KROK 1 2023 – Question 90 · KROK (Medicine) · Pathomorphology

In a 67-year-old patient, who has been suffering from chronic bronchitis for 17 years, bronchial biopsy detects cylindrical dilation of the bronchi, cystic changes in the mucous glands, and areas, where prismatic epithelium is replaced with stratified squamous epithelium. What pathological process was detected in the bronchial mucosa?

  1. A. Hyperplasia
  2. B. Hypertrophy
  3. C. Metaplasia
  4. D. Dysplasia
  5. E. Heterotopia
Hint

Compare how each option changes the epithelium: number of cells, size of cells, atypia, displacement, or the type of mature tissue; then decide which matches columnar epithelium being replaced by squamous.

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