KROK 1 2015 – Question 73 · KROK (Medicine) · Pathomorphology
A 3-year-old child with meningeal symptoms died. Postmortem macroscopy of the pia mater revealed miliary nodules which were microscopically represented by a focus of caseous necrosis with masses of epithelioid and lymphoid cells with large cells containing crescent-shaped peripheral nuclei situated between them. Specify the type of meningitis in the child:
- A. Grippal
- B. Brucellar
- C. Meningococcal
- D. Tuberculous
- E. Syphilitic
Hint
Identify the kind of granuloma described by a caseous centre, epithelioid cells and giant cells with peripherally placed nuclei, and ask which infection forms it.
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
- 2 days after labour a woman developed shock along with DIC syndrome that caused her death. Autopsy revealed purulent endomyometritis, regional…
- Autopsy of a 5-year-old child revealed in the area of vermis of cerebellum a soft greyish-pink node 2 cm in diameter with blurred margins and areas…
- A patient with high-titer antinuclear antibodies died from progressing renal impairment. Autopsy revealed mesangioproliferative glomerulonephritis…
- During intravenous saline transfusion a patient’s condition deteriorated drastically, and the patient died from asphyxiation. Autopsy revealed acute…
- A 65-year-old man suddenly lost vision in one eye due to the retinal detachment. The patient underwent enucleation. Histological examination of the…
- An HIV-positive patient’s cause of death is acute pulmonary insufficiency resulting from pneumonia. Pathohistological investigation of lungs has…