VERSION 1
Choose the pathological condition that can be underlying disease.
1. Pleural empyema
2. Drug allergy
3. Intestinal scarring disease
4. Disease after operation on gaster
5. Suppurative peritonitis
6. Hemorrhagic shock
Pregnant was admitted with anaphylactic shock, chronic pyelonephritis, obesity III stage
and goiter. Which of these can be put to the heading of underlying disease?
1. Anaphylactic shock
2. Endocrinopathy
3. Pregnancy
4. Chronic pyelonephritis
5. Chronic kidney diffeciency
6. Drug allergy
Choose the typical signs of nephritic syndrome.
1. Hematuria
2. Oligouria
3. Hypertension
4. Edema, hypoalbuminemia
5. Proteinuria, uremia
6. Hyperlipidemia, hyperlipiduria
Choose the typical morphological signs of Basedov’s disease.
1. Follicular atrophy
2. Lymphofollicular colloid edema
3. Lymphoid infiltration of interstitial tissue
4. Colloid vacuolization
5. Sclerosis of glandular stroma
6. Papillar growth of follicular epithelium
Choose the typical clinical-morphological signs of DIC.
1. Hemorrhage
2. Sclerosis
3. Ischemia
4. Dystrophy
5. Thrombosis
6. Atrophy
Which of the following is NOT tumor of ovaries?
1. Cystadenocarcinoma
2. Endometriosis
3. Fibromyoma
4. Placental polyp
5. Serous cystadenoma
6. Chorioepithelioma
7. Endometrial cystadenocarcinoma
8. Mucinosis cystadenoma
Choose the causative agents of viral hepatitis.
1. RNA virus
2. Rickettsia
3. RNA virus with HBsAg
4. DNA virus
5. Unispiral DNA virus
6. Unispiral RNA virus
In biopsy material of patient with chronic hepatitis: fibrous foci around central vein and
triads, biliary tracts are proliferated, cholestasis. Choose the items that are put into
diagnosis.
1. Portal cirrhosis
2. Hepatocellular cancer
3. Biliar cirrhosis
4. Portal hypertension
Patient complains of the pain in the right subcostal area that is irradiated to right hand,
scapula and back during several days. Nausea, vomiting, fever, leukocytosis were found.
On palpation abdominal muscles are tense, tenderness on liver. What is this disease and
choose the complications.
1. Acute cholecystitis
2. Bradycardia
3. Appendicitis
4. Liver failure
5. Liver coma
6. Biliar peritonitis
30 year old man was admitted with pain on right subcostal area and vomiting after meal.
The signs intensify in spring. They are associated with nausea, belching. Which
complications can cause the death?
1. Abscess
2. Perforation
3. Peritonitis
4. Penetration
5. Hemorrhage
6. Stenosis
Which are essential in development of Crohn’s disease?
1. Serotype of colon bacillus
2. Enteropathies
3. RNA virus
4. Idiopathic changes on intestinal wall4. Ичак деворидаги идиопатик ўзгаришлар
5. Mycobacteria
6. Hereditary factors
VERSION 2
Choose the pathological conditions that can be underlying diseases.
1. Epidemic hepatitis
2. Hemorrhagic pleuritis
3. Lobar pneumonia
4. Fibrillation for ventricles
5. Cardiac tamponade
6. Decompensation of pulmonary heart
7. Glomerulonephritis
8. Gastric ulcer
Which of the followings can be the cause of acute pancreatitis?
1. Ulcerative colitis
2. Intoxication
3. Peritonitis
4. Diabetes mellitus
5. Alcoholism
6. Anemia associated with insufficiency of folic acid
Which of the followings is associated with hemoglobinuria nephrosis?
1. Hemorrhagic shock, DIC syndrome
2. Malaria
3. Toxic dystrophy of liver
4. Transfusion of incompatible blood
Which pathologic process do NOT cause the trophoblastic disease?
1. Endometriosis
2. Dysplastic endometriosis
3. Endometrium polyp
4. Chorionepithelioma
5. Endometrium hyperplasia
Which can NOT be the direct cause of death in heart ischemic disease?
1. Cardiosclerosis
2. Fibrillation
3. Focal cardiosclerosis
4. Cardiac tamponade
5. Coronarocardiosclerosis
6. Acute cardiac failure
7. Chronic aneurism
8. Asistolia
If essential hypertension is associated with brain hemorrhage, atherosclerosis,
nephrosclerosis what is written in the headings Ia, Ib, Ic of death certificate?
