Lesson 19 Primary period of syphilis.

1. The incubation period in syphilis lasts:

1. 2-4 years;

2. 3-4 weeks;

3. 6-8 weeks;

4. 10 days;

5. 9-12 weeks.

2. The cause of a prolonged incubation period in syphilis can be intake of:

1. Sulphonamides;

2. Antibiotics;

3. Metronidazole;

4. Polyvitamins;

5. Disinfectants.

3. A shortened of incubation period in syphilis is observed:

1. In case of complicated by the secondary infection of hard chancre;

2. In case of development of atypical chancre;

3. In case of development of plural hard chancres;

4. In case of development of ulcerous hard chancre;

5. In case of heavy concomitant infection.

4. 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.

5. What period of syphilis does occur in case of “transfusion” syphilis?

1. Incubation;

2. Primary;

3. Secondary;

4. Tertiary;

5. Congenital.

6. 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.

7. 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.

8. Development of syphilis without chancre is possible in case of:

1. Intake of antibiotics by persons which are in a incubation period;

2. Concomitant heavy infection;

3. Blood transfusion;

4. Domestic route of infection;

5. Homosexual contact.

9. A material for examination of T. pallidum is took from:

1. Hard chancre;

2. Erosive papules syphilids;

3. Roseola;

4. Gummatous lesions;

5. Tubercular lesions.

10. From viewpoint of contagion, the most contagious lesions in syphilis can be:

1. Chancre;

2. Roseola;

3. Erosive papules;

4. Leucoderma;

5. Gumma.

11. A prolonged of incubation period in syphilis is observed:

1. In case of heavy concomitant infection;

2. In case of the bipolar hard chancre;

3. In case of treatment with penicillin, tetracycline of concomitant diseases in incubation period of syphilis;

4. In case of treatment with sulphonamides of concomitant diseases in incubation period of syphilis;

5. In case of treatment with antiviral medicines.

12. To the typical varieties of chancre are belonged:

1. Chancre panaritium;

2. Gigantic chancre;

3. Crusted chancre;

4. Chancre-amygdalitis;

5. Indurative swelling.

13. In primary syphilis after appearance of hard chancre regional scleradenitis develops in:

1. 2-3 days;

2. 5-8 days;

3. 9-12 days;

4. 14-16 days;

5. 24-26 days.

14. Chancre-amygdalitis is:

1. Erosion of tonsil;

2. Ulcer of tonsil;

3. Increase in size hyperemic tonsil;

4. Increase in size of ordinary color of tonsil;

5. Ordinary size of hyperemic tonsil.

15. The primary period of syphilis lasts:

1. 2-3 weeks;

2. 4-5 weeks;

3. 6-8 weeks;

4. 8-10 weeks;

5. 9-12 weeks.

16. 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.

17. Patients with the primary period of syphilis have all signs, except for:

1. Hard chancre;

2. Erythematous tonsillitis;

3. Scleradenitis;

4. Positive Wassermann's reaction;

5. Negative Wassermann's reaction.

18. All from the following belong to the complications of hard chancre, except for:

1. Balanitis;

2. Vulvovaginitis;

3. Phimosis;

4. Indurative swelling;

5. Phagedena.

19. In case of histological examination of syphilids basic changes appear in:

1. Epidermis;

2. Blood and lymphatic vessels of the skin;

3. Muscles;

4. Hypodermis;

5. Dermis.

20. After contact with syphilitics patient hard chancre appears in:

1. 1 week;

2. 2 weeks;

3. 3-5 weeks;

4. 6-7 weeks;

5. 8-9 weeks.

21. What forms of chancre does not belong to the atypical chancres?

1. Hard chancre on the neck of uterus;

2. Indurative swelling;

3. Chancre panaritium;

4. Chancre-amygdalitis;

5. Fissured chancre.

22. Decrease of duration of latent period can be observed at the followings concomitant diseases:

1. Tuberculosis;

2. AIDS;

3. Pneumonia;

4. Ulcerous illness of stomach;

5. Gonorrhoea.

23. Hard chancre – it is:

1. Erosion;

2. Pustule;

3. Papula;

4. Ulcer;

5. Crack.

24. Basic clinical signs of primary period of syphilis are:

1. General intoxication;

2. Hard chancre;

3. Regional scleradenitis;

4. Disturbance of digestion;

5. Regional lymphangitis.

25. Varieties of hard chancre are:

1. Chancre-imprint;

2. Gigantic;

3. Dwarfish;

4. Diphtheritic;

5. Crust.

26. The extragenital location of hard chancre is possible at

1. Any area of skin and mucous membranes;

2. Skin of hands;

3. Skin of elbow joints;

4. Mucous membrane of oral cavity;

5. Anus.

27. What kind of immunity can develop in the case of disease with syphilis :

1. Congenital;

2. Acquired;

3. Natural;

4. Unsterile;

5. Infectious.

28. Basic clinical signs of hard chancre:

1. Dense erosion;

2. Sickliness;

3. Absence of the subjective feelings;

4. Bleeding;

5. Clear borders.

29. The amount of plural hard chancres can arrive at:

1. 3;

2. 6;

3. 2;

4. Not more than 10;

5. More than 10.

30. A hard chancre must be differentiated with:

1. Pyodermia;

2. Scabies;

3. Cancer;

4. Vasculitis;

5. Herpes.

31. A fissured hard chancre can be localized at:

1. Corners of mouth;

2. Interdigital folds;

3. Anus;

4. Cornea of eye;

5. Skin of hands.

32. Folman’s erosive chancre is located at:

1. Glans penis;

2. Scalp;

3. Skin of genitals;

4. Round an umbilicus;

5. Any area of skin.

33. Bubo –it is: