1. A child is 10 years old.

The following presentations have developed: sharp pain during swallowing, swollen
neck, body temperature rise up to 39, 0oC, bright-red fi- nelypapular rash all over the body. Pharynx and tonsils
are sharply hyperemic ("flaming pharynx"), "crimson tongue". On the tonsils surface there are isolated greyish
necrosis focuses. What disease it might be?
A. Scarlet fever
B. Meningococcal nasopharyngitis
C. Diphtheria
D. Influenza
E. Measles
2. 2 days after labour a woman developed shock along with DIC syndrome that caused her death. Autopsy
revealed purulent endomyometritis, regional purulent lymphangitis, lymphadenitis and purulent
thrombophlebitis. There were also dystrophic alterations and interstitial inflammation of parenchymal organs.
What is the most likely diagnosis?
A. Septicemia
B. Syphilis
C. Tuberculosis of genital organs
D. Chorioadenomadestruens
E. Hydatid mole
3. A 9-year-old boy has acute onset of disease: sore throat, body temperature rise up to 39, 5oC; on the second
day diffuse skin rash was detected all over his skin exept for nasolabial triangle. On examination of oral cavity:
crimson tongue, "flaming pharynx", necrotic tonsillitis. What diagnosis is the most likely?
A. Scarlet fever
B. Measles
C. Diphtheria
D. Influenza
E. Meningococcemia
4. During autopsy the following has been revealed: the meninges of the upper cerebral hemispheres are
extremely plethoric, of yellowgreen color and are soaked with purulent effluent. What kind of meningitis is
characterised by such clinical presentations?
A. Meningococcal meningitis
B. Tuberculous meningitis
C. Grippal meningitis
D. Anthrax-induced
E. Epidemic typhus-induced
5. On the 24th day since the onset of disease, a male patient diagnosed with typhoid fever and undergoing
treatment in an infectious diseases hospital has suddenly developed clinical presentations of acute abdomen
leading to the death of the patient. During autopsy peritonitis has been revealed, with numerous ulcers covering
the colon mucosa and reaching as deep as muscular and, in places, serous tunic. The ulcers have smooth edges
and even floor. The intestinal wall is perforated. What stage of typhoid fever has the lethal complication arisen
at?
A. Clean ulcer
B. Medullary swelling
C. Necrosis
D. Dirty ulcer
E. Regeneration
6. A diseased child has a high fever, sore throat, swelling of submandibular lymph nodes. Objectively:
pharyngeal mucosa is edematous, moderately hyperemic, the tonsils are enlarged, covered with grayish
membrane tightly adhering to the tissues above. Attempts to remove the membrane produce the bleeding
defects. What disease are these presentations typical for?
A. Diphtheria
B. Catarrhal tonsillitis
C. Scarlet fever
D. Meningococcal disease
E. Measles
7. A 71 year old man had been presenting with diarrhea for 10 days. The feces had admixtures of blood and
mucus. He was delivered to a hospital in grave condition and died 2 days later. Autopsy of the body revealed
the following: diphtheritic colitis with multiple irregularly-shaped ulcers of different depth in both sigmoid
colon and rectus. Bacteriological analysis revealed Shigella. What was the main disease?
A. Dysentery
B. Typhoid fever
C. Salmonellosis
D. Nonspecific ulcerous colitis
E. Yersiniosis
8. Extensive thromboembolic infarction of the left cerebral hemispheres, large septic spleen, immunocomplex
glomerulonephritis, ulcers on the edges of the aortic valves, covered with polypous thrombus with colonies of
staphylococcus were revealed on autopsy of the young man who died in coma. What disease caused cerebral
thromboemboly?
A. Septic bacterial endocarditis
B. Septicemia
C. Acute rheumatic valvulitis
D. Septicopyemia
E. Rheumatic thromboendocarditis
9. A man with a wound of his limb that had been suppurating for a long time died from intoxication. Autopsy
revealed extreme emaciation, dehydration, brown atrophy of liver, myocardium, spleen and cross-striated
muscles as well as renal amyloidosis. What diagnosis corresponds with the described presentations?
