Tertiary period of syphilis. Congenital syphilis.

1. Tertiary period of syphilis lasts:

1) 9-12 weeks;

2) 5-9 months;

3) 1-2 years;

4) 7 years;

5) 25 years.*

2. Tertiary tubercular syphilids have to be differentiated from the followings dermatosis:

1) Lupus vulgaris;*

2) Lupus erythematosus;

3) Lepra;*

4) Eczema;

5) Psoriasis.

3. The following forms of tubercular syphilids are distinguished:

1) Grouped;*

2) Linearis;

3) Dwarf;*

4) Stellate;

5) Serpiginous.*

4. Syphilitic gummata on the skin are differentiated from:

1) Scrofuloderma;*

2) Trophic ulcers;*

3) Chronic ulcerous pyoderma;*

4) Psoriasis;

5) Cancer ulcer.*

5. Involution of syphilitic gummata can occur such ways:

1) Resolution without trace;

2) Cicatrical atrophy;*

3) Fibrous tissue;*

4) Ulceration;*

5) Erosion.

6. Scars in tertiary period of syphilis look like:

1) Indrawn;*

2) Flat;

3) Atrophic;

4) Stellate;*

5) Superficial.

7. Tertiary period of syphilis is characterized:

1) Limited focus of affection;*

2) Tendency to disintegration;*

3) Formation of scars in place of involution of tertiary syphilids;*

4) Bright colouring of syphilids;

5) Frequent finding of T. pallidum in syphilids.

8. What are the pathognomonic signs of late congenital syphilis?

1) Tubercles of skin of trunk;

2) Labyrinthine deafness;*

3) Gummata of skin of trunk;

4) Hutchinson's teeth;*

5) Tobacco-pouch molars.

9. What are the pathognomonic signs of early congenital syphilis?

1) Periostitis;

2) Grade III osteochondritis;*

3) Osteomyelitis;

4) Arthritis;

5) Osteoperiostitis.

10. What are the pathognomonic signs of early congenital syphilis?

1) Papular rash of skin of trunk;

2) Syphilitic pemphigus;*

3) Syphilitic alopecia;

4) Syphilitic erythema;

5) Gummata of skin of shins.

11. X-ray examination of the child’s skeleton at the age of more then 1 year of his life with the purpose of inspection on early congenital syphilis should be:

1) It is advisable to make;

2) It is does not advisable to make;*

3) To discretion of doctor;

4) To discretion of parents;

5) Depending on the results of serum reactions.

12. Osteochondritis at early congenital syphilis occur:

1) In 2-3 months of life;

2) In 4-5 months of life;

3) In 5-6 months of intrauterine life;*

4) In 6-7 months of life;

5) After the year of life.

13. What are the pathognomonic signs of early congenital syphilis?

1) Macular lesions on the skins of trunk;

2) Papular lesions on the skins of trunk;

3) Syphilitic rhinitis;*

4) Syphilitic alopecia;

5) Remnants of the hard chancre.

14. What are the pathognomonic signs of early congenital syphilis?

1) Conjunctivitis;

2) Chorioretinitis;*

3) Iritis;

4) Keratitis;

5) Blepharitis.

15. What are the pathognomonic signs of late congenital syphilis?

1) Frontal bossing of the skull;

2) Barrel-shaped teeth;*

3) Hutchinson's teeth;*

4) Gaps between the incisors;

5) Gashe’s diastema.

16. Early congenital syphilis is diagnosed in children at the age of:

1) 1 year;

2) 1 to 4 years;*

3) 2 to 5 years;

4) 3 to 6 years;

5) 6 to 7 years.

17. Late congenital syphilis is manifested usually at the age of:

1) 3 to 4 years;

2) 4 to 17 years;*

3) 17 to 20 years;

4) 20 to 30 years;

5) 30 to 40 years.

18. What are the pathognomonic signs of late congenital syphilis?

1) Gummata of hard palate;

2) Tubercles of skin of trunk;

3) Roseola of skin of trunk;

4) Interstitial keratitis;*

5) Syphilitic pemphigus.

