2. While registering the child to the school Mantus test was made to define whether
revaccination was needed. Test result is negative. What does this test result mean?
Absence of cell immunity to the tuberculosis
Presence of cell immunity to the tuberculosis
Absence of antibodies for tubercle bacillus
Absence of antitoxic immunity to the tuberculosis
Presence of antibodies for tubercle bacillus
3. Study of bacteriological sputum specimens stained by the Ziel-Neelsen method revealed some
bright-red acid-resistant bacilli that were found in groups or singularly. When they were
inoculated onto the nutrient media, the signs of their growth show up on the 10-15 day. These
bacteria relate to the following family:
Micobacterium tuberculosis
Yersinia pseudotuberculosis
Histoplasma dubrosii
Klebsiella rhinoscleromatis
Coxiella burnettii
4. Autopsy of a 17 year old girl who died from pulmonary failure revealed a small area of caseous
necrosis in the inferior lobe of the right lung, and occurences of caseous necrosis in the
bronchopulmonary, bronchial and bifurcational lymph nodes. What is the most probable
postmortem diagnosis?
Primary tuberculosis
Hematogenous progression of primary tuberculosis
Hematogenous tuberculosis with predominant lung affection
Tuberculoma
Caseous pneumonia under secondary tuberculosis
5. A patient ill with tuberculosis died from progressing cardiopulmonary decompensation.
Autopsy in the area of the right lung apex revealed a cavity 5 cm in diameter communicating with
lumen of a segmental bronchus. On the inside cavity walls are covered with caseous masses
with epithelioid and Langhans cells beneath them. What morphological form of tuberculosis is
it?
Acute cavernous tuberculosis
Tuberculoma
Caseous pneumonia
Infiltrative tuberculosis
Acute focal tuberculosis
7. While enrolling a child to school Mantus test was made to define whether revaccination was
needed. The test result is negative. What does this test result mean?
Absence of antitoxic immunity to the tuberculosis
Presence of antibodies for tubercle bacillus
Presence of cell immunity to the tuberculosis
Absence of cell immunity to the tuberculosis
Absence of antibodies for tubercle bacillus
8. While enrolling a child to school Mantus test was made to define whether revaccination was
needed. The test result is negative. What does this test result mean?
Absence of antitoxic immunity to the tuberculosis
Presence of antibodies for tubercle bacillus
Absence of antibodies for tubercle bacillus
Presence of cell immunity to the tuberculosis
Absence of cell immunity to the tuberculosis
9. Autopsy of a 17 year old girl who died from pulmonary failure revealed a small area of caseous
necrosis in the inferior lobe of the right lung, and occurences of caseous necrosis in the
bronchopulmonary, bronchial and bifurcational lymph nodes. What is the most probable
postmortem diagnosis?
Hematogenous progression of primary tuberculosis
Hematogenous tuberculosis with predominant lung affection
Caseous pneumonia under secondary tuberculosis
Tuberculoma
Primary tuberculosis
11. Microscopic analysis of tissue sampling from patients skin reveals granulomas that consist
of epithelioid cells surrounded mostly by T-lymphocytes. Among epithelioid cells there are
solitary giant multinuclear cells of Pirogov-Langhans typ. In the centre of some granulomas
there are areas of caseous necrosis. Blood vessels are absent. What disease are the described
granulomas typical for?
Tuberculosis
Syphilis
Leprosy
Rhinoscleroma
Glanders
12. Microscopic analysis of tissue sampling from patients skin reveals granulomas that consist
of epithelioid cells surrounded mostly by T-lymphocytes. Among epithelioid cells there are
solitary giant multinuclear cells of Pirogov-Langhans type. In the centre of some granulomas
there are areas of caseous necrosis. Blood vessels are absent. What disease are the described
granulomas typical for?
