KROK 1 2019 – Question 137 · KROK (Medicine) · Pathomorphology
Autopsy of a 49-year-old woman who died of chronic kidney failure shows small dense striated kidneys with areas of hemorrhages. Microscopically nuclei of epithelial channels contain hematoxylin bodies; glomerular capillaries resemble wire loops, have thickened basement membranes, and in places contain hyaline thrombi and foci of fibrinoid necrosis. What is the most likely diagnosis?
- A. Arteriolosclerotic nephrosclerosis
- B. Atherosclerotic nephrosclerosis
- C. Rheumatism
- D. Systemic lupus erythematosus
- E. Amyloidosis
Hint
Concentrate on the pair of findings, hematoxylin bodies and wire-loop glomerular capillaries, and ask which of the listed diseases is known for both in the kidney.
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 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…
- A 65-year-old woman presents to the emergency department because of shortness of breath and chest pain that started a few hours ago. She did not…
- A 60-year old man with a history of hypertension, diabetes and hyperlipidemia had a sudden onset of right-sided weakness. By the time the ambulance…
- After an out-of-hospital abortion, a woman developed progressing purulent endomyometritis, of which she died. Autopsy of the body revealed numerous…
- Because of health concerns, one of the patient’s adrenal glands had to be removed. How will the structure of the remaining adrenal gland change?