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Psoriasis. Lichen ruber planus. Etiology. Pathogenesis. Clinical features. Diagnostics. Treatment. Prevention.

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  7. Clinical Manifestations and Pathogenesis

1. Choose diagnostic phenomena, characteristic for lichen ruber planus:

1) Koebner's phenomenon;*

2) Wickham's striae;*

3) Stearin-spot phenomenon;

4) Terminal film phenomenon;

5) “Blood dew” phenomenon.

2. For psoriasis the most typical are:

1) The monomorphic nature of eruptions;*

2) Pink colour of lesions;*

3) The shine of the surface of lesions;

4) The stratification of silver-white scales;*

5) The tendency of elements to peripheral growth and confluence;*

3. Papules of the mucous membranes of an oral cavity of patients with lichen ruber planus have colouring:

1) Red-brown;

2) Bright-pink;

3) Silver-white;*

4) Red;

5) Pinkish-violet.

4. In the progressive stage of psoriasis it is necessary to prescribe:

1) Sedatives agents;*

2) Vitamins;*

3) Erythemal doses of UVR;

4) Tar ointments;

5) Calcium gluconate.*

5. It is necessary to prescribe for patients with lichen ruber planus:

1) Antibiotic therapy;*

2) To treat a somatic pathology;*

3) Antibiotic nystatin;

4) Solutions of aniline dyes;

5) 33 % sulphur ointment.

6. Choose typical signs of papules of lichen ruber planus:

1) Polygonal outlines;*

2) Wax-like shine;*

3) Central depression;*

4) The conic form;

5) Oval outlines.

7. What general signs for typical cases of lichen ruber planus and psoriasis?

1) Affection of mucous membranes;*

2) Intolerable itch;

3) Location on forward surfaces of extremities;

4) Isomorphic reaction;*

5) Arthropathy.

8. The most typical location of psoriatic lesions is: (1 point)

1) On the face;

2) On the flexor surfaces of forearms;

3) On a trunk;

4) On elbows and knees;*

5) On palms and soles.

9. In case of skin affection in psoriasis it is necessary to prescribe for external treatment:

1) Lotions;

2) Powders;

3) Ointments;*

4) Pastes;

5) Wet dressing.

10. Except a skin at lichen ruber planus can be affect:

1) Mucous membranes;*

2) Hair;

3) Nails;*

4) Joints;

5) Teeth.

11. Name the primary morphological lesion at psoriasis:

1) Maculae and wheals;

2) Papules and maculae;

3) Papules and wheals;

4) Papules and plaques;*

5) Nodule and maculae.

12. It is necessary to prescribe for treatment of patients with lichen ruber planus:

1) Sedatives agents;*

2) Vitamins;*

3) Erythemal doses of UVR;

4) Tar ointments;

5) Antibiotic therapy.*

13. Choose diagnostic phenomena, characteristic for psoriasis:

1) Koebner's phenomenon;*

2) Wickham's striae;

3) Stearin-spot phenomenon;*

4) Terminal film phenomenon;*

5) “Blood dew” phenomenon.*

14. What histomorphological changes in epidermis cause a clinical picture at patients with psoriasis?

1) Spongiosis;

2) Parakeratosis;*

3) Hyperkeratosis;

4) Granulosis;

5) Acanthosis.*

15. Koebner's phenomenon is:

1) Psoriatic triad;

2) Bright-pink colour of lesions;

3) Isomorphic reaction;*

4) The tendency of elements to peripheral growth and confluence;

5) The punctate bleeding.

16. What histomorphological changes in epidermis cause a clinical picture of lichen ruber planus?

1) Spongiosis;

2) Parakeratosis;

3) Hyperkeratosis;

4) Granulosis;*

5) Acanthosis.

17. It is considered that the complicated forms of psoriasis are:

1) Intertriginous form;

2) Psoriasis arthropatica;*

3) Psoriatic erythroderma;*

4) Exudative psoriasis;

5) Pustular form of psoriasis.*

18. It is characteristic for lichen ruber planus:

1) Intolerable itching;*

2) Skin itches only at night;

3) Appearance of lesions only on the extensor surface of extremities;

4) Wickham's striae;*

5) Bright-pink colour of lesions.

19. In case of skin affection in lichen ruber planus it is necessary to prescribe for external treatment:

1) Lotions;

2) Powders;

3) Ointments;*

4) Pastes;

5) Wet dressing.

20. The following stages of psoriasis are distinguished:

1) The exacerbation stage;

2) The progressive stage;*

3) The stationary stage;*

4) The regressive stage;*

5) The recovery stage.

21. It is necessary to prescribe for patients with lichen ruber planus:

1) Antimalarial drugs (Delagil);*

2) Warm baths with a coniferous extract;*

3) Application of steroid ointments;*

4) Sedatives agents;*

5) 33 % sulphur ointment.

22. The “stearine spot” phenomenon is determined by the following histological changes:

1) Spongiosis;

2) Parakeratosis;*

3) Acanthosis;

4) Hyperkeratosis;

5) Granulosis.

23. What signs are characteristic for psoriatic lesions?

1) The lenticular form of papules;*

2) The miliary form of papules;

3) Inflammatory papules;*

4) Non-inflammatory papules;

5) Polygonal outlines.

24. The group of atypical psoriasis consists of:

1) Psoriasis arthropatica;

2) Intertriginous psoriasis;*

3) Exudative psoriasis;*

4) Psoriasis punctata;

5) Psoriasis nummularis.

LESSON 5


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