Basal layer of epidermis consists of

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В. Deep trichophytosis capitis

С. Psoriasis of the scalp

D. Superficial trichophytosis capitis

Е. Favus

Administer treatment to this patient
Laboratory assistant of dispansery of skin-venereal diseases consulted a dermatologist after she had cut her finger with a glass during urine analysis of a patient with secondary recurrent syphilis.

Which clinical consequences may develop?

А. Syphilis I after shortened incubation period

В. Syphilis II

С. Infection will not occur✔

D. Condition of septicemia

Е. Chancre-panaritium

1. Your therapeutic recommendations.

2. Explain your choice.

On examination of a patient, non-hollow elements with distinct margins, the size of a coin, non-transparent, yellow, formed due to pus drying, were detected on the skin. Which type of elements are these?

А) crust; ✔

В) scale;

С) fissure;

D) pustula;

Е) spot.

After resolution of which morphological element did they form?

An 18-year old patient was admitted to inpatient department, complaining of multiple rashes on the skin of the face, trunk, pain, fever 37°С. She has been ill for 6 months. A year before she provided emergency medical aid to a patient with AIDS, who had been injured in an accident.

Objectively: multiple nodes of dense consistency, bright-red color, multiple scars are on the skin of the face and trunk. Yellow-green necrotic shafts are seen through the node openings. Your initial diagnosis:

А. Scrofuloderma

В. Chronic furunculosis✔

С. Carbuncle

D. Furuncle

Е. Eczema

b). Compile plan of further examination.

A 46-year old patient underwent a complete course of treatment for secondary fresh syphilis, during treatment she did not follow the regimen (consumed alcohol). In 2 years, new papules and pale-pink spots with the tendency to grouping appeared on the skin of the trunk. Serological reactions were positive. Your diagnosis?

А. Secondary fresh syphilis

В. Secondary recurrent syphilis✔

С. Secondary latent syphilis

D. Toxicoderma

Е. Lichenoid skin tuberculosis

1. Conduct differential diagnosis between fresh and recurrent secondary syphilis.

2. Further tactics.

In a girl, 5 years old, infiltrate regions of various sizes, moderately pink color, covered with numerous papulous elements, excoriations are visualized on the skin of the trunk and extremities. Dermographism is white. She has been ill since early childhood. Nervous stress precedes exacerbation of pathological process. Which disease is meant?

А. Allergic dermatitis;

В. Atopic dermatitis; ✔

С. Pityriasis rosea;

D. Urticaria;

Е. Psoriasis.

Describe principles of treatment and prevention of this disease.

A patient, 23 years old, complains of skin itching, which intensifies in the evening and at night. He has been suffering for 10 days. Objectively: multiple paired papulovesicles, excoriations and brown crusts are on the skin of anterolateral trunk surfaces, radial carpal joints, and in the region of reproductive organs. Which diagnosis is the most likely?

А. Psoriasis

В. Allergic dermatitis

С. Body lice

D. Scabies✔

Е. Pubic lice

Explain diagnosis. Since rash is localized in the area of reproductive organs, which additional examinations should be performed?
A 30-year old patient is HIV-infected, no complaints.

Objectively: all lymph nodes, except inguinal ones, are enlarged, size over 1 cm, painless, not fused.

а). In which stage of HIV is the patient most likely?

А. Acute or initial stage

В. Latent or asymptomatic stage

С. AIDS-associated symptom complex


Е. Generalized lymphadenopathy.✔

b). With which disease would you conduct differential diagnostics?

A 37-year old woman previously underwent a complete treatment for secondary fresh syphilis, was at clinical-serological examination. Later she was taken off the dispansery registry. How can her complete cure be confirmed?

А. Absence of disease signs

В. Delivery of healthy babies

С. Absence of relapses of the disease

D. Cases of repeated infection

Е. All mentioned is true.✔

1. Is repeated infection with syphilis possible?

2. Further tactics.

A pregnant woman, 12 weeks, has a status of HIV-infected.

а). Which factor will not affect transmission of HIV to the baby?

