KROK 1 2009 – Question 41 · KROK (Medicine) · Pathomorphology

An 8-year-old child was admitted to the infectious department with fever (up to 38 °C) and punctate bright-red skin rash. The child was diagnosed as having scarlet fever. Objectively: mucous membrane of pharynx is apparently hyperaemic and edematic, the tonsils are enlarged and have dull yellowish-grey foci with some black areas. What inflammation is the reason for the pharynx alterations?

  1. A. Purulent necrotic
  2. B. Serous
  3. C. Catarrhal
  4. D. Fibrinous
  5. E. Haemorrhagic
Hint

Look at the dull, dark foci in the tonsils and ask whether the exudate merely covers intact mucosa or whether tissue destruction with leukocyte infiltration is present.

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