A. Chroniosepsis
B. Septicopyemia
C. Septicemia
D. Chernogubov’s syndrome
E. Brucellosi
10. Autopsy of a 1,5-year-old child revealed haemorrhagic skin rash, moderate hyperaemia and edema of
nasopharyngeal mucous membrane, small haemorrhages in the mucous membranes and internal organs;
dramatic dystrophic alterations in liver and myocardium; acute necrotic nephrosis; massive haemorrhages in the
adrenal glands. What disease are these alterations the most typical for?
A. Meningococcal infection
B. Scarlet fever
C. Diphtheria
D. Measles
E. Epidemic typhus
11. A 30 year old man had been suffering from acute respiratory disease and died from cardiopulmonary
decompensation. Autopsy revealed fibrinous-haemorrhagic inflammation in the mucous membrane of larynx
and trachea, destructive panbronchitis, enlarged lungs that look black due to the multiple abcesses,
haemorrhages, necrosis. What is the most probable postmortem diagnosis?
A. Influenza
B. Parainfluenza
C. Respiratory syncytial infection
D. Measles
E. Adenoviral infection
12. A patient has been syffering from diarrhea for 5 day. On the fith day colonoscopy revealed that membrane
of rectum was inflamed, there were greyish-green films closely adhering to the subjacent tissue. What is the
most probable diagnosis?
A. Dysentery
B. Typhoid fever
C. Nonspecific ulcerous colitis
D. Salmonellosis
E. Crohn’sdiseas
13. A patient had been suffering from profuse diarrhea and vomiting for 2 days. He died from acute
dehydration. Autopsy revealed that the intestinal wall was edematic and hyperemic, with multiple
haemorrhages in the mucous membrane. Intestine lumen contains whitish fluid resembling of rice water. What
disease caused death?
A. Cholera
B. Dysentery
C. Salmonellosis
D. Typhoid fever
E. Enterocolitis
14. While examining a patient an otolaryngologist noticed hyperaemia and significantly edematous tonsils with
a grayish film upon them. Microscopical examination of this film revealed some gram-positive bacilli placed at
an angle with each other. What disease might be suspected?
A. Diphtheria
B. Angina
C. Scarlet fever
D. Meningococcal nasopharyngitis
E. Epidemic parotitis
15. A 20 year old patient died from intoxication 8 days after artificial illegal abortion performed in her 14-15th
week of pregnancy. Autopsy of the corpse revealed yellowish colour of eye sclera and of skin, necrotic
suppurative endometritis, multiple pulmonary abscesses, spleen hyperplasia with a big number of neutrophils in
its sinuses. What complication after abortion was developed?
A. Septicopyemia
B. Septicemia
C. Hemorrhagic shock
D. Chroniosepsis
E. Viral hepatitis type A
16. Colonoscopy of a patient ill with dysentery revealed that mucous membrane of his large intestine is
hyperemic, edematic, its surface was covered with grey-and-green coats. Name the morphological form of
dysenteric collitis:
A. Fibrinous
B. Catarrhal
C. Ulcerous
D. Purulent
E. Necrotic
17. A 63 y.o. man fell ill with acute tracheitis and bronchitis accompanied by bronchial pneumonia. On the 10th
day the patient died from cardiopulmonary insufficiency. Autopsy revealed fibrinous hemorrhagic
laryngotracheobronchitis; lungs were enlarged, their incision revealed the "coal-miner’s"effect caused by
interlacing of sections of bronchial pneumonia, hemorrhages into the pulmonary parenchyma, acute abscesses
and atelectases. Internal organs have discirculatory and dystrophic changes. What is the most probable
diagnosis?
