MRCP UK EXAMINATIONS

ABDOMINAL

GENERALISED LYMPHADENOPATHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
An autopsy of the 60-year-old man with a long history of over consumption of alcohol revealed the right lung enlarged, firm, with fibrin fibers on the pleura. On a cut section pulmonary tissue had a gray coloring. Histological investigation showed the exudate within alveoli consisted of fibrin and disintegrated erythrocytes. What is the most likely diagnosis?
A
Croupous pneumonia
B
Focal pneumonia
C
Intestinal pneumonia
D
Primary tuberculosis of lung
Explanation: 

Detailed explanation-1: -Pneumonitis occurs when an irritating substance causes the tiny air sacs (alveoli) in your lungs to become inflamed. This inflammation makes it difficult for oxygen to pass through the alveoli into the bloodstream. Many irritants, ranging from airborne molds to chemotherapy drugs, have been linked to pneumonitis.

Detailed explanation-2: -pneumoconiosis. chronic restrictive pulmonary disease resulting from prolonged inhalation of fine dust such as coal-asbestos, or silicone.

Detailed explanation-3: -The formal name of the bacterium is now Streptococcus pneumoniae. (The “strepto-” means twisted and “-coccus” comes from the Greek kokkos meaning berry.) Because of its coming in pairs, it has also been called Diplodocus pneumoniae. “Pneumoniae” refers to its propensity to settle in the lungs and cause pneumonia.

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