KROK 1 2011 – Question 54 · KROK (Medicine) · Pathomorphology
A worker of a cattle farm fell acutely ill and then died from the progressing intoxication. Autopsy revealed enlarged, hyposthenic spleen of dark-cherry colour when dissected; excessive pulp scraping. At the base and fornix of brain pia maters are edematous, soaked with blood, dark-red ("scarlet hat"). Microscopic examination revealed serous haemorrhagic inflammation of brain tissues and tunics along with destruction of small vessel walls. What is the most likely diagnosis?
- A. Tularemia
- B. Anthrax
- C. Cholera
- D. Plague
- E. Brucellosis
Hint
Combine the occupational exposure to livestock with the characteristic gross appearance of the spleen and the haemorrhagic change of the meninges to decide which zoonosis kills this quickly.
The answer, the explanation and a note on every option are available once you log in. The account is free: topic tests, a mock exam, mistake review and statistics.
More questions on Pathomorphology
- A man with a wound of his limb that had been suppurating for a long time died from intoxication. Autopsy revealed extreme emaciation, dehydration…
- Pulmonary examination of a patient who has worked as a stone grinder for 9 years revealed small dense roundish nodules consisting of connective…
- Autopsy of a 75-year-old man with a long history of atherosclerosis revealed a grey irregular-shaped focus of loose consistency in the right…
- Autopsy of a man with a malignant stomach tumour who had died from cancer intoxication revealed in the posteroinferior lung fields some dense…
- Autopsy of a 1.5-year-old child revealed haemorrhagic skin rash, moderate hyperaemia and edema of nasopharyngeal mucous membrane, small haemorrhages…
- Examination of a pregnant woman having Rh-negative blood revealed high level of antierythrocytic antibodies. For its reduction she was implanted…