A. Influenza, severe form
B. Moderately severe influenza
C. Parainfluenza
D. Respiratory syncytial infection
E. Adenoviral infection
18. Autopsy of a man who died from influenza revealed that his heart was slightly enlarged, pastous,
myocardium was dull and had specks. Microscopical examination of myocardium revealed signs of
parenchymatous adipose and hydropic dystrophy; stroma was edematic with poor macrophagal and
lymphocytic infiltration, vessels were plethoric; perivascular analysis revealed petechial hemorrhages. What
type of myocarditis was developed in this case?
A. Serous diffuse
B. Interstitial proliferative
C. Serous focal
D. Purulent
E. Granulomatous
19. A boy is 7 y.o. Objectively: against the background of hyperemic skin there is knobby bright-pink rash on
his forehead, neck, at the bottom of abdomen, in the popliteal spaces; nasolabial triangle is pale. Examination of
oropharyngeal surface revealed localized bright-red hyperemia; tonsils are swollen, soft, lacunas contain pus,
tongue is crimson. Cervical lymph nodes are enlarged, dense and painful. What is the most probable diagnosis?
A. Scarlet fever
B. Rubella
C. Whooping cough
D. Diphtheria
E. Infectious mononucleosis
20. A sick man with high temperature and a lot of tiny wounds on the body has been admitted to the hospital.
Lice have been found in the folds of his clothing. What disease can be suspected?
A. Epidemic typhus
B. Tularemia
C. Scabies
D. Malaria
E. Plague
21. On autopsy it was revealed: pia mater of the upper parts of cerebral hemisphere is plethoric, of yellowish-
green color, soaked with purulent and fibrose exudate, looks like a cap. What disease is it typical for?
A. Meningococcal meningitis
B. Tuberculous meningitis
C. Grippal meningitis
D. Meningitis connected with anthrax
E. Meningitis connected with typhus
22. Autopsy of a 12-year-old girl revealed: multiple cutaneous hemmorhages (mostly into the skin of buttocks,
lower extremities), serous and mucous memrane hemmorhages, cerebral hemmorhages. Adrenal glands show
focal necrosis and massive hemmorhages; kidneys show necrotic nephrosis, suppurative arthritis, iridocyclitis,
vasculitis. What is the most probable diagnosis?
A. Meningococcemia
B. Epidemic typhus
C. Periarteritis nodosa
D. Systemic lupus erythematosus
E. Radiation sickness
23. Autopsy of a 46-year-old man revealed multiple brown-and-green layers and hemmorhages on the mucous
membrane of rectum and sigmoid colon; slime and some blood in colon lumen; histologically - fibrinous colitis.
In course of bacteriological analysis of colon contents S.Sonne were found. What is the most probable
diagnosis?
A. Dysentery
B. Cholera
C. Salmonellosis
D. Yersiniosis
E. Crohn’s disease
24. A patient died 3 days after the operation because of perforated colon with manifestations of diffuse purulent
peritonitis. The autopsy revealed: colon mucos membrane was thickened and covered with a fibrin film,
isolated ulcers penetrated at different depth. The histology result: mucous membrane necrosis, leukocytes
infiltration with hemorrhages focuses. What disease complication caused the patient’s death?
A. Dysentery
B. Typhoid
C. Nonspecific ulcerative colitis
D. Crohn’s disease
E. Amebiasis
25. Autopsy of a Middle-Eastern woman, who had been suffering from wasting fever for a long time, revealed
enlarged blackened liver and spleen. Bone marrow was hyperplastic and black-colored as well. Cerebral cortex
was smoky grey. What disease is it characteristic of?
A. Malaria
B. AIDS
C. Epidemic typhus
D. Sepsis
E. Hepatitis
26. Brain autopsy revealed an edema, hyperemia, and small hemorrhages in the medulla oblongata.
Microscopically chromatosis, hydropia and nerve cell necrosis are observed; within the cytoplasm of the
hippocampal nerve cells there are eosinophilic structures (Negri bodies) detected. What diagnosis corresponds
with the described morphological signs?