1. Brain hemorrhage
2. Rupture of cerebral vessel
3. Essential hypertension, atherosclerosis
4. Atherosclerosis
5. Nephrosclerosis
6. Essential hypertension
Choose the microscopic changes in liver with acute viral hepatitis.
1. Absence of hepatocytes regeneration
2. Corpuscles of Kaunsilman
3. Lipid dystrophy of hepatocytes
4. Lymphoid infiltration
5. Absence of hyperplasia of Kupfer cells
6. Coagulation necrosis
In deceases because of alcoholism - liver is yellow, nodular, fatty, wrinkled. Choose the
right cause of death.
1. Liver failure
2. Acute hepatitis
3. Posthemorrhagic anemia
4. Cholecystitis
5. Pancreatitis
6. Bleeding from esophagus
Where do the cholecyst cancer give metastasis?
1. Bones
2. Portal lymphatic nodes
3. Mesenteric lymphatic nodes
4. Liver
5. Lungs
6. Ovaries
Which of the following is essential in development of duodenal ulcer.
1. Antral chronic gastritis
2. Acute hepatitis
3. Increase in acid concentration
4. Atrophic chronic gastritis
5. Acute pancreatitis
6. Gastric hypersecretion
Which is NOT typical for Crohn’s disease?
1. Sclerosis and dilation of lymphatic vessels
2. Inflammation of mesentery
3. Absence of inflammation of mesentery
4. Absence of infiltration on intestinal wall
5. Suppurative inflammation of ulcer
6. Mononuclear infiltration of intestinal wall
7. Absence of nodules
8. Absence of suppuration of ulcer
VERSION 3
Choose the pathological conditions that can be the complications of disease.
1. Hemorrhagic shock
2. Bronchogenic cancer of lung
3. Duodenal ulcerative disease
4. Decompensation of pulmonary heart
5. Hemorrhagic pleuritis
6. Acute phlegmonous appendicitis
7. Epidemic hepatitis
8. Peritonitis
Choose the signs that are NOT typical for nephritic syndrome.
1. Edema
2. Hypertrophy of left ventricle
3. Proteinuria
4. Oliguria
5. Hematuria
6. Hyperlipidemia
7. Hypertension
Choose the signs that are NOT typical for portal hypertension.
1. Stenosis of upper vena cava
2. Splenomegaly
3. Nutmeg liver
4. Ascites
5. Goose liver
6. Liver encephalopathy
7. Thrombosis lower vena cava
8. Varix dilation of stomach and esophagus
Choose the causes functional deficiency of myocardium and intestines in cholera.
1. Hyperkalemia
2. Hypersecretion
3. Hypernatremia
4. Hypovolemia
5. Hypokalemia
6. Disturbance of reabsorption
Choose the infections that are NOT typical for AIDS.
1. Cytomegalovirus, herpes
2. Streptococci
3. Blue pus bacillus
4. Candidosis, toxoplasmosis
5. Pneumocystosis, mycobacteria
6. Staphylococci
If there are aorta atherosclerosis, chronic bronchitis, emphysema, chronic
Glomerulonephritis, hypertension, brain hemorrhage, which of them can be underlying
disease and complications?
1. Chronic glomerulonephritis
2. Emphysema
3. Brain hemorrhage
4. Aorta atherosclerosis
5. Chronic bronchitis
6. Hypertension
Which may identified in chronic persisted hepatitis?
1. Transformation to cirrhosis
2. Infiltration with lymphocytes, macrophages, plasmocytes of liver pieces
3. Diffuse necrosis of hepatocytes
4. Presence of HBc antibodies for 2 years
Patient with cholecystitis for a long period complained of fever, leukocytosis, pain in right
subcostal area, jaundice (+++), enlargement of liver and lien. What processes developed
in disease?
1. Primary biliary cirrhosis
2. Secondary biliary cirrhosis
Choose the primary cancers of liver.
1.
2.
3.
4.
5.
6.
Hepatocellular cancer
Diffuse cancer
Combined cancer
Squamous cell cancer
Metastatic cancer
Cholangiocellular cancer
Which is essential in development of acute ulcers of stomach?