А. Use of illegal drugs or alcohol, smoking

В. Stage of HIV infection of the mother (amount of CD4+ T-lymphocytes in the blood)

С. Genotype of the virus

D. HIV status of the father✔

Е. Presence of inflammation of the placenta and fetal membranes

b). Compile plan of prophylactic measures.

A 21-year old patient consulted a dermatovenereologist complaining of discharge from the urethra, accompanied by discomfort in the urethra during urination. Complaints appeared on the 6rd day after unprotected sexual contact with a hardly familiar person. Objectively: glans of the penis is hyperemic and swollen, sponges of the outer orifice of the urethra are swollen. A large amount of yellowish-green pus discharges from the urethral canal.

Make initial diagnosis.

A. Ureoplasmosis

B. Trichomoniasis

C. Chlamydiosis

D. Fresh gonorrhea ✔

E. Gardnerella infection

1. Diagnostic tactics.

2. Treatment
Which method of examination enables to determine condition of autonomic nervous system, namely, reflex reaction of vascular network?

А) grattage;

В) palpation;

С) diascopy;

D) determination of dermographism; ✔

Е) three-glass test.

Describe technique of conduction of this examination.
A 23-year old excited student came to dermatovenereologist after he found out that a woman with HIV status lives in the dormitory, and he had unprotected intercourse with her recently.

а). Your recommendations:

А. To be examined

В. Not to be examined

С. To be treated

D. Not to be treated

Е. Not to pay attention✔

b). At which period should the patient be examined to detect HIV?

A 39-year old patient was admitted to venereological department after positive results of serological reactions during prophylactic examination. From anamnesis: 2 months before he had accidental sexual contact, and was also treated with antibiotics for acute bronchitis. He did not notice any manifestations of the disease on reproductive organs.

How can the absence of clinical symptoms be explained?

А. Presence of saprophytic treponema in the patient’s body, which cause false positive serological reactions

В. Reinfection condition✔

С. High immunological reactivity of the patient’s body

D. Intake of antibiotics

Е. Septicemia condition

1. What should the doctor do in this case?

2. Further tactics.

A dermatologist was called for to see a 1-month old baby. Mother stated that rash appeared on the tongue, mucous membrane of the oral cavity on the 3rd day after birth, the baby was restless. Objectively: white plaque on hyperemic background is seen on mucosa of the tongue, cheeks, gingiva, soft palate, which is some places merges into complete coat, which is easily removed. Tenderness is not noticed on palpation of the affected region. Which pathology is the most likely?

А. Candidiasis ✔

В. lichen ruber planus

С. acantholytic pemphigus

D. leukoplakia

Е. aphthous stomatitis

Prescribe treatment to this patient
Woman R., 35 years old, consulted a dermatologist with lesion of the hands and lower third of the forearm, which is presented by a significant edema, hyperemia, vesicles, weeping. The disease developed after use of detergent for laundering, which she had been using for a month. Previously, she had not noticed any dermatological diseases. Choose the most likely diagnosis:

А. Microbial eczema;

В. True eczema;

С. Allergic contact dermatitis; ✔

D. Simple contact dermatitis;

Е. Toxicodermia.

Compile treatment plan for this patient (topical agents).
A 23-year old married woman, involved as a contact of the man who was treated at inpatient department for secondary fresh syphilis. Objectively: she has papular rash on the palms and soles, hypertrophic papules without subjective sensation are in anogenital regions. Serological reactions are positive. Which period of syphilis does the woman experience?

А. Primary seropositive syphilis

В. Primary latent syphilis

С. Secondary fresh syphilis

D. Secondary recurrent syphilis✔

1. Who is the source of infection?

2. Explain your choice.
A woman, 35 years old, complains of intensive skin itching in the pubic region and groin folds. She became ill several days ago after business trip. Status localis: multiple scratchings and hemorrhagic spots are on the abdominal skin (in the lower region), and internal surfaces of the thighs. Which diagnosis should be made?

А. Scabies

В. Pediculosis✔

С. Eczema

D. Epidermophytosis

Е. Dermatitis

Administer treatment to this patient.

