4 курс / Дерматовенерология / Dermatologia_i_venerologia_KGMU_g_Simferopol_2012_g

~K3e1.10H:.

2. K aKHe npenapaTbl JJBJUUOTCJ'I.OCHOBHhIMM WUI Jiel.feHHH 60JihHblX CH-

cpHJIHCOM?

t@ITpenapaTbI nemru;MJIDMHa,

6)npenapaTbI TeTpa11wxn111-1a,

B)npenapaTbI 3pwrpoMm.~HHa,

r ) MaKpOJH1Abl,

A)Bee n epe<mCJieHttoe BepI-Io.

3.q TO H3 nepe'IHCJieHHOro .HBJIHeTOI naTOrHOMOHH'IHblMCHMllTOMOM Il03P,Hero Bpo)K)J;eHJ-JOI'O CHcpHJittca?

a) oyropKl1 KO)KM TyJJOBlllllla,

@1rn6ttpHHTHmI rnyxoTa,

B)Ff M M bI KO)KM TyJJOBl-l:ll.la,

r)ca611eBH,D;Hh1e roneHvr,

A)c11cpvrJIJiITVl<1ecKttl1: p 11H11T.

4.qTO H3 nepe'IHCJieHHoroHBJIJ'l.eTCH rrarorHOMOHJ{<!HblM CHMllTOMOM no3p,uero npo)KJJ.eHHoro cncpwnnca?

a)5Iro.un11eo6pa3I-rbH1 qeperr,

)i), 6o<IKoo6pa3Hbie 3y601,

((!Y' reT<IlifHCOHOBCKl1e 3y60I,

r) IIIBpo1<0 paccTasneHI-rbie sepxH11e pe3J.J;bI,

A)BhIIIa,UeHlire 3y60B.

5.qTO H3 nepe'lttCJieHHOI'OHBJIHeTCJJ rraTOI'HOMOJf"llHblM CHMDTOMOM pattuero apo)KJJ.eHt1oro c11qn11rn:ca?

a) Ocreo xoHJJ:pwr I crerrem1, 6) ocTeoxoHJJ:pMT II crerrett11,

eiJ rrepMOCTl1T,

r ) OCTeOMHeJIHT,

,a;) nepenOMbT KOCTett.

6. qTO l13 nepe'ltt:CJieHHOI'ORBJIHeTCH rraTO.I'HOMOHH'iHbIM CHMITrOMOM p aHuero spo)KJJ.eHlrnro cmpHJIHca?

@ilarryne3Hasr Chmb KO)KM rynoB'HII.l;a,

6)nyJbipl.faTKa cttcpHI111TW-'lecKa»,

B)anone.u;HH CHcpl1IlliITVl'leCKa.!i,

r)3pwreMa cHcpl1IIHTit\'..feCKasr,

A)cncpl111Km'lecKa»netfl<op,epMa.

7.C KaKHM 3a6orresaHtteM '-lecnep;yeT .utt¢¢epeHI.J;11poaaT1> xyMM03Hhie

IIOpa)f(eHJUI Ha KO)f:(e?

a)CKpocpyno.r:r;ep Ma,

6)'rpOcpwqecKwe msbI;

211

4 p;O 17 JleT,

s) xpOHJ1'IeCKCUI:;i:rneHHCUI m10,n;epMm1, r) rrelliIIMa1-1110J,

/@ncop11aJ.

8. B KaKOM B03pat"Te B03Hl1KaIOT npmmneHHJI no3,!l;Hero Bpo)KJJ;eHHoro cw:cpnn11:ca?

a) OT 3 ,n;o 4 JleT,

;®OT

s)OT 17 go 20 rreT,

r)OT 20 ,n;o 23 n eT,

.n) CTaprne 23 neT.

9. qTO M3 nepe'J:MCJieHHOro HBJIHeTCH naTOrHOMOHH'J:HLI!lfCHMilTOMOM no3.ri;Hero s pm1<.a;e1-1uoro cncpnrr11:ca?

a) fyMMa TBepJJ,oro ne6a,

'® napeHXJ1MaT03HbIM Kepanrr,

s)6yropK11 KO){(M rynosmn;a,

r)p03eorra Km1u1 ry110smn;a,

A) nycrynbl KO)f(J1 ryJIODHIUa.

