MRCP UK EXAMINATIONS

ABDOMINAL

GENERALISED LYMPHADENOPATHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
An autopsy of a 40-year-old man with a history of AIDS revealed both lung lobes enlarged, dense, air free, with fibrinous membranes on pleura. A gross investigation of a cut surface showed the yellow dim pulmonal tissue. A histological investigation determined in alveoli the seroftbrinous and fibrinous exudate with large foci of a pulmonal tissue necrosis. For what disease the described changes in lungs are characteristic?
A
Caseous pneumonia
B
Infiltrative tuberculosis
C
Croupous pneumonia
D
Lymphogranulomatosis of lungs (Hodgkin’s disease)
Explanation: 

Detailed explanation-1: -Tuberculous lymphadenitis is among the most frequent presentations of extrapulmonary tuberculosis (TB). Tuberculous lymphadenitis in the cervical region is known as scrofula [1]. This syndrome can also be caused by nontuberculous mycobacteria.

Detailed explanation-2: -The symptomatology is acute with fever and painful, erythematous lumps over the neck. Tuberculous cervical lymphadenitis (also known as scrofula) is caused by Mycobacterium tuberculosis and presents with malaise, weight loss, and nontender neck lumps.

There is 1 question to complete.