A 3-month baby was admitted to inpatient department with otitis media. From anamnesis it is known that the mother has a status of HIV-infected. The baby is being breastfed.

а). What is the probability that the child is not HIV-infected?

А. 30% ✔

В. 10%

С. 50%

D. 100%

Е. 0%

b). What increases the risk for the baby to become ill?
A 27-year old patient, single, consulted a dentist for rash on the oral mucosa and the tongue. Objectively: round painless erosions without acute inflammatory signs are in the regions of the palate and the tongue. The patient was referred to a dermatologist. Which disease did the dentist suspect?

А. Secondary syphilis

В. Primary syphilis✔

С. Soft chancre

D. Lichen planus pemphigoides

Е. Erosion of traumatic origin

1. Give necessary reactions to make diagnosis

2. Further tactics.

A 34-year old woman consulted an otolarygologist complaining of throat pathology. On examination: unilateral enlargement of the left tonsil, which is not painful to touch with a spatel. She does not relate the appearance of the pathology with any cause.

Which disease is most likely?

А. Quinsy

В. Syphilis I seropositive, chancre-amygdalitis✔

С. Syphilis I seronegative, typical hard chancre

D. Syphilis I seropositive, indurated swelling

Е. Syphilis I latent

1. Which diagnostic examinations should be performed?

2. Further tactics.

Patient B., 28 years old, consulted a doctor with complaints of rash on the skin of the the scalp, ear auricles, face and chest, itching at the site of rash. Objectively: Pale-pink spots, yellow scales are in the rash regions. Which diagnosis is the most likely?

А. Seborrheic pemphigus;

В. Acne vulgaris;

С. Seborrheic eczema; ✔

D. Toxicodermia;

Е. Erythema multiforme.

Conduct differential diagnostics of this disease.

Patient M., 41 years old, complains of rash and itching of the feet skin. He has been ill for 2 years. Objectively: groups of bullae, resembling boiled “sago grains”, as well as erosions with pieces of macerated epidermis on the periphery of the foci are observed on the skin of the soles. Fissures and erosions are visualized in the interdigital spaces on the skin of both feet. Which pathology is the most likely?

А. Psoriasis

В. Microbial eczema

С. Tinea pedis✔

D. Rubrophytosis of feet

Е. Allergic dermatitis

Administer treatment to this patient.
These are simple tubular skin glands. Their end divisions are located on the border of dermis and hypodermis in the form of long blind tubes, coiled into a glomus. Ducts of these glands open both independently on skin surface and near hair. Which glands are described?

А) sweat;✔

В) sebaceous;

С) mammary;

D) endocrine;

Е) mixed.

By which type is the secret of these glands produced?
A 27-year old woman consulted a dermatologist complaining of frequent herpes rashes on the face and reproductive organs, moderate itching, weight loss, night perspiration, extreme fatigue, periodic fever. She has been ill for 2 years. She was treated with natural remedies with slight improvement.

Objectively: multiple erosions with blood crusts are on the lips and labia majora. Lymphadenopathy, splenomegaly.

а). Which stage of HIV may be suspected?

А. Acute or initial stage

В. Latent or asymptomatic stage

С. AIDS-associated symptom complex ✔


Е. Generalized lymphadenopathy

b). Compile plan of examination.

Patient K., 22 years old, complains of itching in the evening and at night, and appearance of rash in the region of flexor surfaces of radial carpal joints, lateral surfaces of the trunk, around areoles of mammary glands. She has been suffering for 2 weeks. Objectively: paired papulovesicles and excoriations are located in the above-mentioned sites. A patient’s mother has similar rash (the patient says). Which diagnosis should be made?

А. Urticaria

В. Pediculosis

С. Dermatitis

D. Psoriasis

Е. Scabies ✔

Conduct differential diagnostics of this disease.
A 23-year old single patient has several sexual partners. In the last three months he has noticed slight mucous-serous discharge from the urethral canal, subjectively – irregular itching or burning sensation in the urethra. Two months ago, pain in the knee joint appeared, however, the patient neither had any traumas nor experienced overcooling. A week ago he felt discomfort in the eyes – tearfullness, itching.