1. Chronic pancreatitis
2. Burn
3. Trauma
4. Chronic duodenitis
5. Pernicious anemia
6. Stress
7. Chronic enteritis
8. Shock
With which diseases is Crohn’s disease differentially diagnosed?
1. Acute appendicitis
2. Peritonitis
3. Acute enteritis
4. Extrauterine pregnancy
VERSION 4
Choose the pathological conditions that can NOT be concomitant disease.
1. Hemorrhagic shock
2. Chronic bronchitis
3. Gastric cancer
4. Chronic pneumonia
5. Ulcerative disease of stomach
6. Liver cirrhosis
7. Lobar pneumonia
8. Peritonitis
Choose the typical signs for nephrotic syndrome.
1. Proteinuria
2. Hypolipidemia
3. Edema
4. Hypertension, hypertrophy of left ventricle
5. Dysalbuminemia
6. Hematuria, oliguria
7. Anuria, uremia
8. Hypoalbuminemia
Choose the signs typical for portal hypertension.
1. Ascites
2. Thrombosis of lower vena cava
3. Splenomegaly
4. Goose liver
5. Stenosis of upper vena cava
6. Liver encephalopathy
7. Nutmeg liver
8. Varix dilation of stomach and esophagus
Which disease is associated with true croup?
1. Influence, hemorrhagic laryngitis
2. Fibrinous laryngitis
3. Rubella, fibrinous laryngitis
4. Suppurative laryngitis
5. Rubella, catarrhal laryngitis
6. Diphtheria
Where is written in the heading of underlying disease with the mistaken diagnosis like
rupture of gastric ulcers and diffuse peritonitis when systemic lupus erythematosus,
rheumatism, polyartritis are treated with corticosteroids?
1. Polyartritis
2. Rupture of acute gastric ulcers
3. Diffuse peritonitis
4. Systemic lupus erythematosus
5. Rheumatism
6. Iatrogenia
What will be in chronic active hepatitis?
1. Absence of fibrosis in liver tissue
2. Bridging necrosis of hepatocytes
3. Infiltration with lymphocytes, macrophages, plasmocytes of portal tracts
4. Phased active destruction of hepatocytes
Choose the pathologic processes written in the heading Ia of death certificate.
1. Brain hemorrhage
2. Cause of underlying disease
3. Cardiac tamponade
4. Concomitant disease
5. Peritonitis
6. Background disease
7. Underlying disease
8. Pulmonary edema
Patient with cholecystitis for a long period complained of fever, leukocytosis, pain in right
subcostal area, jaundice (+++), enlargement of liver and lien. What complications
developed in disease?
1. Liver failure
2. Hepatocellular cancer
3. Secondary biliary cirrhosis
4. Portal hypertension
5. Mechanic jaundice
6. Xanthomatosis
In liver biopsy there are accumulations of giant cells formed from randomly located
polynuclear hepatocytes, stroma is bad developed, vessels are few. Which type of cancer
is this?
1. Differentiated adenocarcinoma
2. Hepatocellular cancer
3. Less differentiated cancer
4. Primary adenocarcinoma
Autopsy is postmortem examination:
1. Determination of main structural changes
2. Determination of microscopic changes of death cause
3. Determination of death cause and correct filling of death certificate
4. Statement about death factors
5. Finding the death cause
6. Determination of external changes
VERSION 5
Choose the pathological condition that can be concomitant disease.
1. Gastric ulcerative disease
2. Lobar pneumonia
3. Chronic bronchitis
4. Peritonitis
5. Hemorrhagic shock
6. Liver cirrhosis
7. Gastric cancer
8. Chronic pneumonia
Choose the differential morphologic signs of alcoholic hepatitits.
1. Mallori corpuscle
2. Fatty dystrophy
3. Periportal infiltration
4. Kaunsilman’s corpuscles
5. “Rice” corpuscles
6. Negri’s corpuscles
Choose the complications of cholera.
1. Typhoid
2. Erysipelas
3. Exicosis
4. Phlegmon
5. Uremia
6. Abscesses and sepsis
When is the syphilitic nodule formed?
1. Visceral syphilis
2. Secondary syphilis
3. Congenital hematogenic syphilis
4. Primary syphilis
5. Hematogenic syphilis
6. Primary and secondary syphilis
Where is written in the heading of Ia, Ib, Ic with the mistaken diagnosis like rupture of
gastric ulcers and diffuse peritonitis when systemic lupus erythematosus, rheumatism,
polyartritis are treated with corticosteroids?