10.qTO xapaicrepHO AJIH c11qmrr11TH•leCKJ1X 6yropKoB? a) CttHIOllIHO-oxp.sn-rrui: oKp acKa,

6) .llpKo-Kpac:Ha.si OKpai:Ka,

/:!!) l13b513BJief.rne c n oCJie,n;y101n;MM py 6n;enaH11eM,

. r) l1C"le3HOBeHJ1e 6e3 CJle)J.OB,

,n;) nee oTBeThI npam.mhHh1e.

11. KaKue 11:ccneJJ,osaHJ1H m11e10T Han6orr1>ruee JJ.MarHOCTM'J:ecKoe3HaqeHHe B pacl103HaBaHJ1l1 aHeBp113Mbl aopTLI CHcpHJIMTH'J:eCKOroreHe3a?

a) AycKfJibTaTJtrnttoe, fi) nepKYTOPHOe,

C9 pe1-nreHOJIOI'T>!'leCKOe, r) ceponorJ1'IecKoe,

.n:) HMM)'HOJIOI'M'leCKOe.

12. qTO J13 nepeq11:cneHHOro He OTHOCHTCH K OCHOBHblM nopCl)J(eHJillM KO)K}f l1 CJl11311CThlX np11 01cpttJIMCe BpO)KJJ;eHHOM paHHeM?

a)JJ:m:Pc!Jy3ttaH mI<Jmnbi.-pan;IDl KO)J<ff,

6)nanyne3ttble BbICbmaH11SI,

B) crren;m:pl!f'leCKMM HaCMOpK,

r) nyJbip'IaTKa,

~cponnm<y1IHpHbn1 nmepKepaTo3.

13. KaKtte W3 nepeqv.cneHHhIX KCXO,!J;OB IyMM03HhIX cw:cpttJIJ1,LWB ne B03-

M0)[(Hbl?

212

l@raeeaehmaHHe 6eeCJie,n,Ho,

6)py6u;osa51 a-rpoq,l151,

s)paerra;:i;,

r)¢M6po3,

;a,) l13'b513BJier-me.

14. KaxHe l13 rro6o"'!HbIX.1rnneHHJ1 He na6nro;a,a10Tcs.c rrp11 neqenHH cHq>H- JIHca neHHD;T1JIJIT1HOM'!

a) Ana¢WJaKTI1qeeKHJ1 moK, 6) TOKCliip;epMID!,

B)KparrHBHHu;a,

r)KaH,[(lif,D,03, liij anoneu;H51.

15.qTO xapaI<TepHO p;m1 CT1¢ttJIJITT1"'leCKJ1XryMM?

.. a) M5IrKOBaTa51 KOHeHCTettu;l151,

6) IlJIOTH03JiaeTH'IeCKa51KOHeHCTeHIJ;l151,

B)BeKpb!TI1e e IIOCJie;::r;yroru;HM o6pa30BaI-rneM KopoK,

r)BCKpbITI1e c n:oCJie)l,yJOru;HM o6pa30Ba1-rneM g)Bbl e « IJ'MM03HbIM crep)KHeM» ,

@:!)see nepeq11ene1-1Hoe Bepao.

16. KaKon BHJJ. MMeroT py6u;bI npu: cm(nmu:ce TpeTH<IHOM?

a) BrnnyTbre,

@3BeJJJ.qaTure,

B)nosepxHoCTHbie,

r).nnoeKHe,

A)'rpeyronhHbie.

17.r;::r;e HaH60Jiee qacro Jl0KaJlH3JeTc.:;r n1¢HJIHTH\'.leCKa.!1aHeBpH3Ma aopTbl?

(f\) B Boexop;51ru;eM omene, 'ti') B gyre,

B)B Hl1eXO}J;51ru;eM omen e rpyAHOliI aopThI,

r)B 6p!OUIHOM OTgene,

A)Bee rrepequene1-moe Bepao.

18.qTO OTHOCHTC.H K oco6eHHOCT.HM npO.HBJieHKJf TpeTii"'IHOrocmpHJIHca?

a)Bonnoo6pa3noe TeqeHHe,

6),ll,Jit1Te.TibHbie epoKM pa3Bl1TH51 nopruKeHmi:,

B) He3Jiaqt1TeJibHOe l'.It1CJIO6n e)J,HbIX 'rpeIIOHeM,

r ) Hl13Ka513apa3ttTeJibHOeTb,

~see OTBeThI npaBMJibHbie.

19.q TO OTHOCl1TC.H K uepO.HTHhIM rrpU31-IaKaM II03,IJ;Hero upo)K,!J,eHHOro c11¢1vmea?