Indicate a likely agent of the disease:

A. Trichomonas vaginalis

B. Chlamydia trachomatis

C. Candida

D. Gardnerella vaginalis

E. Neisseria gonorrhoeas

1. Verify chosen diagnosis.

2. Treatment.

On examination of a 3-month baby, a doctor noticed low body weight, microcephaly, protruded forehead, flattened nose, exophthalmus, strabismus, pale-blue sclerae. The child’s mother is HIV-infected.

а). What is initial diagnosis?

А. Infantile cerebral paralysis

В. Hydrocephalus

С. Congenital syphilis



b). Which treatment does the child need?
Hypochromic round spots, without inflammatory signs, are found in a patient in the regions of posterior and lateral neck surfaces on hyperemic background in the form of a lace. Test with 2% iodine alcohol solution is negative. Which diagnosis can be made?

А. Pityriasis versicolor

В. Secondary latent syphilis

С. Secondary fresh syphilis

D. Toxicoderma

Е. Secondary recurrent syphilis ✔

1. Which methods of examination should be performed to make clinical diagnosis?

2. Further tactics.

Patient A., 24 years old, complains of appearance of itchy rash, increased body temperature to 390C and general weakness. Rash appeared after intake of antibiotics during bronchitis treatment. Objectively: maculopapular rash of red color with tiny lamellar exfoliation is observed on the skin of the trunk, face, and extremities. Which disease is meant?

А. Urticaria;

В. Toxicodermia; ✔

С. Eczema;

D. Erythema multiforme;

Е. Pityriasis rosea;

Compile treatment plan for this patient.
Patient T., 43 years old, visited a dentist, complaining of tenderness and burning in the region of the tongue and cheeks. It is known from anamnesis that the patient has taken antibiotics for a long time. On examination: erosions covered with whitish plague, which is easily removed, are present on the oral mucosa along the line of occlusion and the back of the tongue. Pseudo mycelium was detected on microscopic examination. Your initial diagnosis.

А. Lichen ruber planus

В. Leukoplakia

С. Aphthous stomatitis

D. Candidiasis of the oral mucosa ✔

Е. Syphilis

Administer treatment to this patient.
An obstetrician-gynecologist consulted a dermatologist for panaritium on the index finger of the right hand. Before, the doctor had performed manipulation without gloves. Objectively: swelling is on the distal falanx of the index finger, clavate thickening, the falanx is of bluish-red color. An ulcer is with uneven, eaten away borders and bottom, and necrotic-purulent decomposition is on the back side of the finger. Subjectively: acute shooting pain. Axillary lymph nodes are slightly enlarged. Which diagnosis did the dermatologist suspect?

А. Panaritium 

В. Chancre-panaritium

С. Erysipelas

D. Pyoderma chancriformis

Е. Soft chancre

1. Further tactics.

2. Give atypical forms of hard chancre.

On prophylactic examination of a 35-year old donor, HIV-antibodies were detected with ELISA method. The patient has been married for 15 years, does not betray his wife, and does not use illegal drugs. His general condition is normal, without objective changes in the systems or organs.

а). Where should the patient be referred?

А. AIDS center ✔

В. Out-patient clinic

С. Infectious hospital

D. Dispensary of skin and venereal diseases

Е. Nowhere

b). Compile further plan of examination.
A 37-year old woman came to a dermatologist with complaints of intensive itching in the region of reproductive organs, fever, weight loss, fatigue. She has been ill for 6 months; treatment does not give a positive result. She became ill after accidental sexual contact.

Objectively: mucous membranes of reproductive organs are bright red, with cheese-like layers.

а). What is the most likely HIV diagnosis, which stage is characterized by such clinical picture?

А. Acute or initial stage

В. Latent or asymptomatic stage

С. AIDS-associated symptom complex✔


Е. Generalized lymphadenopathy

b). With which diseases should this disease be differentiated?

