Part 20

Question 1

A young man has a painlessl formation without marked borders in the soft tissues of his thigh. On the tissue bioptate the formation looks like flesh of fish and consists of immature fibroblast-like cells with multiple mitosis growing through the muscles. What is the most likely diagnosis?

Answer 1

Fibrosarcoma

Question 2

In course of prophylactic medi- cal examination a 7-year-old boy was diagnosed to have daltonism. Parents are healthy, color vision is normal. But grandfather from the mother’s side has the same disorder. What is the type of inheriting of this anomaly?

Answer 2

Recessive, sex-linked

Question 3

Objective examination of a patient revealed: slender figure, big skull, highly developed frontal region of face, short extremities. What constitutional type is it characteristic for?

Answer 3

Respiratory

Question 4

A 38-year-old patient died during intractable attack of bronchial asthma. Histologic examination revealed mucus accumulation in bronchial lumen, a lot of fat cells (labrocytes) in the wall of bronches, many of them are in the state of degranulation, there are also a lot of eosinophils. What pathogenesis of bronchial changes is it?

Answer 4

Atopy

Question 5

A patient with thrombophlebitis of lower extremities had got chest pai- ns, blood spitting, growing respiratory failure that caused his death. Autopsy revealed multiple pulmonary infarctions. What is the most probable reason of their development?

Answer 5

Pulmonary artery embolism

Question 6

Diabetes mellitus causes ketosis as a result of activated oxidation of fatty acids. What disorders of acid-base equilibrium may be caused by excessive accumulation of ketone bodies in blood?

Answer 6

Metabolic acidosis

Question 7

A woman with 0 (I) bllod group has born a child with AB blood group. This woman’s husband has A blood group. What genetic interaction explains this phenomenon?

Answer 7

Recessive epistasis

Question 8

A 30-year-old woman was diagnosed with insufficiency of exocrinous function of pancreas. Hydrolisis of what nutrients will be disturbed?

Answer 8

Proteins, fats, carbohydrates

Question 9

A 39-year-old woman has madescence in the region of mammilla, a small ulcer with inflammatory hyperemia and cutaneous edema. Histologic examination of tissue sampling from this area revealed in the malpighian layer of thickened epidermis atypical cells with light and optically empty cytoplasm, with no intracellular bridges. Such cells were also found in the orifice of big mammal gland ducts. What is the most probable diagnosis?

Answer 9

Paget’s disease

Question 10

A man suffering from a hereditary disease married a healthy woman. They got 5 children, three girls and two boys. All the girls inherited their father’s disease. What is the type of the disease inheritance?

Answer 10

Dominant, X-linked