bacteria. What is your diagnosis?

@Dysentery

Cholera

Staphylococcal intestinal infection

Typhoid

Salmonellosis

#

A 7-year-old child, on the 3rd week of disease, presented with hectic fever, skin and sclera icterus. He died soon of the hepatorenal failure. An autopsy reveled in a rectum many irregular form defects with uneven edges. These defects were covered by grey-white membranes, intimately soldered to a tissue underneath. In addition, there was a purulent thrombophlebitis of the intestinal vessels. Plural pylephlebitic abscesses and fatty dystrophy of hepatocytes were diagnosed in a liver. An acute necrotic nephrosis was found in kidneys. What disease caused a lethal outcome?

@Dysentery

Salmonellosis

Cholera

Typhoid

Amebiasis

#

An autopsy of an 8-year-old child revealed in his colon multiple irregular form and various depth defects with uneven edges. In addition, there were grey-white membranes intimately connected with tissues underneath. What is the most likely diagnosis?

@Dysentery

Salmonellosis

Cholera

Typhoid

Amebiasis

#

A 30-year-old patient with bacteriologically proved dysentery developed the signs of paraproctitis. What is the stage of local changes in this patient?

Follicular colitis

Fibrinous colitis

Catarrhal colitis

Healing of the ulcers stage

@Ulceration stage

#

A 39-year-old patient died on the 4th day after operation concerning perforation of a colon wall, resulted in diffuse purulent peritonitis. An autopsy revealed the mucosa of a colon wall thickened, covered by fibrinous membrane. Some single ulcers got on different depth. Histological study of a colon wall showed a necrosis of mucous, a fibrinous inflammation, infiltration by leucocytes with focuses of hemorrhages. What complication of disease became a cause of patient's death?

@Dysentery.

Typhoid.

Nonspecific ulcerative colitis.

Crohn's disease

Amebiasis.

#

Autopsy of a 46-year-old man revealed multiple brown-and-green layers and hemmorhages on the mucous membrane of rectum and sigmoid colon; slime and some blood in colon lumen; histologically - fibrinous colitis. In course of bacteriological analysis of colon contents S.Sonne were found. What is the most probable diagnosis?

Crohn's disease

@Dysentery

Salmonellosis

Yersiniosis

Cholera

#

An autopsy of a 52- year-old man revealed in sigmoid and rectum plural brown-green membranes, hemorrhages, some blood in the lumen of intestine. Histological study showed a fibrinous colitis. Bacteriological investigation found S. Sonne. What is the most likely diagnosis?

@Dysentery

Cholera

Salmonellosis

Yersiniosis

Crohn's disease

#

An autopsy of a 54-year-old man revealed a fibrinous inflammation at colon. What is your diagnosis?

@Dysentery

Amebiasis

Typhoid fever

Cholera

Balantidiasis

#

A 65 -year-old patient addressed to a doctor his complains to frequent urge and painful passage of stool, with mucous and some blood in feces. Proctosigmoidoscopy revealed marked narrowing of a colon's lumen, especially in its distal part. A mucosa was edematous, hyperemic, with areas of necrosis and hemorrhages. A bacteriological study of feces determined the Shigella flexneri. Define the disease?

@Dysentery

Typhoid

Anthrax

Crohn's disease

Paratyphoid

A patient who had come backfrom Asia,died from many abscesses of the liver. On the autopsy of the ascending colon there were ulcers of iirregular forms with overhanging brims the mucous membrane above the gastric fundus collapses when pushing by probe. What is the most possible disease?

@ Bacterial disentery

Amebiasis

Cholera

Abdominal typhoid

Salmonollosis

#

Patients with similar complaints applied to the doctor: weakness, pain in the intestines, disorder of GIT. Examination of the faeces revealed that one patient with four nucleus cysts should be hospitalized immidiately. For what protozoa are such cysts typical?

Balantidium

Intestinal amoeba

@Dysenteric amoeba

Trichomonas

Lamblia

#

An autopsy of 47- year-old man revealed in sigmoid and rectum plural red ulcers with irregularform. A mucous between ulcers was covered by dirty grey membrane. What is the most likely etiology of the disease?