A 29-year old patient complains of rash on the skin of the trunk, which appeared a week ago. Weakness, muscle ache, joint pain, worsening at night, preceded the appearance of rash. Multiple rash in the form of pink-red spots, 1 cm in diameter, with distinct borders. Elements are located separately, in diascopy – disappear. Peripheral lymph nodes are moderately enlarged, painless, dense-elastic consistency, movable, not fused. Make initial diagnosis:

A. Toxicoderma  

B. Gilbert’s pityriasis rosea

C.  Secondary fresh syphilis  

D. Secondary recurrent syphilis  

E. Psoriasis 

1. Explain chosen diagnosis.

2. Conduct differential diagnosis with pityriasis versicolor.

After examination of a patient, initial diagnosis – acne rosacea was made. On the next examination of the patient by a gastroenterologist, concomitant hepatocholecystitis and chronic pancreatitis were established. Which phase of diagnostics is it?

А) morphological;

В) ethiopathogenetic;✔

С) prior;

D) clinical;

Е) concomitant.

Name phases of diagnostic process in dermatovenereology that you know.

A 9-year old child was admitted to inpatient dermatological department with diagnosis: scabies. Which typical sites of rash localization are in children with scabies?

А. Palms, soles

В. Skin of the scalp

С. Lateral surfaces of the trunk

D. Hands

Е. All the above-mentioned sites ✔

Describe clinical picture of Norwegian scabies.
Patient D., 29 years, has been suffering from skin disease for 3 years. After severe nervous stress, reddened and swollen areas appeared on the back of the hands, with further formation of small inflammatory nodules, bullae, and later – microerosions with significant secretion of serous fluid. The woman complains of severe itching. Make clinical diagnosis:

А. Microbial eczema;

В. Allergic dermatitis;

С. True eczema; ✔

D. Neurodermitis;

Е. Toxicodermia.

Which diagnostic test is performed for verification of the diagnosis? Describe technique of conduction of this examination method.
A patient came to skin-venereal department complaining of the presence of a nodule in the region of anterior surface of the right shin. Subjectively: besides cosmetic defect of the skin, no other complaints. From life anamnesis, it is known that the patient was treated 5 years ago for secondary recurrent syphilis. St. localis: in the middle third of the right shin is a node of dense consistency, size of a walnut, raised over the skin level, painless on palpation, not fused with surrounding tissues. The skin over it is unchanged. Which disease is most likely?

А. Bazin’s disease (erythema induratum)

В. nodular erythema

С. Tubercolous gumma

D. Tertiary syphilis

Е. Primary syphilis

1. Which ways of gumma location do you know in this pathology?

2. Substantiate chosen diagnosis.
A 37-year old patient visited a dentist, complaining of rash in the oral cavity, pain during swallowing, weight loss, fever, persistent diarrhea. She has been ill for 5 months with insignificant improvements. A year before she had tattoo done in a private salon.

Objectively: multiple vesicles, erosions are on the oral mucosa, Nikolsky’s symptom is negative, acantholytic cells are not found.

а). Make initial diagnosis:

А. Pemphigus

В. Herpes✔

С. Candidal stomatitis

D. Cheilitis

Е. Lichen ruber planus

b). Conduct differential diagnosis

Patient L., 55 years old, works at the farm, where cattle have pityriasis. He complains of the presence of nodes on the scalp, fatigue, headache, temperature 380C. Objectively: several infiltrated foci, of red color, distinctly separated, with purulent crusts on their surface, are observed on the scalp. Positive syndrome of “honey combs”. Submandibular and cervical lymph nodes are swollen, tender. Which pathology that causes this picture is the most likely?

А. Seborrhea

В. Deep trichophytia ✔

С. Pemphigus vulgaris

D. Favus

Е. Furuncle

Conduct differential diagnosis of this disease.
A 35-year old patient was admitted to venereal department for examination, complaining of the presence of a round ulcer, borders of which are slightly elevated, a bottom is even, clear, in the region of reproductive organs. The ulcer is covered with serous-hemorrhagic crust, with a dense base, painless. Regional scleradenitis is diagnosed. Treponema pallidum is not found in discharge from the ulcer and in the punctate of the lymph nodes. Serological reactions to syphilis are negative.

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