Eczema. Etiology, Pathogenesis. Classification. Clinical features. Diagnostics. Treatment. Prevention.

1. What lesions are characteristic for eczema:

1) Crusts, scales;*

2) Erythema, papulae;*

3) Vesicles;*

4) Pustules;

5) Erosions, ulcers;

6) Microvesicles, oozing, erosions.*

2. What from following stages of eczematous process are the most important for confirmation of diagnosis of eczema?

1) Stage of crusts;

2) Stage of squamae;

3) Stage of vesicles;*

4) Stage of oozing;*

5) Stage of erythema.

3. In pathogenesis of eczema an important role are played:

1) Sensitization;

2) Functional disorders of the nervous system;

3) Visceropathy;

4) Genetic tendency;

5) All above enumerated.*

4. What drugs it is necessary to prescribe in case of the uncomplicated oozing eczema?

1) Antihistaminics;*

2) Diuretics;*

3) Corticosteroids;*

4) Antibiotics.

5. Select foodstuffs that are not recommended for patient with exacerbation of eczema?

1) Smoked sausage;*

2) Apple;

3) Chocolate;*

4) Cottage cheese;

5) Nuts.*

6. For patients with acute eczema are prescribed:

1) Eliminating of spicy foodstuff;*

2) Taking a baths with sea salt;*

3) Not to wash

4) UVR.*

8. What signs are characteristic for an idiopathic eczema?

1) Exacerbation without any reason;*

2) Indistinct borders of focus of affection;*

3) Symmetry;*

4) Severe itch.*

9. There are clinical forms in classification of eczema:

1) Microbial eczema;

2) Occupational eczema;

3) Idiopathic eczema;

4) Seborrhoeic eczema;

5) All listed above.*

10. It is necessary to prescribe for external treatment of chronic eczema in the stage of remission:

1) Aqueous shake lotion;

2) Flucinar;*

3) Lotions in the form of aqueous solutions with boric acid;

4) Occlusive bandage with salicylic-naphthalan ointment.

11. What signs are characteristic for eczema?

1) Nervously-allergic mechanism of development;

2) Long-term recurrent course;

3) Polymorphic lesions;

4) Frequent exacerbation without any reason;

5) All listed above right.*

12. It is necessary to prescribe for external treatment of eczema in the stage of oozing:

1) Powders;

2) Creams;

3) Pastes;

4) Lotions in the form of aqueous solutions;*

5) Aqueous shake lotion.

13. What histomorphological changes cause a clinical picture at patients with eczema?

1) Acanthosis;*

2) Parakeratosis;*

3) Granulosis;

4) Spongiosis;*

5) Acantholysis.

14. What signs are characteristic for eczema?

1) Itch;*

2) Erythema;*

3) Papulae;*

4) Vesicles;*

5) Oozing;*

6) Lichenization.*

15. Which from following signs are characteristic for eczema?

1) Erythema, papulae, vesicles;*

2) Oozing, serous wells;*

3) Bullae;

4) Itch;*

5) Burning;*

6) Rapid resolution of the removal of the etiological factor;

7) Persistent and protracted course;*

8) Tendency to the recurrence.*

16. The followings signs are characteristic for an idiopathic eczema:

1) False (evolutional) polymorphism;*

2) True polymorphism;*

3) Symmetry of lesions;*

4) Absence of clear-cut borders of focus of affection;*

5) Long recurrent course;*

6) Asymmetric property;

17. It is necessary to prescribe for external treatment of eczema in the stage of oozing:

1) Powders;

2) Aqueous shake lotion;

3) Lotions in the form of aqueous solutions;*

4) Pastes;

5) Creams.

18. An eczema is characterized such symptoms:

1) Itch in region of the affected skin;*

2) Irritability;*

3) Bad sleep;*

4) Diarrhoea;

5) Sensation of gathering of skin is in the affected areas;

6) Parasthesia.

19. The followings symptoms are characteristic for an idiopathic eczema::

1) Symmetric of lesions;*

2) True and false polymorphism of rash;*

3) Absence of itch;

4) Lesions often appear on the mucous membrane of oral cavity;

5) Difficulty in the treatment.*

20. It is necessary to prescribe for general treatment of acute eczema:

1) Penicillin;

2) Sulphonamides;

3) 10% calcium chloride;*

4) Suprastin;*

5) Erius;*

6) Aevit.*

21. Select foodstuffs that are not recommended for patient with exacerbation of eczema?

1) Smoked sausage;*

2) Apple;

3) Chocolate;*

4) Cottage cheese;

5) Nuts.*

22. Which lesions are not characteristic for eczema?

1) Erythema;

2) Papula;

3) Bullae;*

4) Vesicle;

5) Pustule;*

6) Erosion;

7) Crust.