Tuberculosis
Syphilis
Leprosy
Rhinoscleroma
Glanders
13. Autopsy of a man, who died from acute posthaemorrhagic anaemia resulting from pulmonary
haemorrhage, revealed the following: macroscopically - lung apexes were deformed, their
section showed multiple whitish-grey foci 10-15 mm in diameter and multiple pathological
cavities up to 15 mm in diameter with dense walls. Microscopically: the cavity walls presented
proliferation of the connective tissue infiltrated by epithelioid cells, multicellular giant cells and
lymphocytes. What is the most likely diagnosis?
Progressing tuberculosis complex
Hematogenic disseminated pulmonary tuberculosis
Hematogenic miliary pulmonary tuberculosis
Secondary fibrocavernous tuberculosis
Primary tuberculosis without signs of progress
14. Autopsy of a man, who died from acute posthaemorrhagic anaemia resulting from pulmonary
haemorrhage, revealed the following: macroscopically - lung apexes were deformed, their
section showed multiple whitish-grey foci 10-15 mm in diameter and multiple pathological
cavities up to 15 mm in diameter with dense walls. Microscopically: the cavity walls presented
proliferation of the connective tissue infiltrated by epithelioid cells, multicellular giant cells and
lymphocytes. What is the most likely diagnosis?
Secondary fibrocavernous tuberculosis
Primary tuberculosis without signs of progress
Progressing tuberculosis complex
Hematogenic disseminated pulmonary tuberculosis
Hematogenic miliary pulmonary tuberculosis
15. Microscopic analysis of tissue sampling from patients skin reveals granulomas that consist
of epithelioid cells surrounded mostly by T-lymphocytes. Among epithelioid cells there are
solitary giant multinuclear cells of Pirogov-Langhans type. In the centre of some granulomas
there are areas of caseous necrosis. Blood vessels are absent. What disease are the described
granulomas typical for?
Tuberculosis
Syphilis
Leprosy
Rhinoscleroma
Glanders
19. A patient was admitted to the hospital with complaints of occasional pains at the bottom of
abdomen that get worse during menses, weakness, indisposition, nervousness, some dark
bloody discharges from vagina on the day before and the day after menses. Bimanual
examination results: body of womb is enlarged, appendages cannot be determined, posterior
fornix has tuberous surface. Laparoscopy results: ovaries, peritoneum of rectouterine pouches
and pararectal fat are covered with "cyanotic spots". What is the most probable diagnosis?
Polycystic ovaries
Chronic salpingitis
Genital organs tuberculosis
Widespread form of endometriosis
Ovarian cystoma
20. A 3 year old child has been suffering from fever, cough, coryza, conjunctivitis for 4 days. He
has been taking sulfadimethoxine. Today it has fever up to 39oC and maculopapular rash on its
face. Except of rash the childs skin has no changes. What is your diagnosis?
Scarlet fever
Rubella
Pseudotuberculosis
Measles
Allergic rash
21. During an operation for presumed appendicitis the appendix was found to be normal;
however, the terminal ileum is evidently thickened and feels rubbery, its serosa is covered with
grayish-white exudate, and several loops of apparently normal small intestine are adherent to it.
The most likely diagnosis is:
Acute ileitis
Ileocecal tuberculosis
Crohns disease of the terminal ileum
Perforated Meckels diverticulum
Ulcerative colitis
22. A patient consulted a nurse about attacks of morning cough with lots of sputum, often with a
foul smell. What disease are these symptoms typical for?
Cancer of lungs
Pneumonia
Pulmonary tuberculosis
Multiple bronchiectasis
Chronic bronchitis
25. A patient is 50 years old, works as a builder with 20 years of service recor d. He was admitted
to the hospital for chest pain, dry cough, minor dyspnea. Objectively: sallow skin, acrocyanosis,
asbestos warts on the hands. In lungs - rough respiration, diffuse dry rales. The x-ray picture
shows intensification of pulmonary pattern, signs of pulmonary emphysema. What is the most
likely diagnosis?
