KROK 1 2010 – Question 119 · KROK (Medicine) · Pathomorphology

A 46 year old patient who had been suffering from tuberculosis for 6 years died from massive pulmonary haemorrhage. Autopsy revealed different-sized foci of sclerosis and caseous necrosis in lungs, in the upper part of the right lung there was a cavity 5 cm in diameter with dense grey walls, the cavity contained liquid blood and blood clots. What type of tuberculosis is it?

  1. A. Fibrous focal
  2. B. Infiltrative
  3. C. Fibrocavernous
  4. D. Acute focal
  5. E. Acute cavernous
Hint

Weigh the duration of the disease, the location and wall structure of the cavity, and the surrounding sclerosis to decide which clinicopathological form of secondary tuberculosis this is.

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