213

a) Cwqm1n1n1qeeu1Jii: xopeopenrnrrr, 6) ea6nesl1,Zl;Hbre roJieHH,

s)ee)J,JIOBM,Zl;HblM HOC,

r)11ro.n;m.1,eo6pa3Hbn1: qeperr,

,~ see nepeq11C.r1ettttoe sepao.

20. qTO HBJUleTCJI HCXOAOM .o;w¢cpy3HOH HHcpttJibTpaIJ,HH fOX3HHrepa B

OKppKHOCTJ1'.p Ta?

a)fna.o;Kttii: py6eu;,

6)MOl a"1q}'J.blMpy6eu;,

B)3Be3.n;qaTbIJii: p y 6 eu;,

r)KeJIOl1,Zl;HbIM p y 6eIJ,,

(@pa.n;wapHbie py6I.lbJ Po6i-i:tteoHa-<l>ypttbe.

21. qTo Ha6mo.n;aeTCH npH p aHHeM spo)l(,l:.(eHHOM cwcpmn1ce B pe3yn1>TaTe pacnorro)KeHMH nanyn na c.11u3wcrol1 o6orro'!KeHoca n ero neperopo.n;Ke?

a)3aTpy.n;tteI-rne HOCOBOro ,UbIXaHHX,

6)ucrom;eHl1e pe6eHKa,

s) pa3pywem1e xp.H1u;es0 Jii: q acrH rreperopo.n;KM Hoea, r) ¢opMwponaHMe y ee•ceHnoro noea,

I@ see n epeqwcn eHnoe eepHo.

22.. qeM xapaKTepHbl 3.TieMeHTbl npH CHcpHJU1TH<JeCKOH rry31blp<1aTKe HOBOpO)l(,l:.(eHHbIX?

a)PacrronaraIOTOJ: Ha JUIOTHOM MmpHJibTp u p osaHHOM ocHosaHHH,

6)pacnonaraIOTCJI Ha HeH3MeHeHHOM KO)f(e,

s)eo.o;ep*aT MHoro 6ne,a:HblX TPenoHeM,

r)paerronaraIOTCH Ha Jia)J;OHHX M no.n;ou.max,

~see nepe'IttCJiennoe nep tto.

23.KaKtte n penapaTbl 06na.n;a10T TpenotteMaIJ,M.D;HhIM .n;encrnwe111? a) AHrtt6ttoTI1KH n eHl1IJ,MJIJI11Hosoro psr.n;a,

6) nperrapaTbI BHeMYTa,

u) aHTI1:6HOTHKt1 TeTPaIJ,HKJlVJiOBOro psr,ua,

r) rrperrapa=1 MLIUib.s!Ka,

~Bee OTBeTbl npaBHJlbHbJe.

24. KaKoe M3 OCJI0)KHeHt1K MO)KeT 6bJTb 1.JaIIJ,e Bcero npH Jiel.JeHHH 60JibHhlX neHHIJ,l1J1JIHHOM?

a)3M60JIHH rrerKorc>, 6) necj:>porraTHH,

u)ITOJIMHeBpHTbI,

r).neKp03 Ha MeCTe l Ul'beKJ.lHH,

~~,,ana¢IDiaKTffqeCKID1: lllOK.

214

0;7-

1,25-1,6

HaJOW:HH KocpeHHbie 3epHa, pa3Mepbl OT MKM B ):JAHHY H

0,9 MKM B llIHpHHy. roHOKOKK COCTOHT H3 H.apy:JICHOU mpeXCJl.OUHOU

cmeHICU (cpyHKIJ;HH KOTOpOH - KapKac H 3aW:HTa	OT aHTH6HOTHKOB);
mpeXCJl.OUHOU 1J.Uffi011Jl.Q3.Mam.utteC1COU .Jt,te.M.6paHbL	(cpyHiru::fili - MeTa-

6011.ff'!eCKHenpoueccbr); .Me.Jl.K03epHucmoi11J.Um.011J1.a3Mbl, co)l.epJKar.u.eif pH60COMhI, H)l.pO, BaKYOll.b. roHOKOKK MaAOyCTOHqHB K BHelllHHM B03- ,a:eHCTBH5IM H rH6HeT no Mepe BhIChIXaHHH, no,a: Bll.H.IIHHeM y11.hTpacpH0AeTOBhIX AyqeH:, BbICOKOH TeMneparyphI H aHTHCenTHqecKHX pacTBOpOB .

