Secondary period of syphilis.

1. Thesecondary period of syphilis lasts:

1) 10 days;

2) 3-4 weeks;

3) 6-8 weeks;

4) 2-4 years;*

5) 9-12 weeks.

2. What clinical symptoms are most typical for a secondary early syphilis?

1) Alopecia;

2) Leucoderma;

3) Remnants of the hard chancre;*

4) Abundance of lesions;*

5) Tendency to grouping.

3. The secondary syphilids are characterized the followings signs:

1) Lesions of the secondary period have unclear edges, irregular outlines;

2) Lesions of the secondary period are accompanied by feeling of burning and pain;

3) Lesions of the secondary period persist long term, despite to the conducted therapy;

4) Lesions quickly disappear under action of treatment;*

5) Lesions follow acute inflammatory character.

4. What serological reactions will be positive in the case of secondary early syphilis?

1) Express-method;*

2) IFT;*

3) Wassermann's reaction;*

4) IFT, TPI;*

5) All of reactions are negative.

5. The lesions in the case of secondary early syphilis usually are:

1) Unabundant;

2) Abundant;*

3) Asymmetrical;

4) Symmetric;*

5) Grouped.

6. The secondary period of syphilis from the moment of infection begins on the average in:

1) 1-2 months;

2) 2-3 months;*

3) 4-5 months;

4) 6-7 months;

5) 8-10 months.

7. Such varieties of syphilitic alopecia are distinguished:

1) Microfocal;*

2) Macrofocal;

3) Diffuse;*

4) Mixed;*

5) Total.

8. After appearance of hard chancre the secondary period of syphilis comes in average in:

1) 5-6 weeks;

2) 6-7 weeks;*

3) 7-8 weeks;

4) 8-9 weeks;

5) 9-10 weeks.

9. Papulae of the mucous membranes of the oral cavity in the secondary recurrent syphilis are most frequently involved:

1) The back of thetongue;

2) Tonsils;*

3) Angles of the mouth;

4) Gums;

5) Lateral surfaces of the tongue.

6) Angles of the mouth;

10. Such varieties of syphilitic roseola are distinguished:

1) Urticarial;*

2) Coalescent;*

3) Recurrent;*

4) Lenticular;

5) Granular.*

11. What clinical symptoms are most characteristic for secondary recurrent syphilis?

1) Alopecia;*

2) Leucoderma;*

3) Remnants of the hard chancre;

4) Abundance of lesions;

5) Tendency to grouping.*

12. It is necessary to differentiate the syphilitic papulae of mucus of mouth from:

1) Follicular tonsillitis;*

2) Diphtheria of the throat;*

3) Lichen ruber planus;*

4) Nevus;

5) Aphthous stomatitis.*

13. All from the following are characteristically for the secondary syphilis, except for:

1) Affect of palms and soles;

2) Presence of the acute inflammatory phenomena;*

3) Absence of the acute inflammatory phenomena;

4) Polyadenitis;

5) Remnants of the hard chancre.

14. Most secondary syphilides are resolved without treatment in:

1) 1-2 months;

2) 2-3 months;*

3) 3-4 months;

4) 4-5 months;

5) 5-6 months.

15. It is necessary to differentiate the syphilitic papulae from:

1) Lichen ruber planus;*

2) Psoriasis;*

3) Scrofuloderma;

4) Scabies;*

5) Herpes simplex.

16. What from the following are the varieties of papular syphilids?

1) “Crown of Venus”;*

2) “Necklace of Venus”;

3) Lenticular syphilide;*

4) Moist syphilide;*

5) Nummular syphilide.*

17. The lesions in the case of secondary recurrent syphilis usually are:

1) Unabundant;*

2) Abundant;

3) Symmetric;

4) Have colouring of acute inflammation;

5) Asymmetrical.*

18. It is characteristically for a erythematous, syphilitic tonsillitis:

1) Discrete boundary of erythema in the pharynx;*

2) Undiscrete boundary of erythema in the pharynx;

3) Oedematic tissues of amygdalae;

4) Severe pain;

5) High temperature.

19. What from the following are the varieties of pustular syphilid?

1) Acne syphilitica;*

2) Varicella syphilitica;*

3) Impetigo syphilitica;*

4) Furuncle syphilitica;

5) Rupia syphilitica.*

20. The secondary syphilids have all of signs except for:

1) High quality;

2) Presence of signs of acute inflammation;*

3) Polymorphism;

4) They quickly disappear under action of treatment;

5) Absence of the subjective feelings.

