MRCP UK EXAMINATIONS

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ABDOMINAL

GENERALISED LYMPHADENOPATHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient died in 3 weeks of the pneumonia onset. Macroscopic investigation of lungs revealed the whole of a left inferior lobe became enlarged, consolidated and airless. Grossly lungs got the appearance of a grayish brown, dry surface with fibrin fibers on the pleura. Histological investigation showed the collapsed and bloodless alveolar capillaries, the exudate within alveoli consisted mainly of neutrophil polymorphs. What is the most likely diagnosis?
A
Croupous pneumonia
B
Focal bronchopneumonia
C
Fibrinous pleuritis
D
Intestinal pneumonia
Explanation: 

Detailed explanation-1: -Signs and symptoms of bacterial pneumonia. Cough, particularly cough productive of sputum, is the most consistent presenting symptom of bacterial pneumonia and may suggest a particular pathogen, as follows: Streptococcus pneumoniae: Rust-colored sputum.

Detailed explanation-2: -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’.

Detailed explanation-3: -When you breathe in, or inhale, your diaphragm contracts and moves downward. This increases the space in your chest cavity, and your lungs expand into it. The muscles between your ribs also help enlarge the chest cavity. They contract to pull your rib cage both upward and outward when you inhale.

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