KROK 1 2018 – Question 101 · KROK (Medicine) · Pathomorphology

Autopsy of the body of a 50-year-old man, who had been suffering from tuberculosis and died of cardiopulmonary decompensation, shows lobar affection of the lungs: the upper lobe of the right lung is enlarged, dense, yellow on section, crumbling, with pleural fibrin deposition. What type of secondary tuberculosis can be characterized by this pathology?

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

Consider the extent of the lesion, a whole lobe versus a limited focus, and the type of exudate and necrosis suggested by the yellow, crumbling cut surface.

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