Lung cancer
Chronic obstructive bronchitis
Tuberculosis
Asbestosis
Pneumonia
26. A 50-year-old male suburbanite underwent treatment in rural outpatient clinic for pneumonia.
The treatment didnt have effect and the disease got complicated by exudative pleuritis. What
prevention and treatment facility should the patient be referred to for further aid?
Phthisio-pulmonological dispensary
Tuberculosis dispensary
Central district hospital
Municipal hospital
Regional hospital
27. A 15-year-old child presents with puffiness in the region of the mandible branch; enlarged,
dense and painless lymph nodes adhering to the surrounding tissues. X-ray picture of mandible
branch shows a well-defined bone resorption area containing small sequestra. After Mantoux
test a 12 mm papule was noted. What is the most likely diagnosis?
Tuberculosis of mandible branch
Mandibular actinomycosis
Chronic osteomyelitis of mandible branch
Acute mandibular osteomyelitis
Ewings sarcoma
28. A 58 year old patient applied to an oral surgeon and complained about painful ulcer on the
lateral surface of his tongue. Objectively: left lateral surface of tongue has a roundish ulcer with
undermined soft overhanging edges, palpatory painful, ulcer floor is slightly bleeding and
covered with yellowish nodules. What is the most probable diagnosis?
Tuberculosis
Syphilis
Traumatic ulcer
Actinomycosis
Trophic ulcer
29. Fluorography of a 45 y.o. man revealed some little intensive foci with indistinct outlines on
the top of his right lung for the first time. The patient doesnt feel worse. He has been smoking for
many years. Objectively: pulmonary sound above lungs on percussion, respiration is vesicular,
no rales. Blood count is unchanged. What is the most probable diagnosis?
Focal pulmonary tuberculosis
Peripheral cancer of lung
Eosinophilic pneumonia
Bronchopneumonia
Disseminated pulmonary tuberculosis
30. A 5-year-old boy was progressively getting worse compared to the previous 2 months. A
chest x-ray has shown right middle lobe collapse. A tuberculin skin test was strongly positive.
What is the most characteristic finding in primary tuberculosis?
Hematogenous dissemination leading to extrapulmonary tuberculosis
Atelectasis with obstructive pneumonia
Miliary tuberculosis
Hilar or paratracheal lymph node enlargement
Cavity formation
31. While registering the child to the school Mantus test was made to define whether
revaccination was needed test result is negative. What does this result of the test mean?
Absence of antitoxic immunity to the tuberculosis
Presence of antibodies for tubercle bacillus
Absence of antibodies for tubercle bacillus
Presence of cell immunity to the tuberculosis
Absence of cell immunity to the tuberculosis
32. Autopsy of a 48 y.o. man revealed a round formation 5 cm in diameter with clearcut outlines
in the region of the 1st segment of his right lung. This formation was encircled with a thin layer
of connective tissue full of white brittle masses. Make a diagnosis of the
secondary tuberculosis form:
Fibrous cavernous tuberculosis
Tuberculoma
Acute focal tuberculosis
Caseous pneumonia
Acute cavernous tuberculosis
35. A 15-year-old child presents with puffiness in the region of the mandible branch; enlarged,
dense and painless lymph nodes adhering to the surrounding tissues. X-ray picture of mandible
branch shows a well-defined bone resorption area containing small sequestra. After Mantoux
test a 12 mm papule was noted. What is the most likely diagnosis?
Tuberculosis of mandible branch
Mandibular actinomycosis
Chronic osteomyelitis of mandible branch
Acute mandibular osteomyelitis
Ewings sarcoma
36. A 39-year-old patient complains of some soft ulcers and tubercles on the oral mucosa,
gingival haemorrhage, pain and loosening of teeth. Objectively: mucous membrane of tongue
and gums presents single ulcers with soft, swollen, slightly painful edges, covered with a yellow
film. Regional lymph nodes are enlarged, soft, painless, not adherent to the surrounding tissues.
What is your provisional diagnosis?
