KROK 1 2011 – Question 163 · KROK (Medicine) · Pathomorphology

A patient with tuberculosis died from progressing cardiopulmonary decompensation. Autopsy in the region of the right lung apex revealed a cavity 5 cm in diameter communicating with lumen of a segmental bronchus. On the inside cavity walls are covered with caseous masses with epithelioid and Langhans cells beneath them. What morphological form of tuberculosis is it?

  1. A. Tuberculoma
  2. B. Infiltrative tuberculosis
  3. C. Acute focal tuberculosis
  4. D. Acute cavernous tuberculosis
  5. E. Caseous pneumonia
Hint

Note the apical site, the size and the open connection with a bronchus, then decide which form of pulmonary tuberculosis is defined by a cavity rather than by a nodule or a consolidation.

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