HHcpHUHponanHe npoHcxo,n:HT npH no.11.0BhIX KOHTaKTax c 60.11.hHhIM roHopeeH: . .ll.eTH MoryT HHcPHI(HpOBaThaI npH npoxo)K,ll.eHHH nAo,a:a qepe3 po,n:OBhie nyn-i MaTepH, 6oAhnoH: roHopee:li, H B 6hITOBhrx yc.11.0BH5IX npH HapYilleHHH npaBH.11. .11.H'fHOHrHr HeHbI H yxo,a:a 3a ,U:eTbMH. ToHopeHHOe BOCilaAeHHe npHBO,U:HT K ,n:ereHepauHH H HHcpH.11.bTpauHH 3IlHTeAH5£ Moqeno11.0BbIX opranoB. Bo36y,n;HTe.11.h pacno.11.araeT- csr, B OCHOBHOM, BHyTpH AeHKOUHTOB , npH x pon11qecKOM npouecce I'OHOKOKKo6HapYJKHBaeTC.Sl BHeKll.e'l.'OqHoIlpH. MHTe.11.bHOM Te'!eHHH 3a6011.eBaHH.11 B Il0,0:C.l\.H3HCTOM c.11.oe o6pa3yeTCH nosepXHOCTHblH, a 3aTeM H 6011.ee r.11.y60KHH HHcpllll.bTpaT H3 .11.HMcpOH)l.HbIX 3.11.eMeHTOB.

KJl.accucjJJCayusi.:

1.CBe)!(a.si (npop;om1urrenbHOCTh Ja6oneBamrn p;o 2 Meom;es) -

•ocrpaH,

•nop;ocrpa51,

•ropnw,a;nast;

2.xpoHff<Jec'KM(npop;omK11TeJibHOCTh 3a6oneaanm1 CBbIIIIe 2 MeCHUes);

3.naTeHTHa.H.

KJl.uH.uJCa. Hney6auHOHHbIH n e pHOA MHTC.H OT 1 AH.H ,a:o 2-3

ne.n.. H 60.11.bUie (s cpe,a:neM 5-7 ,n.Heil:). Pa311.Hqa10T neoc.11.o:>KHe1rny10 I'OHOpeI-O, no.n. KOTOpoH: IlOHHMaIDT nepBH'lHOenopruKeHHe C.l\.H3HCTOH 060.11.oqKH Moqeno.11.0BbIX nyTe:li (ypeTpbI y My)K'!HH, uepBHKa.11.bHOro KaHaAa H ypeTpbI y :>KeHW:HH). IlpH 3TOM 60.11.bHbie npe,ll.'b.IIB.1\..111-0T:>Ka- 11.06bI na 6011.e3nennoe yqam.enHoe MoqeHcnycKaHne, Bb1,n:e11.eHH5I, qa- m.e .rHOHHOI'OxapaKTepa, H3 y p eTpbI H/Hll.H BAaraAHm;a.

IlpH OC.11.0:>KHeHHOH ronopee B BOCilaAHTe.11.bHb IH npouecc BMeCTe c Moqen0.11.0BbIMH oprfillaMH BOB.11.eKa!OTC.H ,n:pyrHe opraHbI Ma.II.Oro Ta3a, 'ITO conpOBO:lK,.ll.aeTC.11 6 0.ll..IIMH B :JKHBOTe, CHMilTOMaMH HHTOKCHKauHH, HapyIIIeHHeM MeHCTpyaAhHOI'OI.I,HKl\.a.

KAHHH'ieCKa.H Kapnrna roHopeHHOH HHcpeKUHH y My.>K'IHH MOJKeT BK.11.IOqaTb CHMilTOMhl ypeTpHTa, UHCTHTa, 3IlH,ll.H)l.HMHTa, opXHTa, npOCTaTHTa, 6a.11.anonOCTHTa, 11.HTTpei.na, eynepHTa, Be3HK)'AH-

219

Ta, IlHeAOHecppHTa. :>KaA0 6bI 3aBHCHT OT xapaKTepa H creneHH TH:HeeCTH BOCilaAHTeJ\bHOro npou;ecca H CBH3aHbl c .l(H3ypHeH, I'HOHHbIMH BbI.l(eJ\eHHHMH H3 MO'IeHcrrycKaTeJ\bHOI'OKaHaAa, 60AHMH B npoMeJKHOCTH c Hppa.n;Hau;HeH B o6Aa CTb npHMOH KHIIIKH, HapyIIIeHH.SIMH 3peKU.HH n opra3Ma.