Lupus tuberculosis
Lepra
Tertiary syphilis
Scrofuloderma
Suttons aphthae
37. A 58 year old patient applied to an oral surgeon and complained about painful ulcer on the
lateral surface of his tongue. Objectively: left lateral surface of tongue has a roundish ulcer with
undermined soft overhanging edges, palpatory painful, ulcer floor is slightly bleeding and
covered with yellowish nodules. What is the most probable diagnosis?
Tuberculosis
Syphilis
Traumatic ulcer
Actinomycosis
Trophic ulcer
38. While registering the child to the school Mantus test was made to define whether
revaccination was needed test result is negative. What does this result of the test mean?
Absence of cell immunity to the tuberculosis
Presence of cell immunity to the tuberculosis
Absence of antibodies for tubercle bacillus
Absence of antitoxic immunity to the tuberculosis
Presence of antibodies for tubercle bacillus
39. Study of bacteriological sputum specimens stained by the Ziel-Neelsen method revealed
some bright-red acid-resistant bacilli that were found in groups or singularly. When inoculated
onto the nutrient media, the signs of their growth show up on the 10-15 day. These bacteria
relate to the following family:
Micobacterium tuberculosis
Yersinia pseudotuberculosis
Histoplasma dubrosii
Klebsiella rhinoscleromatis
Coxiella burnettii
40. Autopsy of a 17 year old girl who died from pulmonary failure revealed a small area of
caseous necrosis in the inferior lobe of the right lung, and occurences of caseous necrosis in
the bronchopulmonary, bronchial and bifurcational lymph nodes. What is the most probable
postmortem diagnosis?
Primary tuberculosis
Hematogenous progression of primary tuberculosis
Hematogenous tuberculosis with predominant lung affection
Tuberculoma
Caseous pneumonia under secondary tuberculosis
41. A patient ill with tuberculosis died from progressing cardiopulmonary decompensation.
Autopsy in the area of the right lung apex revealed a cavity 5 cm in diameter communicating with
lumen of a segmental bronchus. On the inside cavity walls are covered with caseous masses
with epithelioid and Langhans cells beneath them. What morphological form of tuberculosis is
it?
Acute cavernous tuberculosis
Tuberculoma
Caseous pneumonia
Infiltrative tuberculosis
Acute focal tuberculosis
42. Autopsy of a man who had tuberculosis revealed a 3x2 cm large cavity in the superior lobe of
the right lung. The cavity was interconnected with a bronchus, its wall was dense and consisted
of three layers: the internal layer was pyogenic, the middle layer was made by tuberculous
granulation tissue and the external one was made by connective tissue. What is the most likely
diagnosis?
Fibrous focal tuberculosis
Fibrous cavernous tuberculosis
Tuberculoma
Acute cavernous tuberculosis
Acute focal tuberculosis
43. Autopsy of a man who had tuberculosis revealed a 3x2 cm large cavity in the superior lobe of
the right lung. The cavity was interconnected with a bronchus, its wall was dense and consisted
of three layers: the internal layer was pyogenic, the middle layer was made by tuberculous
granulation tissue and the external one was made by connective tissue. What is the most likely
diagnosis?
Acute cavernous tuberculosis
Acute focal tuberculosis
Fibrous cavernous tuberculosis
Fibrous focal tuberculosis
Tuberculoma
44. Study of bacteriological sputum specimens stained by the Ziel-Neelsen method revealed
some bright-red acid-resistant bacilli that were found in groups or singularly. When inoculated
onto the nutrient media, the signs of their growth show up on the 10-15 day. These bacteria
relate to the following family:
Micobacterium tuberculosis
Yersinia pseudotuberculosis
Histoplasma dubrosii
Klebsiella rhinoscleromatis
Coxiella burnettii
45. Autopsy of a man, who died from acute posthaemorrhagic anaemia resulting from pulmonary
haemorrhage, revealed the following: macroscopically - lung apexes were deformed, their
section showed multiple whitish-grey foci 10-15 mm in diameter and multiple pathological
cavities up to 15 mm in diameter with dense walls. Microscopically: the cavity walls presented
proliferation of the connective tissue infiltrated by epithelioid cells, multicellular giant cells and
lymphocytes. What is the most likely diagnosis?
