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Elective_2nd year_Step 1_med

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On the autopsy, enlarged kidneys were revealed. Their

surface was granular due to multiple cavities with smooth walls, filled with

transparent fluid. Which kidney disease did the patient suffer from?

     

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Extensive thromboembolism caused cerebral infarction of

the left hemisphere. The patient developed splenomegaly due to sepsis and

immune-complex glomerulonephritis. On the autopsy, there were ulcers along the

edges of the aortic valve. The ulcers were covered by polypoid thrombi with

colonies of staphylococci. Which disease caused cerebral thromboembolism?

  

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A man with high temperature and numerous tiny wounds on

his body was admitted to the hospital. Lice were found in the folds of his

clothes. What disease might be suspected? 

      

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A 40-year-old woman had been suffering from abdominal

discomfort for 8 months. On pelvic examination, the right adnexal mass

was visualized. The abdominal CT scan revealed a 7 cm

cystic mass involving the right ovary with small areas of calcification. There

were no abnormalities in the size of the uterus. The right fallopian tube and

ovary were removed surgically. On sectioning, the mass was filled with abundant

hair and sebum. Microscopically, the mass had glandular spaces lined by

columnar epithelium, squamous epithelium with hair follicles, cartilage, and

dense connective tissue. What type of tumour is it?

     

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A 49-year-old woman had been suffering from

glomerulonephritis for a prolonged period before it resulted in her death. During

the post-mortem examination, it was revealed that the kidneys’ size was 7х3х2

,5 sm and they weighed 65,

0 g. The kidneys were dense and fine-grained.

Microscopic examination showed fibrinous inflammation of both serous and mucous

capsules, dystrophic changes of parenchymatous organs, and brain edema. What

complication could cause such changes in serous capsules and internal organs?

        

        

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