Dermatomycoses. Etiology. Pathogenesis. Clinical features. Diagnostics. Treatment. Prevention.

1. Infiltrative-suppurative trichophytosis of the scalp is caused by:

1) Trich. violaceum;

2) Microsporum canis;

3) Pityrosporum orbiculare;

4) Trich.verrucosum;*

5) Trich. rubrum.

2. What clinical forms of microsporosis are distinguished?

1) Squamous;

2) Chronic;

3) Smooth skin;*

4) Scalp;*

5) Large folds.

3. What medicines are used for treatment of dermatomycoses?

1) Griseofulvin;*

2) Synthomycin emulsion;

3) Tetracycline;

4) Nystatin;

5) Prednisolon.

4. Anthropophilic microsporosis of smooth skin is caused by:

1) Trich. mentagrophytes;

2) Microsporum ferrugineum;*

3) Pityrosporum orbiculare;

4) Candida albicans;

5) Trich. rubrum.

5. In what disease more often are used Wood's lamp examination?

1) Pityriasis versicolor;

2) Epidermophytosis of the feet;

3) Microsporosis of the scalp;*

4) Rubrophytia;

5) Infiltrative-suppurative trichophytosis.

6. What medicines are used for treatment of mycoses of the scalp?

1) Corticosteroid ointments;

2) Griseofulvin;*

3) Unna's cream;

4) Sulphur ointment;*

5) 2 % iodine tincture.*

7. What methods are used for diagnostics of zooanthropophilic microsporosis of the scalp?

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).

8. What diseases relate to group of dermatomycoses?

1) Pityriasis versicolor;

2) Epidermophytosis of the feet;*

3) Microsporosis;*

4) Rubrophytia;*

5) Trichophytosis.*

9. What are the indications for prescription of Griseofulvin?

1) Affection of hairs of a fungoid etiology;*

2) Pityriasis rosea;

3) Generalized rubromycosis;*

4) Onychomycosis;*

5) Eczematization of the affected areas.

10. Zooanthropophilic microsporosis of the scalp is caused by:

1) Trich. mentagrophytes;

2) Microsporum canis;*

3) Pityrosporum orbiculare;

4) Microsporum ferrugineum;

5) Trich. rubrum.

11. What methods are used for diagnostics of onychomycosis of the feet?

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).

12. For what disease is characteristic Celsus' honeycomb sign?

1) Microsporosis;

2) Infiltrative-suppurative trichophytosis;*

3) Pityriasis versicolor;

4) Candidiasis;

5) Rubrophytia.

13. What clinical forms of mycosis of the feet caused by Trich. mentagrophytes var. Interdigetale are distinguished?

1) The intertriginous form;*

2) Onychomycosis;*

3) The dyshidrotic form;*

4) Generalized form;

5) The squamous-hyperkeratotic form.*

14. What methods are used for diagnostics of sycosis parasitaria?

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).

15. What factors most of all promote infection of epidermophytosis of the feet?

1) Presence in the house of a sick cat;

2) Use of the general footwear;*

3) Use of the general towels, sponges;*

4) Use of the general headdresses;

5) Children's age.

16. What is the most typical clinical sign of Microsporosis of the scalp (1 point).

1) Desquamation;

2) Hyperemia;

3) Focal character of the affect;

4) The hairs break off;*

5) Crusts.

17. What ointments are used for treatment of mycosis of the feet?

1) 10 % sulphur ointment;*

2) Clotrimazol;*

3) Prednisolon ointment;

4) Ointment with nystatin;

5) Tetracycline ointment.

18. Anthropophilic microsporosis of the scalp is caused by?

1) Trich. mentagrophytes;

2) Microsporum canis;

3) Pityrosporum orbiculare;

4) Microsporum ferrugineum;*

5) Trich. rubrum.

19. What are the source of infection of the child of microsporosis?

1) Dog;*

2) Cow;

3) Cat;*

4) Man;*

5) Horse.

20. For treatment of microsporosis of the scalp Griseofulvin is prescribed in a dose:

1) 22 mg a day;

2) 22 mg three times a day;

3) 22 mg on kg of weight of a body three times a day;

4) 22 mg on kg of weight of a body a day;*

5) 2 mg on dose.

21. Most common organism causing mycosis of the scalp in children:

1) Trichophyton tonsurans;

2) Microsporum;*

3) Epidermophyton;

4) Candida albicans;

5) Pityrosporum orbiculare.

22. A 11 year old has mycosis of the scalp over his scalp. Most appropriate line of treatment:

1) Systemic Grusiofulvin therapy;*

2) Topical grusiofulvin therapy;*

3) Shaving of scalp;*

4) Seleneum sulphide shampoo;

5) Systemic Nystatin therapy.

23. Onychomycosis is most often caused by which one of the following?

1) Trichophyton mentagrophytes;

2) Candida species;

3) Trichophyton rubrum;*

4) Trichophyton tonsurans;

5) Microsporum Ferrugineum.

24. Which of the following support the diagnosis of onychomycosis?

1) Clinical observation;*

2) Potassium hydroxide preparation;*

3) Culture;*

4) Histology;

5) The biopsy.

25. Onychomycosis is:

1) Contagious;

2) Fungal infection of nail bed;

3) Recurring infection;

4) All are true.*

26. Which of these is the most common causative organism for Onychomycosis in temperate climate?

1) Recurring infection;

2) Dermatophytes;*

3) Yeast;

4) Moulds;

5) None of the above.

27. Which of these dermatophyte is most commonly associated with Onychomycosis?

1) Trichophyton rubrum;*

2) Trichophyton mentagrophytes;

3) Epidermophyton flocossum;

4) Trichophyton megninii;

5) Microsporum Ferrugineum.

28. Oral antifungals treatment for Onychomycosis is generally taken for:

1) Few days;

2) Few months;*

3) Few years;

4) Lifelong.

29. Topical therapy for Onychomycosis is particulary justified when:

1) Less than 30% of nail plate is affected;*

2) Less than 50% of nail plate is affected;

3) Less than 70% of nail plate is affected;

4) Whole nail plate is affected.

30. Which of these is not true with regard to Griseofulvin as a therapeutic agent for Onychomycosis?

1) Its efficacy is limited to dermatophytes;

2) Is synthesized from some species of penicillium;

3) Is fungicidal;*

4) It is no longer considered the gold standard therapy for Onychomycosis.

31. Which of these is given as pulse therapy for Onychomycosis?

1) Itraconazol;*

2) Fluconazole;

3) Griseofulvin;

4) Ketoconazole;

32. In the fixed dosage schedule, Terbinafine is given as

1) 50 mg daily

2) 100 mg daily

3) 250 mg daily;*

4) 400 mg daily.

33. Which is the best drug delivery system for treating Onychomycosis?

1) Cream;

2) Ointment;

3) Nail lacquer;*

4) Gel.

34. Mycosis of the scalp has a peak incidence in:

1) Children under 12;*

2) Teenagers;

3) Young adults;

4) Middle age parents;

5) Elderly.

35. Woods light exam of mycosis of the scalp may show:

1) Coral red color;

2) Blue green color;*

3) Yellow color;

4) Black grains;

5) Brown color.

36. Athlete's Foot or mycosis of the foot is a:

1) Fungal infection;*

2) Hair infection;

3) Viral infection;

4) Bacterial infection.

LESSON 10

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