Secondary fibrocavernous tuberculosis
Primary tuberculosis without signs of progress
Progressing tuberculosis complex
Hematogenic disseminated pulmonary tuberculosis
Hematogenic miliary pulmonary tuberculosis
46. Microscopic analysis of tissue sampling from patients skin reveals granulomas that consist
of epithelioid cells surrounded mostly by T-lymphocytes. Among epithelioid cells there are
solitary giant multinuclear cells of Pirogov-Langhans type. In the centre of some granulomas
there are areas of caseous necrosis. Blood vessels are absent. What disease are the described
granulomas typical for?
Tuberculosis
Syphilis
Leprosy
Rhinoscleroma
Glanders
48. X-ray picture of chest shows a density and an abrupt decrease in the upper lobe of the right
lung. The middle and lower lobe of the right lung exhibit significant pneumatization. The right
pulmonary hilum comes up to the dense lobe. In the upper and middle parts of the left
pulmonary field there are multiple focal shadows. In the basal region of the left pulmonary field
there are clear outlines of two annular shadows with quite thick and irregular walls. What
disease is this X-ray pattern typical for?
Fibro-cavernous pulmonary tuberculosis
Atelectasis of the right upper lobe
Abscessing pneumonia
Peripheral cancer
Pancoast tumour
49. A 15-year-old child presents with puffiness in the region of the mandible branch; enlarged,
dense and painless lymph nodes adhering to the surrounding tissues. X-ray picture of mandible
branch shows a well-defined bone resorption area containing small sequestra. After Mantoux
test a 12 mm papule was noted. What is the most likely diagnosis?
Tuberculosis of mandible branch
Mandibular actinomycosis
Chronic osteomyelitis of mandible branch
Acute mandibular osteomyelitis
Ewings sarcoma
50. A 39-year-old patient complains of some soft ulcers and tubercles on the oral mucosa,
gingival haemorrhage, pain and loosening of teeth. Objectively: mucous membrane of tongue
and gums presents single ulcers with soft, swollen, slightly painful edges, covered with a yellow
film. Regional lymph nodes are enlarged, soft, painless, not adherent to the surrounding tissues.
What is your provisional diagnosis?
Lupus tuberculosis
Lepra
Tertiary syphilis
Scrofuloderma
Suttons aphthae
51. A 42-year-old patient complains of a painful ulcer in the mouth that is getting bigger and
does not heal over 1,5 months. Objectively: on the buccal mucosa there is a shallow soft ulcer 2
cm in diameter with irregular undermined edges. The ulcer floor is uneven and covered with
yellow-gray coating. The ulcer is surrounded by many small yellowish tubercles. Regional lymph
nodes are elastic, painful, matted together. Which disease is characterized by such symptoms?
Tuberculosis
Syphilis
Lichen planus
Cancer
Ulcerative necrotizing stomatitis
52. A 48-year-old patient complains of subfebrile temperature and a growing ulcer on the
gingival mucosa around the molars; looseness of teeth in the affected area, cough. Objectively:
gingival mucosa in the region of the lower left molars has two superficial, extremely painful
ulcers with undermined edges. The ulcers floor is yellowish, granular, covered with yellowish,
and sometimes pink granulations. The ulcers are surrounded by the tubercles. Dental cervices
are exposed, there is a pathological tooth mobility. Regional lymph nodes are enlarged and
make dense matted together groups. What is the most likely diagnosis?
Tuberculosis
Syphilis
Acute aphthous stomatitis
Infectious mononucleosis
Decubital ulcer
53. A 58 year old patient applied to an oral surgeon and complained about painful ulcer on the
lateral surface of his tongue. Objectively: left lateral surface of tongue has a roundish ulcer with
undermined soft overhanging edges, palpatory painful, ulcer floor is slightly bleeding and
covered with yellowish nodules. What is the most probable diagnosis?
