KROK 1 2011 – Question 61 · KROK (Medicine) · Pathomorphology
Pulmonary examination of a patient who has worked as a stone grinder for 9 years revealed small dense roundish nodules consisting of connective tissue. The nodules were found to have peripheral macrophages. Such pulmonary alterations are indicative of the following disease:
- A. Chronic bronchitis
- B. Silicosis
- C. Multiple bronchiectasis
- D. Bronchial asthma
- E. Acute pneumonia
Hint
Think about what a stone grinder inhales over years and what kind of fibrous reaction that dust provokes around injured macrophages in the lung.
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