A. Rabies
 B. Encephalomyelitis
C. Meningococcal meningitis
D. Brucellosis
E. Encephalitis
27. A worker of an agricultural enterprise had been suffering from an acute disease with aggravating
intoxication signs, which resulted in his death. On autopsy: the spleen is enlarged, flaccid, dark cherry-red on
section, yields excessive pulp scrape. Soft meninges of the fornix and base of the brain are edematoius and
saturated with blood (“cardinal’s cap”). Microscopically: serous-hemorrhagic inflammation of meninges and
cerebral tissues. Make the diagnosis
A. Anthrax
B. Plague
C. Tularemia
D. Cholera
E. Brucellosis
28. A 40-year-oldman developed skin redness and swelling in the neck area, where eventually a small abscess
appeared. On section the focus is dense and yellow-green colored. In the purulent masses there are white
granules. Histologically there are fungal druses, plasma and xanthome cells, and macrophages detected. Specify
the most correct etiological name of this pathological process.
A. Actinomycosis
B. Furuncule
C. Carbuncule
D. Leprosy
E. Syphilis
29. A 7 year old child had an acute onset of disease. Pediatrician stated that mucous membrane of fauces is
hyperemic and covered with a lot of mucus. Mucous membrane of cheeks has whitish stains. Next day the
child’s skin of face, neck, body was covered with coarsely-papular rash.What disease may be presumed?
A. Measles
B. Scarlet fever
C. Diphteria
D. Meningococcemia
E. Allergic dermatitis
30. Autopsy of a 5 year old child revealed that pia maters of brain are extremely plethoric, nebulous, have a
look of yellowish-green "bonnet". Microscopic analysis: pia mater of brain is very thickened, plethoric,
impregnated with purulent exudate containing fibrin. What disease is meant?
A. Meningococcosis
B. Tuberculosis
C. Anthrax
D. Influenza
E. Measles
31. Tissue sample of soft palate arches that was taken because a tumor was suspected (microscopic analysis
revealed an ulcer with dense fundus) revealed mucous membrane necrosis, submucous layer was infiltrated by
lymphocytes, epithelioid cells, plasmocytes, solitary neutrophils. There was also evident endovasculitis and
perivasculitis. What desease are these changes typical for?
A. Primary syphilis
B. Aphthous stomatitis
C. ulcerative stomatitis
D. Vensan’s ulcerative-necrotic stomatitis
E. Faucial diphteria
32. Autopsy of a man who died of typhoid fever revealed ulcers along the ileum. These ulcers have even sides,
clean fundus formed by muscle layer or even by serous tunic of an intestine.What stage of disease does the
described presentation correspond with?
A. Stage of "clean"ulcers
B. Stage of medullary swelling
C. Stage of necrosis
D. Stage of "dirty"ulcers
E. Stage of ulcer healing
33. A man had an acute onset of disease, he complained of chill, temperature rise up to 400_, headache, cough,
dyspnea. On the fifth day of illness he died. Autopsy revealed:his lungs were enlarged, they had a look of "coal-
miner’s lungs". What illness is such postmortem diagnosis typical for?
A. Influenza
B. Adenovirus infection
C. Croupous pneumonia
D. Respiratory syncytial infection
E. Multiple bronchiectasis
34. Autopsy of an 8 year old boy who was ill with pharyngeal and tonsillar diphtheria and died one week after
illness begin revealed myocardial changes in form of small-focal myocardiocyte necroses, stroma edema with
slight lymphocytic infiltration. What type of myocarditis is it:
A. Alterative
B. Septic
C. Granulomatous
D. Interstitional
E. Focal-intermediate, exudative
35. Post-mortem examination of a 5 year old boy who died from acute pulmonary and cardiac insufficiency
revealed the following: serohemorrhagic tracheobronchitis with some necrotic areas of mucous membrane,
multiple foci of hemorrhagic pneumonia in lungs. What disease is in question?