Tuberculosis
Syphilis
Traumatic ulcer
Actinomycosis
Trophic ulcer
54. While registering the child to the school Mantus test was made to define whether
revaccination was needed test result is negative. What does this result of the test mean?
Absence of cell immunity to the tuberculosis
Presence of cell immunity to the tuberculosis
Absence of antibodies for tubercle bacillus
Absence of antitoxic immunity to the tuberculosis
Presence of antibodies for tubercle bacillus
55. Study of bacteriological sputum specimens stained by the Ziel-Neelsen method revealed
some bright-red acid-resistant bacilli that were found in groups or singularly. When they were
inoculated onto the nutrient media, the signs of their growth show up on the 10-15 day. These
bacteria relate to the following family:
Micobacterium tuberculosis
Yersinia pseudotuberculosis
Histoplasma dubrosii
Klebsiella rhinoscleromatis
Coxiella burnettii
56. Autopsy of a man who had tuberculosis revealed a 3x2 cm large cavity in the superior lobe of
the right lung. The cavity was interconnected with a bronchus, its wall was dense and consisted
of three layers: the internal layer was pyogenic, the middle layer was made by tuberculous
granulation tissue and the external one was made by connective tissue. What is the most likely
diagnosis?
Fibrous cavernous tuberculosis
Fibrous focal tuberculosis
Tuberculoma
Acute focal tuberculosis
Acute cavernous tuberculosis
57. Autopsy of a 17 year old girl who died from pulmonary failure revealed a small area of
caseous necrosis in the inferior lobe of the right lung, and occurences of caseous necrosis in
the bronchopulmonary, bronchial and bifurcational lymph nodes. What is the most probable
postmortem diagnosis?
Primary tuberculosis
Hematogenous progression of primary tuberculosis
Hematogenous tuberculosis with predominant lung affection
Tuberculoma
Caseous pneumonia under secondary tuberculosis
58. A patient ill with tuberculosis died from progressing cardiopulmonary decompensation.
Autopsy in the area of the right lung apex revealed a cavity 5 cm in diameter communicating with
lumen of a segmental bronchus. On the inside cavity walls are covered with caseous masses
with epithelioid and Langhans cells beneath them. What morphological form of tuberculosis is
it?
Acute cavernous tuberculosis
Tuberculoma
Caseous pneumonia
Infiltrative tuberculosis
Acute focal tuberculosis
60. A child entering the school for the first time was given Mantoux test in order to determine if
there was a need for revaccination. The reaction was negative. What is the meaning of this test
result?
No cell-mediated immunity to tuberculosis
No anti-toxic immunity to tuberculosis
Availability of cell-mediated immunity to tuberculosis
No antibodies to the tuberculosis bacteria
Presence of antibodies to the tuberculosis bacteria
61. Study of the biopsy material revealed a granuloma consisting of lymphocytes, plasma cells,
macrophages with foamy cytoplasm (Mikulicz cells), many hyaline globules. What disease can
you think of?
Leprosy
Syphilis
Tuberculosis
Rhinoscleroma
Actinomycosis
62. Autopsy of a young man revealed some lung cavities with inner walls made up of granulation
tissue with varying degrees of maturity; pronounced pneumosclerosis and bronchiectasis. Some
cavities had caseation areas. What is your presumptive diagnosis?
Infiltrative tuberculosis
Acute cavernous tuberculosis
Bronchiectasis
Caseous pneumonia
Fibrous cavernous tuberculosis
63. A 45-year-old patient, a sailor, was hospitalized on the 2nd day of the disease. A week ago he
returned from India. Complains of body temperature of 41°C, severe headache, dyspnea, cough
with frothy rusty sputum. Objectively: the patient is pale, mucous membranes are cyanotic,
breathing rate is 24/min, tachycardia is present. In lungs: diminished breath sounds, moist rales
over both lungs, crepitation. What is the most likely diagnosis?
