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Elective_2nd year_Step 1_med

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The body was delivered so as to perform the autopsy (=post-mortem

examination). The person died from diffuse peritonitis affecting the distant

part of the small intestine. In the course of the examination, multiple oval

ulcers along the intestine were revealed. The fundi of the ulcers were clear

and smooth. They were formed by muscular or serous linings. The edges of the

ulcers were flat and rounded. There were perforations up to 0,5 cm in diameter

localized in two ulcers. What disease might be suspected?

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A patient afflicted by diabetes mellitus felt acute pain

in his right foot. The thumb of his foot was black and foot tissues were

edematous. There were foci of epidermal desquamation as well as stinking

discharges. Which type of necrosis could it be? 

          

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On the autopsy, an enlarged dense right lung with fibrin

layers on the pleura was revealed. Upon incision, the pulmonary tissue was

light green with turbid (muddy) liquid exudates. Which lung disease do these

symptoms comply with?

         

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While operating on a 17-year-old patient, the surgeon

revealed a dark-red tumour 4.5х5.0х3.5 cm in size on the lower surface of the

liver. It was located under the serous membrane. On the section, the tumour had

cavities with a significant amount of blood. What is the preliminary diagnosis?

   

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A 50-year-old man has felt vague abdominal discomfort

for the past 4 months. Physical examination does not reveal lymphadenopathy,

abdominal masses or organomegaly on palpation. Bowel sounds are heard. An

abdominal CT scan shows a 20 cm retroperitoneal soft tissue mass obscuring the

left psoas muscle. A stool specimen tested for occult blood is negative. Which

of the following neoplasms could it be?

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The examination of a patient revealed a dense, movable

skin tumour that was protruding distinctly from the surrounding tissues. Its

section was white

and composed of fibrous tissue. Microscopic examination

revealed interlacing collagen fibers and scanty cells. Which tumour is it?

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The patient suffering from thrombophlebitis suddenly

died. Thrombophlebitis affected the deep veins of the lower legs. The

pathologist identified red friable masses with dim crimped surfaces localized

in both the trunk and bifurcation of the pulmonary artery. What pathologic

process was revealed by the pathologist?

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Denaturation of protein can occur in some substances.

Specify the substance that is used for the incomplete denaturation of

hemoglobin:

             

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A 46-year-old man presents with difficult nasal

breathing. Biopsy analysis of the nasal mucous thickening reveals the presence

of Mikulicz cells, along with accumulations of epithelial cells, plasmocytes,

lymphocytes, and hyaline deposits. What is the most likely diagnosis?

  

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In a patient with a history of smoke abuse, chronic

inflammation and the transformation of the simple (=unilayered) ciliated

epithelium into multiple-layered (=stratified) squamous epithelium were

revealed in the thickened mucous membrane of the bronchus biopsy. Which diagnosis

is the most likely? 

      

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