A. Influenza
B. Measles
C. Scarlet fever
D. Diphtheria
E. Croupous pneumonia
36. On the 5th day of illness a 12 year old child who was treated in the infectious department on account of
influenza felt severe headache, sickness, dizziness, got meningeal signs. The child died 24 hours later from
increasing brain edema. Dissection of cranial cavity revealed that pia maters of brain are edematic, plethoric,
saturated diffusively with bright red liquid. Convolutions and sulci of brain are flattened. What influenza
complication is in question?
A. Hemorrhagic meningitis
B. Cerebral hemorrhage
C. Venous hyperemia of brain membranes
D. Suppurative leptomeningitis
E. Serous meningitis
37. A 5 y.o. girl has high temperature and sore throat. Objectively: soft palate edema, tonsills are covered with
grey films that can be hardly removed and leave deep bleeding tissue injuries. What disease is the most
probable?
A. Pharyngeal diphtheria
B. Vincent’s angina
C. Lacunar angina
D. Infectious mononucleosis
E. Necrotic angina
38. Soft palate arches were taken for bioptic examination because of suspected tumour (macroscopical
examination revealed an ulcer with dense floor). Biopsy revealed necrosis of mucous membrane along with
infiltration of submucous layer by lymphocytes, epithelioid cells, plasmatic cells, single neutrophils. There is
also evident endoand perivasculitis. What disease are the described changes typical for?
A. Primary syphilis
B. Aphthous stomatitis
C. Ulcerative stomatitis
D. Ulcerative necrotic stomatitis (Vincent’s stomatitis)
E. Pharyngeal diphtheria
39. A 5 y.o. child had a temperature rise up to 40°C, acute headache, vomiting, anxiety, chill. 4 days later there
appeared hemorrhagic skin eruption, oliguria and adrenal insufficiency that caused death. Bacteriological
examination of smears from the child’s pharynx revealed meningococcus. What disease form was revealed?
A. Meningococcemia
B. Meningococcal meningitis
C. Meningoencephalitis
D. Meningicoccal nasopharyngitis
E. –
40. Microscopical examination of an infiltrate removed from the submandibular skin area of a 30 y.o. man
revealed foci of purulent fluxing surrounded by maturing granulations and mature connective tissue, the pus
contains druses consisting of multiple short rod-like elements with one end attached to the homogenous centre.
What disease is it?
A. Actinomycosis
B. Tuberculosis
C. Syphilis
D. Candidosis
E. –
41. Autopsy of a dead patient revealed that pia mater was dull, there were greenish-yellow overlays covering
almost all convexital surface of cerebral hemispheres. Histological examination revealed extreme hyperemia of
maters along with diffuse leukocytic infiltration. What is the most probable diagnosis?
A. Meningococcal infection
B. Measles
C. Anthrax
D. Tuberculosis
E. Influenza
42. A 6 year old child was delivered to the hospital because of measles pneumonia. On the mucous membrane
of a cheek a dentist revealed an ill-defined greish area 2×2,5 cm large. Soft tissues are edematic and foul-
smelling. The most probable diagnosis of the dentist should be:
A. Noma
B. Gangrenous stomatitis
C. Pustular stomatitis
D. Phlegmonous stomatitis
E. Ulcerous stomatitis
43. A female patient suffering from secondary syphilis got foci of skin depigmentation in the upper parts of her
back. What pathological process is it?
A. Leukoderma
B. Metaplasia
C. Leukoplasia
D. Dysplasia
E. Parakeratosis
44. A 14-year-old patient was diagnosed with Hutchinson’s triad: barrel-shaped incisors, parenchymatous
keratitis and deafness. The revealed presentations are consistent with the following disease:
A. Syphilis
B. Toxoplasmosis
C. Lepra
D. Tuberculosis
E. Opisthorchiasis
45. Autopsy of a man, who died from typhoid fever on the 5th day of disease, revealed the following changes:
aggregated follicles of ileum were enlarged and plethoric; they protruded over the mucous membrane, and
multiple sulci and convolutions could be seen on their surface. Histological examination revealed plethority and
edema of tissues, presense of granulomas composed of big cells with light cytoplasm and containing typhoid
bacilli. These local changes are compliant with the following period of typhoid fever:
A. Stage of medullary swelling
B. Stage of necrosis
C. Stage of ulcer healing
D. Stage of clean ulcers
E. Stage of ulceration
46. Autopsy of a 42-year-old man revealed a distinctly dilated lumen of small intestine filled with rice-water-
like liquid. The intestine wall was edematic with lots of petechial haemorrhages on the mucosa.What infectious
disease is the described enteritis typical for?