Miliary tuberculosis
Pneumonic plaque
Sepsis
Ornithosis
Influenza
64. A 40-year-old patient complains of fever up to 39°C, cough with sputum and blood
admixtures, dyspnea, weakness, herpetic rash on the lips. Objectively: respiration rate - 32/min.
Under the shoulder blade on the right the increased vocal fremitus and dullness of percussion
sound were revealed. Auscultation revealed bronchial respiration. Blood count: WBCs – 14109/l,
ESR - 35 mm/h. What is the provisional diagnosis?
Exudative pleuritis
Cavernous tuberculosis of the right lung
Right-sided croupous pneumonia
Lung cancer
Focal right-sided pneumonia
65. X-ray picture of chest shows a density and an abrupt decrease in the upper lobe of the right
lung. The middle and lower lobe of the right lung exhibit significant pneumatization. The right
pulmonary hilum comes up to the dense lobe. In the upper and middle parts of the left
pulmonary field there are multiple focal shadows. In the basal region of the left pulmonary field
there are clear outlines of two annular shadows with quite thick and irregular walls. What
disease is this X-ray pattern typical for?
Atelectasis of the right upper lobe
Peripheral cancer
Abscessing pneumonia
Pancoast tumour
Fibro-cavernous pulmonary tuberculosis
66. A 48-year-old patient complains of weakness, subfebrile temperature, aching pain in the
kidney region. These presentations turned up three months ago after hypothermia. Objectively:
kidneys are painful on palpation, there is bilaterally positive Pasternatskys symptom. Urine test
res: acid reaction, pronounced leukocyturia, microhematuria, minor proteinuria - 0,165-0,33 g/l.
After the urine sample had been inoculated on conventional media, bacteriuria were not found.
What research is most required in this case?
Zimnitsky urine test
Daily proteinuria
Nechiporenko urine test
Isotope renography
Urine test for Mycobacterium tuberculosis
67. X-ray picture of chest shows a density and an abrupt decrease in the upper lobe of the right
lung. The middle and lower lobe of the right lung exhibit significant pneumatization. The right
pulmonary hilum comes up to the dense lobe. In the upper and middle parts of the left
pulmonary field there are multiple focal shadows. In the basal region of the left pulmonary field
there are clear outlines of two annular shadows with quite thick and irregular walls. What
disease is this X-ray pattern typical for?
Fibro-cavernous pulmonary tuberculosis
Atelectasis of the right upper lobe
Abscessing pneumonia
Peripheral cancer
Pancoast tumour
68. A 15-year-old child presents with puffiness in the region of the mandible branch; enlarged,
dense and painless lymph nodes adhering to the surrounding tissues. X-ray picture of mandible
branch shows a well-defined bone resorption area containing small sequestra. After Mantoux
test a 12 mm papule was noted. What is the most likely diagnosis?
Tuberculosis of mandible branch
Mandibular actinomycosis
Chronic osteomyelitis of mandible branch
Acute mandibular osteomyelitis
Ewings sarcoma
69. A 39-year-old patient complains of some soft ulcers and tubercles on the oral mucosa,
gingival haemorrhage, pain and loosening of teeth. Objectively: mucous membrane of tongue
and gums presents single ulcers with soft, swollen, slightly painful edges, covered with a yellow
film. Regional lymph nodes are enlarged, soft, painless, not adherent to the surrounding tissues.
What is your provisional diagnosis?
Lupus tuberculosis
Lepra
Tertiary syphilis
Scrofuloderma
Suttons aphthae
70. A 42-year-old patient complains of a painful ulcer in the mouth that is getting bigger and
does not heal over 1,5 months. Objectively: on the buccal mucosa there is a shallow soft ulcer 2
cm in diameter with irregular undermined edges. The ulcer floor is uneven and covered with
yellow-gray coating. The ulcer is surrounded by many small yellowish tubercles. Regional lymph
nodes are elastic, painful, matted together. Which disease is characterized by such symptoms?
Tuberculosis
Syphilis
Lichen planus
Cancer
Ulcerative necrotizing stomatitis