KROK 1 2018 – Question 31 · KROK (Medicine) · Pathomorphology
During autopsy of a 34-year-old man, who died of chronic kidney failure due to renal amyloidosis, in the lungs (mainly in the lower lobes) the pathologist detected multiple bronchial dilations filled with purulent masses accumulated in the bronchial lumen. Surface of the lungs section has fine-meshed pattern and resembles a honeycomb. Histologically there is a chronic inflammation detected in the bronchial wall, muscle fibers are replaced with connective tissue. These changes in the lungs can be defined as:
- A. Chronic pneumonia
- B. Lung abscesses
- C. Bronchiectases
- D. Bronchopneumonia
- E. Chronic bronchitis
Hint
Ask what permanent change in the bronchial wall, with its muscle replaced by scar tissue, explains pus-filled widened lumina in both lower lobes.
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