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    Test control.
    1. The incubation period of syphilis is:
    a) 1-7 days; b) 9-90 days; c) 90-180 days; d) 6-9 months; e) 1-3 years.
    2. What factors prolong the incubation period of syphilis?
    a) acute viral respiratory infection; b) injury; c) antibiotics; d) diarrhea; e) hypothermia.
    3. What features are the characteristic of primary syphilis?
    a) the chancre; b) lymphangitis; c) tubercle; d) gumma; e) pain.
    4. Secondary syphilis develops after contamination (infection) through:
    a) 1-3 years; b) 5-7 years; c) 3 months; d) 6-9 months; e) 3-4 weeks.
    5. The secondary period of syphilis is clinically characterized by:
    a) skin lesion; b) polyadenitis; c) positive results of the complement binding assay (Wassermann test); d) diarrhea; e) fever.
    6. The skin lesion of the secondary period of syphilis are:
    a) roseola; b) papulae; c) urticaria; d) pustule; e) leucoderma.
    7. What kind of skin diseases the manifestations of the secondary syphilis should be differentiated with?
    a) eczema; b) neurodermatitis; c) lupus; d) psoriasis; e) lichen ruber planus.
    8. What clinical forms of tertiary syphilis may be distinguished:
    a) nodular; b) gummatous; c) papular; d) recent; e) bullous.
    9. The clinical manifestations of congenital syphilis include:
    a) bullous lesions on the skin of the child;
    b) hepato-splenomegaly;
    c) osteochondritis;
    d) syphilitic rhinitis;
    e) flat condylomas (condylomata lata).
    10. Which of the following serological tests is the most specific for the diagnosis of syphilis?
    a) immunofluorescence test; b) complement binding assay (Wassermann test); c) VDRL; d) the fluorescent treponemal antibody absorption (FTA-ABS) test; e) T. pallidum immobilization reaction.
    Step 4.
    Final control.
    1.
    The doctor in a private conversation said his patient’s neighbor about the diagnosis of venereal disease, which he had established of this patient. What type of responsibility does the legislation envisage in case of breaching the patient confidentiality?
    A. Administrative.
    B Disciplinary.
    C Exemption doctor from the practice.
    D Liability for breakage.
    E Depending on the consequences the responsibility is disciplinary or criminal.

    2.
    The young 19-years-old man had sexual intercourse with a strange woman 2 hourse ago. What preventive measures are advisable to carry out in order to prevent the acquired venereal disease?
    A Make of manganese crystals (potassium permanganate) solution bath.
    B Treat the skin of the genitals with a solution of mercuric chloride.
    C Assign antibiotics, treat the genitals and urethra by Chlorhexidine solution.
    D Prescribe the antibiotic injections.
    E Apply Miramistin or Cidipol.

    3.
    The 25-years-old divorced patient complains of the skin defect in the area of the glans penis Objectively: there is sharply limited, painless, smooth, red meat-colored erosion of the regular round form on the skin of the glans penis. The edges and bottom of this erosion are hard by palpation. Inguinal lymph nodes are enlarged, painless, mobile. Wassermann reaction is negative.
    What is your provisional diagnosis?
    A Cancer of the penis.
    B Genital herpes.
    C Pyoderma chancriformis.
    D Seronegative primary syphilis.
    E Fourth venereal disease.

    4.
    The 25-year-old patient complains of hoarseness, hair loss, rash on the body, which does not disturb him. On the skin of the trunk and external genitalia there are numerous lenticular-numulyar rounded, dense papules of the copper-red color. The skin around them has no signs of inflammation. On the scalp there is the small focal alopecia. By clinical exsamination of the throat: tonsils have moderate increase, copper-red color. There is moderate polyadenytis. What diagnosis can be maked?
    A. Secondary recent syphilis
    B. Tertiary syphilis
    C. Secondary recurrent syphilis
    D. Measles
    E. Trichophytosis.

    5.
    A 28-year-old patient complains of a painless nonhealing mouth ulcer. Objectively: regional lymph nodes are enlarged, painless, of cartilaginous consistency. On the buccal mucosa there is a round ulcer 1 cm in diameter with regular raised edges and a dense elastic infiltrate at the base. The ulcer surface is of red colour, painless on palpation.
    What is the most likely diagnosis?
    A Primary syphilis
    B Secondary syphilis
    C Primary tuberculosis
    D Secondary tuberculosis
    E Cancer

    6.
    A 27-year-old patient has been referred for endodontic treatment on the 45 tooth. Objectively: the tooth crown is decayed, the lateral surface of tongue and cheek mucosa being in direct contact with the 45 tooth are covered with grayish plaques of macerated epithelium that are somewhat raised above the surface of the mucous membrane. Uvula and palatine arches are of dark red colour, and the hard palate has papules with a red rim and is sheeted with grayish epithelium. Submandibular, cervical, supraclavicular, subclavicular lymph nodes are enlarged, painless.
    What is your provisional diagnosis?
    A Secondary syphilis
    B Chronic recurrent aphthous stomatitis
    C Lupus erythematosus, plaque stage
    D White sponge nevus
    E Lichen ruber planus

    7.
    The 23-year-old woman-patient consulted the gynecologist with complaints of swelling of the right labia majora and discomfort. Her general condition is satisfactory; the temperature is 36.8°C. Objectively: the right labia lip is swollen, hard, and insensitive to palpation. The lesion skin is stagnant-red with clear boundaries. Right-sided lymphadenitis is presents. Wassermann reaction is negative.
    What is the most likely diagnosis?
    A Unilateral bartholinitis.
    B Labial elephantiasis.
    C Angioneurotic circumscribed (Quincke's) edema.
    D Cold abscess.
    E Indurative edema.

    8.
    The 56-years-old patient complains of pain during movement of the knee and ulcers that do not heal for a long time. These ulcers have formed in him 4 months ago on the site of a dense tumors. Prior to that, 2 years ago he observed the widespread rash in the skin of the trunk, which regressed without treatment on its own. On the skin of the right leg and hip there are multiple ulcers of round shape, surrounded by hyperemic rim, with a deep bottom and smooth dense edges. Around the ulcers there are the single dense nodes. Wasserman reaction is negative.
    What diagnosis can be established?
    A Cutaneous tuberculosis.
    B Tertiary syphilis.
    C Multiple ecthyma.
    D Syphilis secondary.
    E Skin leishmaniasis.

    9.
    The 5-days-old child was born of a mother having no permanent place of residence. Objectively: there are the abundant macular lesions of bright red color as large as a lentil. On the palms and soles there are the bubbles with the crown of copper-red color around them and erosions on the places of bubbles opening. The skin around the mouth is infiltrated, with deep cracks. Subcutaneous fat layer is not developed sufficiently, the lymph nodes are enlarged. What diagnosis can be made?
    A Epidemic pemphigus neonatorum.
    B Congenital epidermolysis bullosa.
    C Dermatitis exfoliativa infantum.
    D Allergic dermatitis.
    E Congenital early syphilis.

    10.
    What treatment is indicated to a pregnant woman if she was ill with syphilis 7 years ago, has had a full specific treatment carried out and after its completion was struck off the dispensary register?
    A Prophylactic treatment.
    B Preventive treatment.
    C Trial treatment.
    D Specific treatment.
    E She is beyond any treatment.
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