MRCP UK EXAMINATIONS

ABDOMINAL

GENERALISED LYMPHADENOPATHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 52-year-old man with a long history of tuberculosis died of a bleeding from lungs. An autopsy revealed in lungs some oval and round cavities. The walls of cavities were presented with necrotic masses and a pulmonal tissue. What is the most likely form of tuberculosis presented in that case?
A
Acute cavernous
B
Fibrocavernous
C
Tuberculoma
D
Caseous pneumonia
Explanation: 

Detailed explanation-1: -The caseous necrosis is the basic process of tuberculosis disease in humans.

Detailed explanation-2: -There are five stages: onset, symbiosis, early stages of caseous necrosis, interplay of cell-mediated immunity and tissue damaging delayed-type hypersensitivity, and liquefaction and cavity formation.

Detailed explanation-3: -The most common site of the primary lesion is within alveolar macrophages in subpleural regions of the lung. Bacilli proliferate locally and spread through the lymphatics to a hilar node, forming the Ghon complex.

There is 1 question to complete.