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Pathology · Necrosis: caseous necrosis
Sample itemWhich setting is most associated with caseous necrosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Tuberculous granuloma
Caseous necrosis has a cheese-like gross appearance and is classically seen within granulomas of tuberculosis. It combines features of coagulative and liquefactive tissue destruction.
Option by option
A. Tuberculous granuloma (correct)
Correct. TB granulomas often contain central caseation.
B. Acute pancreatitis
Pancreatitis causes enzymatic fat necrosis.
C. Cerebral infarction
Cerebral infarction causes liquefactive necrosis.
D. Acute myocardial infarction
Myocardial infarction causes coagulative necrosis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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