KROK 1 2019 – Question 105 · KROK (Medicine) · Pathomorphology
Autopsy of a 30-year-old man shows enlarged spleen (weight - 900.0 g), enlarged liver (weight - 4000.0 g), and enlarged lymph nodes. Bone marrow of the femoral shaft is bright red and moist. Microscopically in the liver there are thick infiltrates located mostly along the portal tract. The infiltrates consist of juvenile hemopoietic cells with round nuclei and thin layer of cytoplasm. What disease can be suspected?
- A. Chronic lymphocytic leukemia
- B. Generalized lymphogranulomatosis
- C. Acute myeloblastic leukemia
- D. Acute lymphoblastic leukemia
- E. Chronic myeloid leukemia
Hint
Judge the maturity of the infiltrating cells and the pattern in which they spread through the liver, then consider which cell lineage and age group fit.
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
- A 27-year-old woman has undergone a sector resection of mammary gland tissue. Macroscopy detects a dense white node, 4 cm in diameter, with clear…
- Autopsy of a 60-year-old woman, who for a long time had been suffering from essential hypertension, shows significantly diminished kidneys (weight…
- A patient has gradually developed a skin plaque on his face. In the center of this plaque there are necrotic patch and an ulcer. Histopathological…
- Autopsy of a 49-year-old woman who died of chronic kidney failure shows small dense striated kidneys with areas of hemorrhages. Microscopically…
- A 6-year-old girl presents with acute onset of a disease. She developed sore throat and high temperature that were later accompanied by a punctate…
- A 40-year-old woman dies of intracerebral hemorrhage after the hypertensive emergency. During an autopsy, the pathologist reveals severe obesity…