MRCP UK EXAMINATIONS

ABDOMINAL

GENERALISED LYMPHADENOPATHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 52-year old male presented to hospital with symptoms of acute pneumonia, complicated on the 6th day by pulmonary edema. The latter one resulted in the patient’s death. A post-mortem revealed the upper part of the right lung enlarged, firm, with fibrin fibers on the pleura. On a cut section pulmonary tissue had a gray coloring and looked granular. A turbid liquid flowed down the surface. Histological investigation showed the exudate within alveoli consisted of fibrin, neutrophil polymorphs, macrophages, and disintegrated red cells. What is the most likely diagnosis?
A
Croupous pneumonia
B
Staphylococcal bronchopneumonia
C
Virus pneumonia
D
Hypostatic pneumonia
Explanation: 

Detailed explanation-1: -Pneumonia is an acute inflammatory response deep in the lungs, in the alveoli. When a tissue is infected or injured, there is an inflammatory response that is, in the simplest sense, an accumulation of pus. When the deep lungs are injured or infected, pus accumulates there. Pus in the alveoli is pneumonia.

Detailed explanation-2: -This is where oxygen is added to the blood and carbon dioxide is removed. If a person has pneumonia, the alveoli in one or both lungs fill with pus and fluids (exudate), which interferes with the gas exchange. This is sometimes known as ‘consolidation and collapse of the lung’.

There is 1 question to complete.