A. Cholera
B. Dysentery
C. Salmonellosis
D. Amebiasis
E. Typhoid fever
47. A 25-year-old man has a saucershaped ulcer 0,8 cm in diameter on the upper left surface of tongue. The
ulcer’s floor and edges are dense with smooth and glistening surface, painless on palpation. Microscopical
examination of the ulcer floor revealed an infiltration consisting of lymphoid, plasmatic and epithelioid cells
with a lot of vessels affected by endovasculitis. What is the most likely diagnosis?
A. Primary syphilis
B. Decubital ulcer
C. Cancerous ulcer
D. Tuberculosis
E. Setton’s aphtha
48. A 32-year-old patient who lives in the countryside consulted a doctor about a painful swelling and a fistula
in the submandibular region. Examination revealed an infiltration with a fistula discharging thick pus and
containing white granules. On dissection the infiltration tissues turned out to be dense, yellow-green and had
honeycomb structure because of multiple abscesses.What is the most likely diagnosis?
A. Actinomycosis
B. Tuberculosis
C. Lepra
D. Syphilis
E. Submandibular abscess
49. A worker of a cattle farm consulted a surgeon about fever up to 40oC, headache, weakness. Objective
examination of his back revealed hyperaemia and a dark red infiltration up to 5 cm in diameter with black
bottom in the centre and some pustules. What disease are these presentations typical for?
A. Anthrax
B. Plaque
C. Tularemia
D. Furuncle
E. Abscess
50. A 42-year-old man died with symptoms of severe intoxication and respiratory failure. A slide of lung tissue
was heterogenous, with multiple microfocal hemorrhages and foci of emphysema. Histological examination of
lungs revealed hemorrhagic abscessing bronchopneumonia; eosinophilic and basophilic granules in the
cytoplasm of epithelial cells of bronchi. What is the most likely diagnosis?
A. Influenza
B. Parainfluenza
C. Adenovirus infection
D. Respiratory syncytial virus infection
E. Staphylococcal bronchopneumonia
51. Autopsy of a man who died from intraintestinal hemorrhage revealed necrosis of grouped and solitary
follicles, dead tissues imbibed with bile and blood in the ileum; sequestration and rejection of necrotic masses
with defect formation in the lower segment of the intestine. Which of the following diagnoses is most likely?
A. Typhoid fever, ulcerative stage
B. Typhoid fever, "clean ulcer"stage
C. Typhoid fever, necrosis stage
D. Abdominal typhoid salmonellosis
E. Crohn’s disease
52. A patient with marked manifestations of exsicosis died in the infectious disease hospital. Postmortem
examination results: the corpse with contracted muscles, dry skin and mucous membranes, thick and dark blood
in veins, edematous plethoric mucosa, distended bowel loops, the lumen contains about 4 liters of ricewater
fluid. What is the most likely diagnosis?
A. Cholera
B. Enteric fever
C. Dysentery
D. Anthrax, intestinal form
E. Yersiniosis
53. Following the tooth extraction for acute pulpitis complicated by purulent periodontitis a patient developed
osteomyelitis of mandible. 10 days later the patient died with symptoms of severe intoxication. Autopsy
revealed a 2×2 cm large abscess of the right frontal lobe of brain, bilateral abscessed pneumonia, myeloid
hyperplasia of spleen. What is the most likely diagnosis?
