KROK 1 2013 – Question 67 · KROK (Medicine) · Microbiology, Virology, and Immunology
A diseased child has a high fever, sore throat, swelling of submandibular lymph nodes. Objectively: pharyngeal mucosa is edematous, moderately hyperemic, the tonsils are enlarged, covered with grayish membrane tightly adhering to the tissues above. Attempts to remove the membrane produce the bleeding defects. What disease are these presentations typical for?
- A. Meningococcal disease
- B. Catarrhal tonsillitis
- C. Measles
- D. Scarlet fever
- E. Diphtheria
Hint
Focus on the quality of the tonsillar membrane, how firmly it adheres and what happens when it is removed, then ask what kind of inflammation and which pathogenic mechanism produce it.
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