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Tests for verification of initial level of knowledges. 2. The basic signs of syphilis are ⇐ ПредыдущаяСтр 5 из 5
1. Syphilis is caused by: 1) Blue-pus bacillus; 2) Streptococcus; 3) Staphylococcus; 4) Escherichia coli; 5) Treponema pallidum. 2. The basic signs of syphilis are: 1) Chancroid; 2) Hard chancre; 3) Polyadenitis; 4) Regional scleradenitis; 5) Negative serum reactions; 6) Positive serum reactions; 7) Syphilids. 3. The most reliable method of diagnostics of tertiary syphilis is: 1) Examination of material taken from the bottom of ulcer; 2) Examination of neurolymph; 3) Blood examination (Wassermann's reaction); 4) T. pallidum immobilization test; 5) Precipitin reactions. 4. The most specific serological reaction for syphilis is: 1) The fluorescence test; 2) T. pallidum immobilization test; 3) Wassermann's reaction with the treponemal antigen; 4) Wassermann's reaction with the cardiolipin antigen; 5) Microreaction. 5. Who must be inspected (serological test of blood) in case of suspicion of congenial syphilis? 1) Father; 2) Mother; 3) Child; 4) Brothers and sisters of child; 5) Mother’s relatives; 6) Father’s relatives. 6. Select multiplicity and terms of examination of pregnant for syphilis (Wassermann's reaction): 1) Examination is carried out not less than twice, during the first and second periods of pregnancy; 2) In each 2 monthes; 3) Single examination before childbirth; 4) Single examination in the II trimester of pregnancy. 7. A 22 years old woman complains of appearance of ulcer on a large vulvar lips. The subjective feelings are absent. In anamnesis – there was a sexual contact with a little known man month ago. What examinations must be done first of all for determination of diagnosis? 1) Examination for T. pallidum; 2) Examination for gonococci; 3) Examination for trichomonads; 4) Examination for fungi; 5) Examination for Chlamydia. 8. The serological reactions of pregnant in the first and second half of pregnancy is conducted in: 1) Skin and venereal dispensary; 2) Maternity ward; 3) Gynaecological department; 4) Maternity welfare centre; 5) Out-patients' clinic. 9. After contact with a syphilitic patient Wassermann's reaction becomes positive in: 1) 1 week; 2) 2 weeks; 3) 4-5 weeks; 4) 6-8 weeks; 5) 9-10 weeks. 10. After appearance the hard chancre Wassermann's reaction becomes positive in: 1) 1 week; 2) 2 weeks; 3) 3-4 weeks; 4) 5-6 weeks; 5) 8-9 weeks. 11. What serological reactions for syphilis can be positive in the case of the primary seronegative period of syphilis? 1) IFT; 2) Wassermann's reaction; 3) IFT, TPI; 4) TPI; 5) Classical, serological reactions. 12. What method of diagnosing is used in everyday practice for the reveal of T. pallidum? 1) Cultivation on nutrient mediums; 2) Staining by the Romanovsky-Giemsa; 3) Staining by methylene blue; 4) Examination of native preparations in dark field illumination of the microscope; 5) Silvering by the Morozov. 13. After an infection with syphilis, usually, the Wassermann's reaction becomes positive in: 1) 3-4 weeks; 2) 6-8 weeks; 3) 9-12 weeks; 4) 3-4 months; 5) 2-4 years. 14. What physiological secretion and excreta can be contagious in syphilis? 1) Saliva; 2) Sweat; 3) Urine; 4) Milk; 5) Sperm. 15. What serological reactions for syphilis can be positive in the case of the primary seropositive period of syphilis? 1) Express-method; 2) IFT; 3) Wassermann's reaction; 4) TPI; 5) Classical, serological reactions. 16. What serological reactions can be positive in the case of secondary recurrent syphilis? 1) Express-method; 2) IFT; 3) Wassermann's reaction; 4) TPI; 5) IFT, TPI. 17. The positive results of the followings tests are needed for diagnosis of primary seropositive period of syphilis with typical clinical picture: 1) IFT; 2) TPI; 3) Microreaction; 4) Wassermann's reaction. 18. 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. 