KROK 1 2017 – Question 87 · KROK (Medicine) · Pathomorphology
A 40-year-old prisoner died of tuberculosis in the corrective labor camp. Autopsy of the body revealed deformation and diminishing of both lung apices; in the both upper lobes there are multiple cavities with dense walls 2-3 mm thick; in the lower lung lobes there are disseminated foci of caseous necrosis varying from 5 mm to 2 cm in diameter. Diagnose the type of tuberculosis:
- A. Primary tuberculosis, primary affect development
- B. Secondary fibrous-focal tuberculosis
- C. Hematogenous macrofocal pulmonary tuberculosis
- D. Secondary cirrhotic tuberculosis
- E. Secondary fibro-cavitary tuberculosis
Hint
Combine the site of the lesions, the thick-walled cavities and the foci of spread in other lobes to decide which stage of the disease's natural course has been reached.
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