1. Polyarthritis
2. Perforation of acute gastric ulcers
3. Iatrogenia
4. Systemic lupus erythematosis
5. Rheumatism
6. Diffuse peritonitis
What are the death causes of alcoholic cirrhosis?
1. Liver failure
2. Hepatomegaly
3. Hepatosplenomegaly
4. Mallory-Weiss syndrome
5. Portal hypertension
6. Bleeding from esophagus
What are the main functions of pathologicoanatomical science?
1. Repeated preparation of pathoanatomists
2. Help clinicians to determine the diagnoses of patients
3. Help for doctors’ improvement
4. Timely determination of special danger infections
5. Help forensic medical experts
6. Combine the jobs of pathoanatomists
7. Determination of main direction on work
8. Improvement of pathoanatomists
9. Preparation of pathoanatomists
10.
Improvement of treatment and diagnostics
11.
Control of doctors
12.
Discover new scientific directions on problems of human pathology
What are the complications of idiopathic ulcerative colitis?
1. Rectovaginal fistula
2. Intestinal stenosis
3. Peritonitis
4. False polyps
5. Perforation
6. Toxic dilation of rectum
Direct cause of death is … .
1. Complex of processes that lead to death
2. Pathologic process that lead to changes incompatible to human life
How is the underlying disease written in the headings Ia, Ib, Ic of death certificate?
1. Concomitant disease
2. Complication that lead to direct cause of death
3. Underlying disease
4. One of the complications
5. Background disease
6. Direct cause of death
VERSION 6
Choose the pathologic conditions that can NOT be underlying disease.
1. Diffuse peritonitis
2. Gastric ulcerative disease
3. Cardiac tamponade
4. Cirrhotic cancer of liver
5. Lobar pneumonia
6. Epidemic hepatitis
7. Toxic shock
8. Uremia
For which liver diseases are Kaunsilman corpuscles typical?
1. Chronic viral hepatitis A
2. Chronic viral hepatitis B
3. Acute viral hepatitis A
4. Acute viral hepatitis B
Choose the causes of suprahepatic hypertension.
1. Thrombosis of lower vena cava
2. Liver edema
3. Granulomatosis diseases
4. Stenosis of lower vena cava
Choose the foci that are NOT typical for secondary tuberculosis.
1. Abrikosov’s focus
2. Lymphadenitis
3. Lymphangitis
4. Gohn’s focus
5. Simon’s focus
6. Aschoff-Pul’s focus
Choose the processes that can NOT be underlying disease.
1. Uterus fibromyoma
2. Uterus bleeding
3. Posthemorrhagic shock
4. Chorioepithelioma
5. Peritonitis
6. Endometriosis
7. Glandular hyperplasia of endometrium
8. Endometritis after delivery
Choose the pathologic process that is written in Ib of death certificate.
1. Underlying disease
2. Gastric cancer
3. Concomitant diseases
4. Direct cause of death
5. Glomerulonephritis
6. Background disease
7. Myocardial infarction
Choose the types of ischemic necrosis.
1. Bedsore
2. Cerebral infarction
3. Lien infarction
4. Caseous necrosis
5. Gangrene
6. Sequestration
7. Myocardial infarction
8. Kidney infarction
In patient with chronic hepatitis it was defined ascites, varix dilation of anterior abdominal
wall, splenomegaly. With what is the portal hypertension connected?
1. Chronic pyelonephritis
2. Development of sclerosis in portal tracts
3. Splenomegaly
4. Chronic colitis
5. Chronic active hepatitis
6. Reconstruction of liver tissue
Autopsy is postmortem examination:
1. Determination of main structural changes
2. Determination of microscopic changes of death cause
3. Determination of death cause and correct filling of death certificate
4. Statement about death factors
5. Finding the death cause
6. Determination of external changes
What is the death cause in nonspecific ulcerative colitis?
1. Intestinal perforation
2. False polyps
3. Bleeding
4. Intestinal cancer
5. Peritonitis
6. Intestinal stenosis
Complications of underlying disease - … .
1. Pathologic processes that are etiologically and pathogenetically connected with
underlying disease
2. Pathologic process that can lead to death independently