l<AHHH'!ecKHenpOHBJ\eHH.SI I'OHopeHy JKeHl:U,HH MOryT BKJ\10qaTb CHMITTOMbI ypeTpHTa, u;epBHU:HTa, B)'J\bBHTa, BaI'HHHTa, BYAbBOBaf'HHHTa, U:HCTHTa, nHeAOHecppH.Ta, 6apTOAHHHTa, CaAbTIHHf'HTa, CaAbTIHH-roo¢op.11Ta, 3HJl:OMeTpHTa, MeTp03H.l(OMeTpHTa, neJ\bBHOnepHTOHHTa. IIau;tteHTKH n p e.n;'hll:BAHIOT :lKMOOhI Ha AH3yp1110, aarHHaAbHhie BbI.l(eAeHllil r Ho:Huoro xapaKTepa, 3y.z:i;, ::iK>KeHHe, AHCKOM- ¢opT B o6AaCTH HappKHbIX TIOJ\OBbIX opraHOB, 6oAe3He HHOCTb IlOJ\0- BbIX aKTOB, 6oAH B 2KHBOTe, HapYIIIeHllil MeHCTpyaAbHOI'OU:HKAa, n o - BbIIIIeHHe TeMnepaTYPhI. roHopeiiHoe nopaJKeHHe .n;pyrtt:x opraHOB MOJKeT npoTeKaTb TaKJKe B ¢opMe KOH'bJOHKTHBHTa, HPHAOU:HKAHTa, npOKTHTa, cpapHHf'HTa.

OCJl.O:HCHeKUR ZOHOpeu:

1.IlpocraTMT - BocrraJU ITeJibHblM npou;ecc B npep;cTaTeJJhHOH )l(eJJ:e3e. ITo

xapaKTepy M creneHM rropa)l(emnl rrop;pa3AemleTCH cne,a.y10lll,MM o6pa-

30M.

•Kamapa.1tbHblli npocmamum - nopa)l(eHMe BbIBOAHDIX p;orreK npep;cTaTe.JlbHOJii )l(eJie3bI. C yfrbeKT11BHb1e paccrpowcrna OTCyTCTByIOT. Ilpou;ecc nporeKaeT 6ecCHMilTOMHO. L(HarH03 CTaBHTC.si: Ha OCHOBaHl111 H3XO)K)J,e-

H1'Ulnei1KOUMT03a B CeKpeTe rrpep;craTeJibHOW )KeJie3bI, IIO.II)''leI-UiOMrrpa Macca)Ke q epe3 3a)J;HMM rrpoxop;.

• <PoA11.u Ky1111.p1tbtit npocma mum - rropa11<em1e p;oneK npep;crarenbHOJii: )KeJJ:eJbI c pa3BMTHeM B HMX nces,a.oa6cu;eccoa. C HMnTOMbI 3a6onena1um BbipaX<eHbl OT'leTJJMBO: qacTbie Il03LIBbI Ha MO'leMcrrycKaHMe, 6 oJJe3HeHHOCTb rrpH MO'le11cnycKaH11M. ITpu IlaJJbnau;11M npe,a.craTeJibHa.si: )l(eJJe3a yBenH'letta,3a cqeT MttKpoa6c1.1eccon noBepxttOCTb )l(eJJe3hl HepoBmm .

•llape11xuMa11WJ1iblli npocm amum conposo)l()J;aeTc.si: .z:i;w3ypH'leCKl1Ml1 paccrpoliicrnaMM, ocrpofl 3a.z:i;ep)l(KOM MoqewcnycKaHM.si:, nmyllll'lMM60.IU!MM Ha,u no6KOM, rrpoMe)KliOCTbIO, CMMIITOM3Ml1 MHTOKC11Ka111111 (rroBb!IIIeHHa.si: reMneparypa, 03Ho6, ronoBHfill 601.'b). ITp11 n aJlbrraI{ITTI )f(ene3a

.z:i;mpcpy3HO yBenwtetta, 6one3HeHH<UJ, nnoTHrui:.

2.3rrHAHAHMl1T - BOCTiaJJettHe np11p;aTKOB HWIKa.

3.OpxKT - socrraJJeH11e .si:wIKa.

4.CTpmcrypa ype-rpbl - - CT011:Koe cy)f(ettwe MoqeBoro KaHaJJa.

5.Kyn epttT - s ocnanem1e BbIBOAHbIX npoTOKOB 6yin6 oype'rpaJJbHbIX )l(eJ1e3 ( >Kene3 Kyrrepa) .

220