19. The diagnosis of syphilis always is based on signs: 1) Clinical manifestation; 2) Information of anamnesis; 3) Laboratory examinations; 4) All above-listed. 20. The laboratory methods of diagnostics of syphilis are distinguished: 1) Detection of causative agent of disease in lesions; 2) Serological reactions for syphilis; 3) Microprecipitation test; 4) Immunofluorescence test; 5) T. pallidum immobilization test; 6) All above-listed. 21. The T. pallidum immobilization test is used with a purpose for: 1) Making the diagnosis of primary syphilis; 2) Making the diagnosis of early syphilis; 3) Making the diagnosis of latent syphilis; 4) Appraising the efficacy of antisyphilitic therapy; 5) Taking off the record completely cured patient. 22. What reaction is used for express-diagnostics of syphilis? 1) RW; 2) Microprecipitation test; 3) IFT; 4) TPI. 23. Criteria of cure of syphilis is considered: 1) Quality of the conducted treatment; 2) Data of clinical inspection (skin, mucous membranes, internal organs, nervous system, organs of sense); 3) Data of laboratory examinations (CSR, IFT, TPI); 4) All above-listed. 24. Wassermann's reaction is based on: 1) Hematolysis; 2) Yellow-green fluorescence of T. pallidum; 3) Recognition of false positive non-specific results of standard serum reactions. 25. The basic specific antisyphilitic medicines are considered all from following, except for: 1) Penicillin; 2) Bicillin; 3) Retarpen; 4) Extencilline; 5) Tetracycline. 26. Nonspecific medicines for treatment of syphilis are considered: 1) Immune preparations (Thymogen, Thymalin, Laferon, Methyluracil); 2) The group of stimulating preparations (Pyrorenal, Aloe, FIBS, Plasmol, extract of placenta and others like that); 3) Vitamin therapy; 4) The group of reserve. 27. What can be taken excretions for laboratory examination from? 1) Lesions; 2) Aspirate of a regional lymph node; 3) Serum; 4) Neurolymph; 5) Scales from papular shyphilids. 28. Criteria of cure of syphilis are: 1) Patients who have completed antisyphilitic treatment are kept under dispensary care; 2) The patient visits the physician once in three months during the first two years; 3) The patient visits the physician once in six months during the third year for medical examination and serological tests and then they are taken off the record; 4) During 3 years; 5) During 5 years. 29. Basic medicines for treatment of patients with syphilis are: 1) Preparations of penicillin; 2) Preparations of tetracycline; 3) Preparations of erythromycin; 4) Macrolids. 30. What is characteristic for latent early syphilis with sharply positive Wassermann's reaction: 1) Low titre of reaginic antibodies; 2) High titre of reaginic antibodies; 3) The titre of reaginic antibodies does not have any value. 31. Such complications can be during the treatment of syphilis with penicillin except for: 1) Anaphylactic shock; 2) Toxicodermia; 3) Hives; 4) Candidiasis; 5) Alopecia. 32. The second recurrent syphilis is suspected in a patient. CSR are weakly positive. It is necessary to apply the followings reactions: 1) Kolmer's test; 2) The fluorescence test; 3) T. pallidum immobilization test; 4) Microreaction; 5) Wassermann's reaction with the cardiolipin antigen. 33. Patients with a gonorrhoea with the unrevealed source of infection, but having a permanent address and work: 1) Preventive antisyphilitic treatment is conducted; 2) Preventive antisyphilitic treatment is not conducted; 3) Clinical and serological control is carried out during 3 months; 4) Clinical and serological control is carried out during 6 months; 5) Right 2) and 3). Literature. The basic: 1. Lecture on the theme. 2. Guideline for self-study of students by preparation for practical lesson 22. 3. Yu. K.Skripkin and M.V. Milich. Skin and Venereal Diseases, English translation, Mir Publishers, 1981, p.496-508. The additional: |
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