A. Pyosepticemia
B. Septicemia
C. Chroniosepsis
D. Secondary septic endocarditis
E. –
54. A 4-year-old girl died suddenly with symptoms of asphyxia. Autopsy revealed white spots on the buccal
mucosa; large blotches of rash on the skin of face, trunk and extremities; conjunctivitis, edema with foci of
necrosis on the laryngeal mucosa; giant-cell pneumonia on microscopy. What is the most likely diagnosis?
A. Measles
B. Scarlet fever
C. Influenza
D. Meningococcal infection
E. Typhus
55. A 47-year-old patient with symptoms of severe intoxication and respiratory failure died. A section of lung
tissue had a mottled pattern with multiple small focal hemorrhages and foci of emphysema. Histological
examination revealed hemorrhagic bronchopneumonia accompanied by abscess; the cytoplasm of bronchial
epithelial cells had eosinophil and basophil inclusions. According to the section analysis, make your diagnosis:
A. Influenza
B. Adenovirus infection
C. Parainfluenza
D. Respiratory syncytial
E. Staphylococcal bronchopneumonia
56. Autopsy of a dead 6-year-old child revealed a marked edema of the soft tissues of neck and enlarged tonsils.
Pharyngeal mucosa was covered with numerous dense whitish-yellow pellicles exposing deep ulcers after their
removal. Histological examination of the pharyngeal mucosa revealed necrosis of the upper epithelial layers,
impregnation of the mucous memrane with the fibrinous exudate and moderate leukocyte infiltration. What
infectious disease caused the death of the child?
A. Diphtheria
B. Parainfluenza
C. Scarlet fever
D.Whooping cough
E. Measles
57. A 47-year-old male patient consulted a dentist about difficult mouth opening (lockjaw). The patient has a
history of a stab wound of the lower extremity. What infection can be manifested by these symptoms?
A. Tetanus
B. Brucellosis
C.Whooping cough
D. Anaerobic wound infection
E. Tularemia
58. A 35-year-old female patient has HIV at the AIDS stage. On the skin of the lower extremities and palatine
mucosa there appeared rusty red spots, bright red nodules of various sizes. One of the nodules was taken for
histological study. It revealed a lot of randomly distributed thin-walled vessels lined with endothelium, the
bundles of spindle cells containing hemosiderin. What kind of tumor developed in the patient?
A. Kaposi’s sarcoma
B. Hemangioma
C. Burkitt’s lymphoma
D. Lymphangioma
E. Fibrosarcoma
59. A dentist examined a 5-year-old boy and found him to have a saddle nose, high-arched palate, natiform
skull. Both front maxillary incisors are peg-shaped and have a crescent-shaped notch in the cutting edge.
Lymph nodes are not changed. What is the provisional diagnosis?
A. Late congenital syphilis
B. Early congenital syphilis
C. Tertiary syphilis
D. Fluorosis
E. Rickets
60. A 7-year-old child suffers from acute disease. A pediatrician observed the following during examination:
pharynx mucosa is hyperemic, edematous, swollen, cowered with large amount of mucus. Buccal mucosa has
whitish discoloured spots. On the next day the child came out in rash with large spots covering the skin of his
face, neck and torso. What kind of inflammation causes changes in pharynx mucosa?
A. Catarrhal
B. Serous
C. Fibrinous
D. Hemorrhagic
E. Serofibrinous
61. There is a 7-year-old child with complains of cough, lacrimation, rhinitis, skin rash, photophobia and three-
day-long fever as high as 38° С . Physical examination has revealed the following: conjunctivitis; bright red
maculopapular rash covering the skin of face, neck and torso; hyperemic pharynx; serous purulent secretions
from the nose; dry rales in the lungs. What is the most probable diagnosis?
A. Measles
B. Adenovirus infection
C. Scarlet fever
D. Chicken pox
E. Rubella
1. 62. A patient, who works as a milkmaid, has made an appoinment
with a dentist with complaints of aphtha-shaped rash on the mucosa of
oral cavity. The doctor detected rash on her hands in the area of nail
plates. What agent causes this disease?