@Shigella

Ameba

Mycobacterium tuberculosis

Salmonella

Staphilococcus

#

Multiple red ulcers of irregular form were revealed in sigmoid colon and rectum at the autopsy. The mucous membrane between them was covered with dirty-gray membrane. Name the etiology of the disease.

Mycobacterium tuberculosis

Amoeba

@Shigella

Salmonella

Staphylococcus

#

A patient died on the third day after the operation relatively a perforation of the wall of large intestine with the facts of diffuse purulent peritonitis. At the section: the mucous membrane of large intestine is thickened is covered with fibrinous membrane. Single ulcers penetrate on different depth. Histological exam reveals necrosis of mucosa, fibrin, and leukocytic infiltration with focuses of haemorrhages. The complication of what disease caused the death of the patient?

Non-specific ulcerative colitis

Abdominal typhoid

@Shigellosis

Crohn’s disease

Amebiasis

#

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:

Purulent

Catarrhal

Necrotic

@Fibrinous

Ulcerous

#

A 50-year-old man, who acutely fell ill, was diagnosed shigellosis. He died on the seventh day of the disease. The section revealed thickened wall of sigmoid colon and of initial parts of rectum. There was also fibrous membrane on the surface of mucosa. Histologically was detected a deep necrosis of the mucous membrane with fibrin infiltration of necrotic masses. What kind of colitis is meant?

@Diphtheritic

Catarrhal

Ulcerative

Gangrenous

Follicular

#

On the autopsy of the patient, who lived in the seaside city in southern parts of the country, with obvious diarrheas and vomiting, dead from dehydration, was foud the picture of acute gastroenteritis with serous-desquamative inflammation in small intestine. Chosoe the most correct diagnosis.

@Cholera

Bacterial dysentery

Abdominal typhus

Amebiasis

Salmonellosis

#

A man, with a history of frequent drinking non- boiled water from the river, has developed vomiting and explosive 'rice-water' diarrhea. The abdominal pains were absent; the body temperature did not rise. The intestine biopsy revealed a plethora, a marked swallowing, an edema of enterocytes, and some infiltration of villi by lymphocytes, plasmocytes, and few leucocytes. What is the most likely disease?

@Cholera

Salmonellosis

Typhoid fever

Dysentery

Lambliasis

#

A patients, the inhabitant of a seaside city in the south of the country, presented to the hospital with severe diarrheas and vomiting, resulted in his death from dehydration. An autopsy revealed an acute gastroenteritis with serous- desquamative inflammation in a small bowel. Choose the most likely diagnosis.

@Cholera

Bacterial dysentery

Typhoid

Amebiasis

Salmonellosis

#

A 45-year-old man presented in the infectious diseases hospital with a profuse diarrhea, exicosis, acute decline of his body temperature. He died soon of an uremia. An autopsy revealed in his small bowel lumen a colorless liquid in the form of rice broth and edematous mucosa. Microscopical investigation of a small bowel showed a hyperemia of vessels, a focal hemorrhage, a desquamation of enterocytes, a hypersecretion of a beaker (goblet) cells and lympho- leucocytes infiltration of a mucosal stroma. What is the most likely diagnosis?

@Cholera

Salmonellosis

Dysentery

Typhoid

Crohn's disease

#

An autopsy 54-year-old man revealed markedly dilated lumen of a small bowel filled with a liquid, which reminded "rice broth". The intestine wall was edematous with multiple petechial hemorrhages. For what infectious disease the described enteritis is characteristic?

@Cholera

Dysentery

Salmonellosis

Amebiasis

Typhoid

#

An autopsy of a 65-year-old man, who died in week from the beginning of a profuse diarrhea, revealed severe exicosis, dry all tissues and thick, concentrated blood. A bacteriological study of contents of a small bowel, which reminded the rice broth, determined vibrioes. What disease resulted in the patient's death?

@Cholera

Dysentery

Typhoid

Salmonellosis

Alimentary toxic infection

#



Date: 2016-03-03; view: 2288


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