Lesson 4 Psoriasis. Lichen ruber planus. Etiology. Pathogenesis. Clinical features. Diagnostics. Treatment. Prevention.

1. Choose diagnostic phenomena, characteristic for lichen ruber planus:

1. Koebner's phenomenon;

2. Wickham's striae;

3. Stearin-spot phenomenon;

4. Terminal film phenomenon;

5. “Blood dew” phenomenon.

2. For psoriasis the most typical are:

1. The monomorphic nature of eruptions;

2. Pink colour of lesions;

3. The shine of the surface of lesions;

4. The stratification of silver-white scales;

5. The tendency of elements to peripheral growth and confluence;

3. Papules of the mucous membranes of an oral cavity of patients with lichen ruber planus have colouring:

1. Red-brown;

2. Bright-pink;

3. Silver-white;

4. Red;

5. Pinkish-violet.

4. In the progressive stage of psoriasis it is necessary to prescribe:

1. Sedatives agents;

2. Vitamins;

3. Erythemal doses of UVR;

4. Tar ointments;

5. Calcium gluconate.

5. It is necessary to prescribe for patients with lichen ruber planus:

1. Antibiotic therapy;

2. To treat a somatic pathology;

3. Antibiotic nystatin;

4. Solutions of aniline dyes;

5. 33 % sulphur ointment.

6. Choose typical signs of papules of lichen ruber planus:

1. Polygonal outlines;

2. Wax-like shine;

3. Central depression;

4. The conic form;

5. Oval outlines.

7. What general signs for typical cases of lichen ruber planus and psoriasis?

1. Affection of mucous membranes;

2. Intolerable itch;

3. Location on forward surfaces of extremities;

4. Isomorphic reaction;

5. Arthropathy.

8. The most typical location of psoriatic lesions is: (1 point)

1. On the face;

2. On the flexor surfaces of forearms;

3. On a trunk;

4. On elbows and knees;

5. On palms and soles.

9. In case of skin affection in psoriasis it is necessary to prescribe for external treatment:

1. Lotions;

2. Powders;

3. Ointments;

4. Pastes;

5. Wet dressing.

10. Except a skin at lichen ruber planus can be affect:

1. Mucous membranes;

2. Hair;

3. Nails;

4. Joints;

5. Teeth.

11. Name the primary morphological lesion at psoriasis:

1. Maculae and wheals;

2. Papules and maculae;

3. Papules and wheals;

4. Papules and plaques;

5. Nodule and maculae.

12. It is necessary to prescribe for treatment of patients with lichen ruber planus:

1. Sedatives agents;

2. Vitamins;

3. Erythemal doses of UVR;

4. Tar ointments;

5. Antibiotic therapy.

13. Choose diagnostic phenomena, characteristic for psoriasis:

1. Koebner's phenomenon;

2. Wickham's striae;

3. Stearin-spot phenomenon;

4. Terminal film phenomenon;

5. “Blood dew” phenomenon.

14. What histomorphological changes in epidermis cause a clinical picture at patients with psoriasis?

1. Spongiosis;

2. Parakeratosis;

3. Hyperkeratosis;

4. Granulosis;

5. Acanthosis.

15. Koebner's phenomenon is:

1. Psoriatic triad;

2. Bright-pink colour of lesions;

3. Isomorphic reaction;

4. The tendency of elements to peripheral growth and confluence;

5. The punctate bleeding.

16. What histomorphological changes in epidermis cause a clinical picture of lichen ruber planus?

1. Spongiosis;

2. Parakeratosis;

3. Hyperkeratosis;

4. Granulosis;

5. Acanthosis.

17. It is considered that the complicated forms of psoriasis are:

1. Intertriginous form;

2. Psoriasis arthropatica;

3. Psoriatic erythroderma;

4. Exudative psoriasis;

5. Pustular form of psoriasis.

18. It is characteristic for lichen ruber planus:

1. Intolerable itching;

2. Skin itches only at night;

3. Appearance of lesions only on the extensor surface of extremities;

4. Wickham's striae;

5. Bright-pink colour of lesions.

19. In case of skin affection in lichen ruber planus it is necessary to prescribe for external treatment:

1. Lotions;

2. Powders;

3. Ointments;

4. Pastes;

5. Wet dressing.

20. The following stages of psoriasis are distinguished:

1. The exacerbation stage;

2. The progressive stage;

3. The stationary stage;

4. The regressive stage;

5. The recovery stage.

21. It is necessary to prescribe for patients with lichen ruber planus:

1. Antimalarial drugs (Delagil);

2. Warm baths with a coniferous extract;

3. Application of steroid ointments;

4. Sedatives agents;

5. 33 % sulphur ointment.

22. The “stearine spot” phenomenon is determined by the following histological changes:

1. Spongiosis;

2. Parakeratosis;

3. Acanthosis;

4. Hyperkeratosis;

5. Granulosis.

23. What signs are characteristic for psoriatic lesions?

1. The lenticular form of papules;

2. The miliary form of papules;

3. Inflammatory papules;

4. Non-inflammatory papules;

5. Polygonal outlines.

24. The group of atypical psoriasis consists of:

1. Psoriasis arthropatica;

2. Intertriginous psoriasis;

3. Exudative psoriasis;

4. Psoriasis punctata;

5. Psoriasis nummularis.