21. Such sings belong to clinical manifestation of secondary early syphilis:

1) Bullae;

2) Roseola;*

3) Hard chancre or its remnants;*

4) Papulae;*

5) Condylomata lata.

22. What clinical signs are characteristically for syphilitic roseola?

1) Pinkpale;*

2) Itchy;

3) Does not peel;*

4) Does not confluence;*

5) Painless.*

23. What signs of the secondary period of syphilis are the most contagious?

1) Papulae of palms and soles;

2) Erosive papulae;*

3) Roseola;

4) Papulae of the mucous membranes;*

5) Condylomata lata.*

24. A 38 years old patient does not have any complaints. He revealed as a donor with positive Wassermann's reaction. Physical examination: there are depigmented round maculae of the identical sizes on the skin of the back and neck. On the mucous membranes of tongue there are 2 whitish papulae and the size of 5-7 mm, sharply demarcated from surrounding mucous. During a meal there are slightly unpleasant subjective sensations. Pharynx is hyperemic. There are no pathological elements on genitals. A size of lymphatic nodes of the neck is of the pea, they are painless and dense. What is your conjectural diagnosis?

1) Lichen ruber planus;

2) Pemphigus vulgaris;

3) Erythema exudativum multiforme;

4) Recurrent secondary syphilis;*

5) Toxicodermia.

25. A 25 years old patient complains of albication of lateral surfaces of tongue and mucous membranes of lips near the both angles of the mouth. It appeared without any apparent reason 10 days ago together with occurring of hoarse voice. Objectively: there are plural papular rashes on the skin of face and neck. Submaxillary and neck lymphatic nodes are enlarged, dense and painless. On the mucous membranes of lateral surfaces of the tongue and on the mucous membranes of lips, near the angles of the mouth, are revealed plaques of greyish-white color rise over the surface of mucous membranes and resemble macerated mucous membranes. They are painless during scraping and erosions of colour of red meat are appeared. Make the diagnose:

1) Candidiasis cheilitis of the mouth angles;

2) Recurrent secondary syphilis;*

3) Leukoplakia;

4) Psoriasis;

5) Lichen ruber planus.

26. What organs except skin and mucous membranes can be affected in the secondary period of syphilis?

1) Bones;

2) Central nervous system;

3) Sense-organs;

4) Hemopoietic organs;

5) All listed is correctly.*

27. The basic appearance of the secondary period of syphilis is:

1) Hard chancre;

2) Affection of the urogenital system;

3) Generalized rash at the skin and mucous membranes;*

4) Regional lymphadenitis;

5) Regional lymphangitis.

28. Secondary syphilids are characterized by:

1) Benign course;*

2) Absence of feverish syndrome;*

3) Absence of the acute inflammatory phenomena;*

4) Absence of the subjective feelings;*

5) Resistance to local treatment.

29. It is necessary to differentiate condylomata lata in the secondary period of syphilis with:

1) Haemorrhoids;*

2) Condylomata acuminatum;*

3) Pemphigus vegetans;*

4) Psoriasis;

5) Scabies.

30. What diseases is it necessary to differentiate secondary early syphilis with?

1) Toxicoderma;*

2) Allergic dermatitis;*

3) Jibert’s pityriasis;*

4) Pyodermia;

5) Pemphigus.

31. What diseases is it necessary to differentiate second recurrent syphilis with?

1) Pyodermia;*

2) Atopic dermatitis;

3) Psoriasis;*

4) Lichen ruber planus;*

5) Molluscum contagiosum.

32. Which elements of rash can appear in the secondary period of syphilis?

1) Papulae*

2) Lichenification;

3) Spots;*

4) Tubercles;

5) Pustules.*

33. Syphilitic alopecia must be differentiated with:

1) Alopecia areata;*

2) Microsporosis;*

3) Trichophytoses;*

4) Psoriasis;

5) Seborrhoea.

34. Syphilitic leucoderma must be differentiated with:

1) Pityriasis versicolor;*

2) Vitiligo;*

3) Scabies;

4) Herpes;

5) Candidiasis.

35. Pinkus's sign it is:

1) Syphilitic alopecia;

2) Unequal (ladder-shaped) length of cilia;*

3) Hoarseness of voice;

4) Affection of tongue;

5) Disturbance of sight.

LESSON 21

Дата добавления: 2015-11-13