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

Date: 2015-12-17; view: 757