23. Which morphological elements of rash are characteristic for eczema?

1) Macula;*

2) Papula;*

3) Erosion;*

4) Atrophy;

5) Scale;*

6) Ulcer.

24. What medicinal form is used for external therapy of acute eczema in the stage of oozing:

1) Pastes;

2) Ointments containing corticosteroid;

3) Powder;

4) 2% boric acid solution;*

5) Aerosol.

25. Which lesions are characteristic for eczema

1) Papula;*

2) Vesicle;*

3) Crust;*

4) Non-inflammatory maculae;

5) Roseola.*

26. What variety of forms of eczema do you know?

1) Tyloticum*;

2) Colliquativa;

3) Varicose;*

4) Occupational;*

5) Lichenoides.

27. What histomorphological changes in epidermis cause a clinical picture at patients with acute eczema?

1) Acanthosis;

2) Parakeratosis;

3) Granulosis;

4) Spongiosis;*

5) Acantholysis.

28. Which primary morphological elements of rash are characteristic for eczema?

1) Inflammatory macula;*

2) Papula;*

3) Nodule;

4) Atrophy;

5) Bulla;

6) Vesicle.*

29. Which histomorphological changes takes place in formation of vesicles?

1) Acanthosis;

2) Granulosis;

3) Spongiosis;*

4) Parakeratosis;

5) Ballooning degeneration.

30. What are the most pathognomonic lesions for eczema do you know?

1) Erythema, pustules;

2) Erosions, ulcers;

3) Papulae, vesicles;

4) Mikrovesicles, erosions with weeping;*

5) Crusts, scales.

31. In pathogenesis of eczema an important role are played:

1) Sensitization;*

2) Functional disorders of the nervous system;*

3) Genetic predispositions;*

4) Visceropathy;*

5) Endocrinopathies.*

32. What signs are characteristic for eczema?

1) Neuroallergic character of process;*

2) Protracted recurrent course;*

3) Exacerbation is quite often without apparent cause;*

4) Polymorphism of rash;*

5) Severe itch of skin.*

33. What from the following stages of eczematous process the most significant for confirmation of diagnosis of eczema?

1) Erythematosum;

2) Vesiculosum;

3) Weeping;*

4) Squamosum;

5) Crustosum.

34. Choose among following lesions that are characteristic for eczema:

1) Maculae;*

2) Papules;*

3) Squamae;*

4) Erosion;*

5) Ulcers.

35. What signs are characteristic for idiopathic eczema?

1) Exacerbation without apparent cause;*

2) Unclear borders of foci of affection;*

3) Clear borders of foci of affection;

4) Chronic course;*

5) Abundance of vesicles on the erythemal background;*

6) Symmetry of process;*

7) Sickliness of foci of affection;

8) Severe itch of skin in the foci of affection.*

36. What therapy is used for external therapy of acute eczema in the stage of oozing:

1) Powder;

2) Lotions in the form of aqueous solutions;*

3) Aqueous shake lotion;

4) Pastes;

5) Cream.

37. It is necessary to prescribe the general corticosteroids therapy for treatment of eczema in cases:

1) The large spread of process;*

2) The chronic limited process;

3) Resistance to usual therapy;*

4) Appearance of pustules in the focus of diseases;

5) Addition of herpetic or mycosis infections.

38. It is characteristic of occupational eczema:

1) Affection of hands and forearms;*

2) Recurrence during vacation;

3) Regress in the conditions of a hospital;*

4) Obligatory association with a psychological trauma;

5) It occurs at the people with others forms of eczema in the anamnesis.

39. What are the effective remedies for treatment of eczema?

1) Hypoallergic diet;*

2) Ointments containing corticosteroid;*

3) Lotions in the form of aqueous 2% boric acid solution;*

4) Vitamin therapy;

5) Antihistaminics;*

6) Biostimulant.*

40. Such clinical forms of eczema are distinguished:

1) True;*

2) Nervous;

3) Infantile;*

4) Occupational;*

5) Seborrhoeic;*

6) Allergic;

7) Microbial.*

41. What is the sequence of development of the following lesions at eczema?

1) Scale; 6

2) Papula; 2

3) Vesicle; 3

4) Erythema; 1

5) Crust; 5

6) Erosion. 4

42. The characteristic signs of eczema is/are:

1) Monovalent sensitization;

2) Group sensitization;*

3) Polyvalent sensitization;*

4) Endogenous sensitization;

5) Exogenous sensitization;

6) Desensitization.

LESSON 14

Дата добавления: 2015-11-13