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Test tasks to determine the initial level of knowledge



Choose one correct answer.

1. CHARACTERISTIC MACROSCOPIC PECULIARITY OF VIRAL (POSTNECROTIC) LIVER CIRROSIS:

1) coarse surface of the liver

2) the small knot surface of the liver

3) narrow fibrous layers between nodes

4) smooth surface of the liver

5) nutmeg liver

2. CHARACTERISTIC HISTOLOGICAL CHARACTER OF POSTNECRONIC CIRROSIS OF THE LIVER:

1) the formation of false lobules

2) the formation of thin fibrous septa

3) rapprochement of triads and central veins

4) hepatocyte dystrophy

3. FOR ALCOHOLIC HEPATITIS CHARACTERISTIC:

1) bodies of Councilsilmen

2) Bara bodies

3) Mallory bodies

4) Pirogov-Lanhgans cells

5) hyaline balls

4. VIRAL HEPATITIS OFTEN ACCEPTS CHRONIC CURRENT.

1) true

2) not true

5. KAUNSELMEN'S BODY IS FORMED AT

1) apoptosis

2) caseous necrosis

3) balloon dystrophy

4) tumor transformation

5) collicative necrosis

6. AT ALCOHOLIC STEATOSIS IN HEPATOCYTES ACCUMULATED:

1) proteins

2) fats

3) carbohydrates

4) salts

5) water

7. HISTOLOGICAL SIGN OF THE II STAGE OF TOXIC DYSTROPHY OF THE LIVER:

1) hepatocyte necrosis in the centrolobular regions

2) carbohydrate dystrophy

3) focal sclerosis

4) Mallory bodies

5) Besh Taurus - Negri

Choose some correct answers.

8. OPTIONS FOR ALCOHOLIC LIVER DISEASE:

1) steatosis

2) cirrhosis

3) adenomatosis

4) peliosis

5) acute hepatitis

9. FOR CHRONIC PERSISTING VIRAL HEPATITIS CHARACTERISTICALLY:

1) hepatocyte dystrophy

2) cell atypism

3) lymphomacrophagal portal tract infiltration

4) step necrosis

5) sclerosis of the portal tract

10. COMPLICATION OF ACUTE CHOLECYSTITIS:

1) bladder empyema

2) carcinoma of the bladder wall

3) necrosis and perforation of the wall of the bladder

4) pericholecystitis

5) parenchymal jaundice

Answer standards

001-1, 002-3, 003-3, 004-2, 005-1, 006-2, 007-1, 008-1,2,5, 009-1,3,5, 010-1,3, Lesson curriculum (student's independent work)

1. Diagnose by a macroscopic picture toxic dystrophy of the liver. To study and describe the macro product “Toxic liver dystrophy”. Pay attention to the size, color and texture of the liver; determine the stage of the process.

2. Diagnose by a macroscopic picture of small-node liver fibrosis. To study and describe the macrodrug “Small-nodular cirrhosis of the liver”. Pay attention to the size, color and appearance of the liver on the surface and in section.

3. Diagnose by a macroscopic picture extrahepatic complication of cirrhosis of the liver. To study and describe the macro-preparation “Varicose veins of the esophagus”. Pay attention to the condition of the cardial part of the esophagus, color, relief of the mucous membrane.

4. Diagnose by a macroscopic picture the destructive form of acute cholecystitis. To study and describe the macrophilic "Phlegmonous cholecystitis."
Pay attention to the size of the cavity organ, the thickness and nature of the changes in the layers of its wall and the inner surface of the cavity.

5. Diagnose by a macroscopic picture of a severe destructive form of acute pancreatitis. To study and describe the macro-product “Acute pancreatitis, pancreatic necrosis”. Pay attention to the magnitude, color of the altered pancreas.

6. Diagnose by a microscopic picture of acute progressive necrosis of the liver. To study and sketch micropreparation No. 113 "Toxic dystrophy of the liver." With a small and large magnification of the microscope, study, sketch and designate: 1) centrolobular hepatocytes in a state of necrosis; 2) cell detritus around the vein lobules; 3) preserved hepatocytes of the periphery of the lobule; 4) plethora of sinuses. In conclusion, note the causes and stages of toxic liver dystrophy.

7. Diagnose by microscopic picture of small-node liver fibrosis. To study and sketch micropreparation No. 68 "Portal cirrhosis of the liver." With a small and large magnification of the microscope, study, sketch and designate: 1) false hepatic lobules; 2) fibrotic septa with lymphocytic infiltrates; 3) false bile ducts; 4) nodes regenerates hepatocytes; 5) atrophy of the parenchyma. In conclusion, note the causes and variants of liver cirrhosis and significance for the body.

8. Diagnose according to the microscopic picture one of the forms of biliary cirrhosis. To study and sketch micropreparation No. 112 "Biliary cirrhosis of the liver." With a small and large magnification of the microscope, study, sketch and designate: 1) the growth of connective tissue: a) inside the hepatic lobules; b) in the periportal zone of the lobule; 2) lympho-histiocytic infiltrates in the periportal zones; 3) cholestasis in the dilated bile ducts; 4) foci of hepatocyte regeneration; 5) decomposition of lobular structures. In conclusion, note the causes and variants of biliary cirrhosis of the liver and the significance for the body.

9. Diagnose by a microscopic picture liver cancer of cholangiocellular origin. To study and sketch micropreparation No. 69 “Cholangiocellular liver cancer”. With a small and large magnification of the microscope, study, sketch and designate: 1) liver tissue; 2) lymphohistiocytic inflammatory infiltration of the bile duct wall; 3) polymorphic cells around the ducts: a) form adenoid-like structures; b) penetrate into the liver segments; 4) fatty degeneration of hepatocytes in the areas of tumor infiltration; 5) venous congestion in lobules. In conclusion, note the histogenesis of liver cancers and their importance for the liver and the whole organism.

10. To diagnose portal cirrhosis of the liver by an ultrastructural picture. To study and describe the electron diffraction pattern “Portal cirrhosis of the liver”. Pay attention to the state of the cytoplasm of hepatocytes and sinusoids.

11. Diagnose viral hepatitis by ultrastructural picture. To study and describe the electron diffraction pattern “Viral hepatitis”. Pay attention to the state of the hepatocyte cytoplasm and the nature of inclusions in the cytoplasm.

Pathological Anatomy - Textbook. Ed. 1993. 1.6 - p. 378.384; 2.7.8 - p. 388-394; 3 - p. 394; 4.5 - p. 395.396; 9 - p. 394; 10 - p. 393, Figure 221; 11 - p. 386, fig. 216.

Pathological Anatomy - Textbook. Ed. 2010.1.6 - p. 2.7.8 - s. 3 - p. 4, 5 - p. 9 - p. 10 - p. 478, Figure 221; 11 - p. 471, fig. 216.

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