19. What are the pathognomonic signs of early congenital syphilis?

1) Diffuse papular infiltration;*

2) Papular elements;

3) Macular elements;

4) Diffuse alopecia;

5) Specific paronychia.

20. In what age is most often manifested osteochondritis in patients with early congenital syphilis?

1) In the first 3 months of life;*

2) In the first 4-5 months of life;

3) In the first 6-7 months of life;

4) In the first 8-9 months of life;

5) In the first 10-12 months of life.

21. Which signs do not belong to “Hutchinson's triad”?

1) Syphilitic pemphigus;*

2) Barrel-shaped teeth;

3) Specific labyrinthitis;

4) Sabre shins;*

5) Interstitial keratitis.

22. All of the following signs on skin and mucous membrane can be in patients with early congenital syphilis except for:

1) Diffuse papular infiltration of skin;

2) Papular rashes;

3) Specific rhinitis;

4) Follicular hyperkeratosis;*

5) Syphilitic pemphigus.

23. Which manifestation on skin can be observed in patients with early congenital syphilis?

1) Hives;

2) Gummata;

3) Tubercles;

4) Diffuse infiltration;*

5) Angioneurotic oedema.

24. What pathognomonic changes of bones can be in patients with early congenital syphilis?

1) Grade II or III syphilitic osteochondritis;*

2) Deforming arthritises;

3) Osteoporosis;

4) Osteosclerosis;

5) Osteochondrosis.

25. X-ray examination of the child’s long tubular bones at the age no later than the first three months of life with the purpose of inspection on early congenital syphilis should be:

1) It is advisable to make;*

2) It is does not advisable to make;

3) To discretion of doctor;

4) To discretion of parents.

26. The tertiary period of syphilis is diagnosed by the followings methods of examination:

1) Clinical blood test;

2) Clinical analysis of urine;

3) Serologic reactions;*

4) IFT, TPI;*

5) Fluorography;*

6) Fibrogastroscopy.

27. The general signs of tertiary period of syphilis are (point erroneous answers):

1) Basic elements: tubercle or gumma;

2) The amount of rash is small;

3) Elements of rash are painless;

4) A rash has tendency to resolution;*

5) Plenty of treponemas locate on the surface of elements;*

6) Rash is not very contagious.

28. What complaints are characteristic for tertiary period of syphilis?

1) Presence of rash;*

2) Itch;

3) Burning;

4) Fall of hairs;

5) Hoarseness of voice;

6) Sickly bubo.

29. What tertiary syphilids is characterized general signs by?

1) Dense consistency;*

2) Copper-coloured color;*

3) Itching rash;

4) Sickly elements;

5) Painless rash;*

6) Soft consistency.

30. What possible consequences of gummatous syphilids can be (point erroneous answers)?

1) Resolution without leaving a trace;*

2) Atrophic scars;

3) Disintegration, ulcer, scar;

4) Fibrosis (sclerose);

5) Petrifaction;

6) Malignant degeneration.*

31. With what diseases it is necessary to differentiate tertiary syphilids?

1) Tuberculosis of skin;*

2) Epithelioma;*

3) Carcinoma;*

4) Pyococcal ecthyma;*

5) Acne vulgaris;

6) Leishmaniasis.*

32. What morphological elements of rash are characteristic for tertiary period of syphilis?

1) Tubercles;*

2) Spots;

3) Papulae;

4) Chancre;

5) Gumma;*

6) Vesicles.

33. Point the variety of tubercular (І) and gummatous (II) syphilids from the following:

1) Grouped;

2) Gummatous infiltration;

3) Syphilid, that coalesce into a single patch;

4) Single;

5) Periarticular nodules;

6) Serpiginous syphilid;

7) Fourniet’s erythema;

8) Verrucous;

9) Dwarfish.

I – 1), 3), 6), 9).

II – 2), 4), 5).

34. What characteristic have scars in the tertiary period of syphilis?

1) Retracted;*

2) Stellate;*

3) Mosaic;*

4) Superficial;

5) Thickened;

6) Relapses can be on scars;

7) Smooth.

LESSON 22

Дата добавления: 2015-11-13