Tests from Krok – II
LESSON 4
Psoriasis. Lichen ruber planus. Etiology. Pathogenesis. Clinical features. Diagnostics. Treatment.
Prevention.
1. A triad of symptoms ("stearing spot", "terminal film", "blood dew") has been revealed on
examination of a patient. What disease should you think about?
1) Psoriasis;*
2) Ritter's disease;
3) Lichen ruber planus;
4) Vasculitis;
5) Seborrhea.
LESSON 5
Scabies. Pediculosis. Etiology. Pathogenesis. Clinical features. Diagnostics. Treatment. Prevention.
1. A 30 y.o. patient has got multiple body skin rash consisting of small paired elements that are
scattered on the skin disorderly and mostly focally, they are accompanied by itch. The rash
appeared a few days after attending sport centre and sauna. What is the most probable diagnosis?
1) Scabies;*
2) Eczema;
3) Neurodermitis;
4) Contact dermatitis;
5) Allergic dermatitis.
LESSON 6
Diseases due to virus infection. Etiology. Pathogenesis. Classification. Clinical features.
Diagnostics. Treatment. Prevention.
1. A patient complained about general weakness, fever, painful rash on his trunk skin . He has been
suffering from this for 3 days. Objectively: lateral surface of trunk on the left is hyperemic and
edematic, there are some groups of vesicles with serous and haemorrhagic contents. What is the
most probable diagnosis?
1) Herpes zoster;*
2) Herpetiform Duhring's dermatosis;
3) Contact allergic dermatitis;
4) Microbial eczema;
5) Contact dermatitis simplex .
LESSON 7
Pyodermia. Etiology. Pathogenesis. Clinical features. Diagnostics. Treatment. Prevention.
1. A 23 year old patient fell ill 3 weeks ago when she noticed a very painful induration in her
axillary creas. 4-5 days later it burst and discharged a lot of pus. After that some new infiltrations
appeared around the affected are A. The patient has never suffered from skin diseases befor.
What is the most probable diagnosis?
1) Hydradenitis;*
2) Furuncle;
3) Streptococcal impetigo;
4) Mycosis;
5) Herpes zoster.
2. Examination of a 4 month old child revealed some lemon-yellow squamae with fatty crusts on
the scalp. What is the most probable diagnosis?
1) Pseudofurunculosis;*
2) Infantile eczema;
3) Milk crust;
4) Gneiss;
5) Strophulus.
3. A full-term infant is 3 days old. On the different parts of skin there are erythemas, erosive spots,
cracks, areas of epidermis peeling. The infant has scalded skin syndrome. Nikolsky's symptom is
positive. General condition of the infant is grave. Anxiety, hyperesthesia, febrile temperature are
evident. What is the most probable diagnosis?
1) Exfoliative dermatitis;*
2) Impetigo neonatorum;
3) Phlegmon of newborn;
4) Finger's pseudofurunculosis;
5) Mycotic erythema.
LESSON 10
Collagenoses. Lupus erythematosus. Sclerodermia. Etiology. Pathogenesis. Clinical features.
Diagnostics. Treatment. Prevention.
1. A 32 y.o. patient has been suffering from systematic scleroderma for 14 years. She was
repeatedly exposed to treatment in the in-patient department. Complains of periodical dull
cardiac pain, dyspnea, headache, eyelid edemata, weight loss, pain and deformation of
extremities joints. What organ's lesion deteriorates the prognosis for the disease?
1) Skin and joints;*
2) Kidneys;
3) Heart;
4) Gastrointestinal tract;
5) Lungs.
LESSON 12
Dermatitis. Toxicodermia. Etiology. Pathogenesis. Classification. Clinical features. Diagnostics.
Treatment. Prevention.
1. A child is 2 m.o. Inguinofemoral folds contain acutely inflamed foci with distinct borders in form
of spots that are slightly above the surrounding areas due to skin edema. The rash has appeared
during the week. Vesiculation and wetting are absent. What is the most probable diagnosis?
1) Napkin-area dermatitis;*
2) Dermatomycosis;
3) Psoriasis;
4) Infantile eczema;
5) Complicated course of scabies.
2. A 35 year old woman consulted a doctor about affection of arm skin and lower third of forearm
in form of a large edema, hyperemia, vesiculation and maceration. The disease developed after
using a laundry detergent "Lotos". The patient has been using it for a month. She hasn't suffered
from dermatological diseases befor. What is the most probable diagnosis?
1) Allergic dermatitis;*
2) Toxicoallergic dermatitis;
3) Localized neurodermatitis;
4) Microbial eczema;
5) Dermatitis simplex.
LESSON 13
Eczema. Etiology, Pathogenesis. Classification. Clinical features. Diagnostics. Treatment.
Prevention.
1. A 35 y.o. patient experienced a strong nervous stress that resulted in formation of reddened and
edematic areas on the back surface of her hands with further formation of small inflammated
nodules, vesicles and then erosions accompanied by profuse discharge of serous liquid. The
process is also accompanied by intense itching. What is the most probable diagnosis?
1) Common eczema;*
2) Common contact dermatitis;
3) Microbial eczema;
4) Toxicodermia;
5) Allergic dermatitis.
LESSON 23
Gonorrhoeal and non-gonorrhoeal urethritis in males. Treatment and prevention.
1. An 18 y.o. woman consulted a gynecologist about the pain in the lower part of abdomen, fever
up to 37,50C, considerable mucopurulent discharges from the genital tracts, painful urination.
Vaginal examination with mirrors: the urethra is infiltrated, cervix of the uterus is hyperemic,
erosive. The uterus is painful, ovaries are painful, thickened; fornixes are free. Bacterioscopy test
revealed diplococcus. What diagnosis is the most probable?
1) Recent acute ascending gonorrhea;*
2) Candydomycosis;
3) Chlamydiosis;
4) Trichomoniasis;
5) Chronic gonorrhea.