4) Cyanotic induration

5) Atrophy

227. Renal pathology that can be found in patients with subacute septic endocarditis is which of the following

1) Glomerulonephritis

2) Kidney amyloidosis

3) Pyelonephritis

4) Hemosiderosis

5) Lipoid nephrosis

228. The most common cause of death in patients with subacute septic endocarditis is which of the following

1) Amyloidosis

2) Chronic heart failure

3) Brown atrophy of the myocardium

4) Infarct of the kidney

5) Cachexia

229. The pathological process in the myocardium that can be found in patients with chronic septic endocarditis is which of the following

1) Brown atrophy

2) Heart amyloidosis

3) Hemosiderosis

4) Left-sided heart hypertrophy

5) Right-sided heart hypertrophy

230. Cardiac complications in patients with subacute septic endocarditis include all of the Mowing, EXCEPT

1) Valvular insufficiency

2) Valvular stenosis

3) Myocardial ring fibrosis

4) Brown atrophy of the heart

5) Suppurative pericarditis

231. Mycobacterium tuberculosis is characterised by all of the following features, EXCEPT

1) Рili-forming

2) Aerobic

3) Non-spore-forming

4) Nonmotile

5) Red colored in acid-fast stains

232. Substances that prevent complete phagocytosis of Mycobacterium tuberculosis by macrophages and induce delayed type hypersensitivity are all of the following, EXCEPT

1) Cord factor

2) Interleukin-12

3) Lipoarabinomanan

4) Heart-shock protein

5) Activated complement

233. A calcified focus (fibrocalcific scar) forming after the secondary tuberculosis infection in the lung parenchyma is referred to as

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1) Keloid

2) Granuloma

3) Ghon's focus

4) Aschoff-Pule focus

5) Simon focus

234. Favoured targets for miliary extrapulmonary seeding in tuberculosis are all of the following organs, EXCEPT

1) Bone marrow

2) Kidneys

3) Liver

4) Uterus

5) Spleen

235. Miliary tuberculosis is associated with which of the following pathologic conditions

1) Reinfection

2) Lung caseation

3) Lymph node caseation

4) Primary infection

5) Hematogenous tuberculosis

236. All of these cells participate in immune response in primary lung tuberculosis, EXCEPT

1) Type I pneumocytes

2) Alveolar macrophages

3) CD4+ helper T cells

4) CD8+ suppresser T cells

5) Double negative T cells

237. Secondary tuberculosis is characterized by all of the following features, EXCEPT

1) Caseous necrosis and cavities in the lung

2) Primary focus in the lungj

3) Reinfection focus M

4) Reactivation of dormant disease

5) Dystrophic calcification foci

238. Caseous focus in tuberculosis may progress into a cavity in which of the following pathologic conditions

1) Reactivation of dormant disease

2) Reinfection

3) Drainnage of caseous masses by bronchus (drainage)

4) Lobar exudate consolidation

5) Caseous pneumonia

239. Growth and multiplication of the tubercle bacilli in cavitary fibrocaseous tuberculosis are favoured by which of the following pathologic conditions

1) Lymphatic drainage obstruction

2) Progressive hypoxia

3) Increased perfusion

4) Increased oxygen tension

5) Sludging of blood in alveolar capillaries

240. The cavity in cavitary fibrocaseous tuberculosis is characterized by all of the following features. EXCEPT

1) Localised in the apex of the lung

2) Lined by yellow-grey caseous material

3) Walled by fibrous tissue

4) Drained by bronchus

5) Fined with suppurative exudate

241. The cause of measles is which of the following

1) RNA virus of the retrovirus family

2) RNA virus of the paramyxovirus family

3) DNA virus of the picornavirus family

4) DNA virus of the adenovirus family

5) RNA virus of the togavirus family

242. Measles virus is transmitted by which of the following

1) Milk

2) Food

3) Respiratory droplets

4) Feces

5) Blood

243. Measles virus multiplies inside all of the following cells, EXCEPT

1) Upper respiratory epithelial cells

2) В lymphocytes

3) Macrophages

4) T lymphocytes

5) Hepatocytes

244. "Black measles" is characterised by which of the following features

1) Haemorrhages

2) Hypermelanosis

3) Icterus

4) Hyperchromatosis

5) Multiple nevi

245. The measles rash results from which of the following processes

1) Nonnimmune inflammation

2) Delayed type hypersensitivity

3) Systemic immune complex reaction

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