KROK 1 2011 – Question 23 · KROK (Medicine) · Pathomorphology
A 38-year-old man died in the attempt of lifting weight. He had collaptoid state. Autopsy revealed an extensive aneurism rupture of thoracic aorta. He suffered from visceral syphilis during his lifetime. What pathological process caused weakness of aortic wall, its dilatation and rupture?
- A. Intima changes by shagreen leather type
- B. Muscle layer atrophy
- C. Vascularization
- D. Vanishing of elastic fibers
- E. Vanishing of collagen fibers
Hint
Consider which structural component of the aortic media the chronic inflammation of syphilis damages, and how that component normally lets the wall withstand pressure.
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