A. Foot-and-mouth disease virus
B. Herpesvirus
C. Vesicular stomatitis virus
D. Cytomegalovirus
E. Coxsackie В virus
63. Autopsy of the body of a 46-year-old man, who had been suffering from typhoid fever and died of intestinal
hemorrhage, has revealed sequestration areas, tissue rejection in the areas of lymphoid follicle clusters. What
stage of typhoid fever is it?
A. Dirty ulcers
B. Healing
C. Вrain-like swelling of the follicles
D. Necrosis
E. Clean ulcers
64. Microscopy of an autopsy material sampled from lungs has revealed that alveolar lumen is filled with
exudate consisting mostly of erythrocytes. What type of pneumonia is the most likely to be the cause?
A. Influenza virus pneumonia
B. Staphylococcal pneumonia
C. Pneumococcal pneumonia
D. Typhoid pneumonia
E. Measles pneumonia
65. In a body of a 37-years-old woman, who died with signs of pulmonary edema, there was detected acute
deformation of the aortic valve: it is shortened, thickened, ulcerated, has areas of stone-like density. On its
external surface there are large, up to 2 cm in diameter, thrombotic plaques. Left ventricle wall is 2,2 cm thick.
Cardiac muscle is dull, matt and flaccid. What type of endocarditis corresponds with described alterations of the
aortic valve?
A. Ulcerative polypoid endocarditis
B. Recurrent verrucous endocarditis
C. Acute verrucous endocarditis
D. Fibroplastic endocarditis
E. Diffuse endocarditis
66. Autopsy of the body revealed waxy degeneration of the rectus abdominis muscles. In the terminal segment of the
small intestine there are ulcers 3-5 cm in diameter. The ulcer walls are covered in a crumbling grayish-white substance.
The ulcer edges are markedly raised above the mucosa. Widal test is positive. Make the diagnosis:
A. Typhoid fever
B. Crohn's disease
C. Relapsing fever
D. Dysentery
E. Nonspecific ulcerative colitis
67. Microscopy of the myocardium of a girl, who died of diphtheria due to heart failure, shows fatty degeneration,
multiple foci of cardiomyocytes necrosis, and small foci of cellular infiltrates in the interstitium. What type of
myocarditis is it?
A. Alterative
B. Interstitial
C. Focal exudative
D. Granulomatous
E. Diffuse exudative
68. A girl present with high fever and sore throat. Objectively the soft palate is swollen, the tonsils are covered
with gray films that are firmly attached and leave deep bleeding lesions when removed. What is the most likely
disease in this case?
A. Pharyngeal diphtheria
B. Necrotic tonsillitis
C. Infectious mononucleosis
D. Lacunar tonsillitis
E. Pseudomembranous (Vincent’s) tonsillitis
69. 2 days after a hunter cut a ground squirrels body, he developed fever up to 39•c, his lymph nodes enlarged. Later he
developed pneumonia with serohemorrhagic exudate that contained egg-shaped microorganisms with bipolar staining.
What provisional diagnosis can be made in this case?
A. Plague
B. Anthrax
C. Brucellosis
D. Pseudotuberculosis
E. Tetanus
70. A worker of a cattle farm consulted a surgeon about fever up to 40•C, headache, weakness. Objective examination of
his back revealed hyperemia and a dark red infiltration up to 5 cm in diameter with black bottom in its center, which was
surrounded with pustules. What disease are these presentations typical of?
A. Anthrax
B. Plague
C. Furuncle
D. Tularemia
E. Abscess
71. Autopsy of 46-year-old man, who had untreated enteric infection and died of sepsis, revealed the following: perirectal
phlegmon, multiple ulcers of the rectum and sigmoid colon, some of which are perforated; mucosa of these intestinal
segments is thickened and covered with firmly attached grayish films. What is the most likely disease in this case?
A. Dysentery
B. Typhoid fever
C. Cholera
D. Amebiasis
E. Tuberculosis