Keratomycoses. Candidiasis. Clinical features. Diagnostics. Treatment. Prevention. Classification of mycoses. Laboratory diagnostics of mycoses

1. What methods are used for diagnostics of candidiasis of the skin folds?

1) Microscopic examination;*

2) Culture examination;*

3) Wood's lamp examination;

4) Baltser's iodine test;

5) Besnier-Meshchersky's sign (phenomenon of the shavings).

2. For what disease is characteristic Baltser's iodine test?

1) Microsporosis;

2) Epidermophytosis of the large folds;

3) Pityriasis versicolor;*

4) Candidiasis;

5) Rubrophytia.

3. What methods are used for diagnostics of Pityriasis versicolor?

1) Microscopic examination;*

2) Culture examination;*

3) Wood's lamp examination;*

4) Baltser's iodine test;*

5) Besnier-Meshchersky's sign (phenomenon of the shavings).*

4. What clinical forms of candidiasis are distinguished?

1) The superficial;*

2) The dyshidrotic form;

3) Of the mucous membranes;*

4) Generalized;*

5) Onychia and paronychia.*

5. Yeasty affection of a smooth skin is caused by:

1) Trich. mentagrophytes;

2) Microsporum canis;

3) Pityrosporum orbiculare;

4) Candida albicans;*

5) Trich. rubrum.

6. What lesions are characteristic for Pityriasis versicolor?

1) Papule;

2) Macula;*

3) Nodule;

4) Vesicles;

5) Pustule.

7. What medicines are used for treatment of candidiasis of the oral mucosa?

1) Nystatin;*

2) Levorin;*

3) Tetracycline;

4) Prednisolon;

5) Griseofulvin.

8. Pityriasis versicolor is caused by?

1) Trich. mentagrophytes;

2) Microsporum canis;

3) Pityrosporum orbiculare;*

4) Candida albicans;

5) Trich. rubrum.

9. What changes are found out in the foci of affection in patients with Pityriasis versicolor?

1) Bran-like scaling;*

2) Lichenification and excoriation;

3) Absence of the inflammation;*

4) Affection of hairs;

5) Seropurulent crusts.

10. A 15 year old has multiple symptomless oval hypopigmented macules with fine scalings on his back and neck. Most probable clinical diagnosis:

1) Pityriasis versicolor;*

2) Superficial candidiasis;

3) Pityriasis alba;

4) Psoriasis

5) Lichen ruber planus.

11. With regard to treatment of recurrent vulvovaginal candidiasis, which one of the following statements is correct?

1) Patients should be recultured after two weeks of therapy and again at three and six months;*

2) Maintenance regimens should be avoided;*

3) Long-term dietary measures provide the most effective suppression;*

4) Topical Pimafucin cream is the recommended initial treatment;*

5) The prescription of vitamins of the B complex.*

12. Regarding vaginal candidiasis, which of the following statements is/are correct?

1) Self-diagnosis tends to be a reliable tool;*

2) It is the most common cause of chronic vaginal symptoms;*

3) Fungal cultures are helpful in the management of recurrent disease;*

4) Treatment of the sexual partner contributes to the resolution of symptoms.*

13. Which one is a yeast infection?

1) Sycosis vulgaris;

2) Candidiasis;*

3) Thrush;*

4) Vesiculopustules;

5) Angulus infectiosus.*

14. What is the other name for yeast infection?

1) Robust;

2) Scuff;

3) Thrush;*

4) Candida;*

5) Dairy.

15. What kind of infection is a yeast infection?

1) Viral infection;

2) Fungal infection;*

3) Bacterial infection;

4) Spirochetes infection;

5) None of these.

16. What are the symptoms that indicate yeast infection?

1) Nausea and weakness;

2) Itching and burning sensation in vagina;*

3) Soreness in throat and stomach;

4) None of these.

17. What amount of potassium hydroxide (KOH)is used for diagnosis in microscopic method?

1) 20%;*

2) 50%;

3) 10%;

4) 35%;

5) 40%.

18. Which can treat candidiasis better?

1) Antibiotics of a wide spectrum of action;

2) Antimycotics;*

3) Antiallergic;

4) Cytostatics;

5) Corticosteroid.

19. Which of these are commonly used anti-fungal drugs?

1) Topical clotrimazole;*

2) Topical “Spregal”

3) Topical nystatin;*

4) Topical tetracycline;

5) Topical ketoconazole.*

20. An 18-year-old man comes to you with a complaint of a rash that has been present over the summer months. On your exam you find hypopigmented macular lesions with slight branny scaling involving primarily the trunk. A KOH examination will show:

1) Yeast forms only;

2) Staphylococcus;

3) Mycelium and spores;*

4) Corynobacteria minutissimum;

5) Streptococcus.

21. A 35-year-old, overweight woman has recurrent candida infections in the crural folds. Which of the following should be ruled out:

1) Thyroid disease;*

2) Diabetes;*

3) Addison's disease;*

4) Crohn's disease;*

5) Lymphogranulomatosis.*

22. Systemic treatment for disseminated forms of candidiasis of the skin would include:

1) Griseofulvin;

2) Terbinafine;*

3) Ketoconazole;*

4) Penicillin;

5) Erythromycin.

23. Such groups of mycosis are distinguish in classification of mycosis:

1) Keratomycoses;*

2) Candidiasis;*

3) Deep (systemic) mycoses;*

4) Mycosis fungoides;

5) Dermatomycoses.*

24. What is the most sensitive office laboratory test for diagnosing dermatophyte infections of the skin?

1) Dark-field examination;

2) Serologic tests;

3) Microscopic examination;*

4) Histological examination;

5) The biopsy.

25. A woman taking an oral contraceptive has begun experiencing pain during intercourse and has noticed a vaginal discharge that looks like cottage cheese. The most likely diagnosis is:

1) Pityriasis versicolor;

2) Candidiasis;*

3) Herpes;

4) Human papillomavirus;

5) Thrush.*

LESSON 9

Дата добавления: 2015-11-13