4 курс / Дерматовенерология / Dermatologia_i_venerologia_KGMU_g_Simferopol_2012_g
.pdfKpaCHbU1: rrnocKMH m .uuaJ1:. B 0Trr11qJ1e OT rrarryrreJHoro cmtm.m1,r:i;a narrynbl rrptt KpaCHOM IUJOCKOM .mnnae 6rrecnrrn;11e, IIJIOCKHe, IIOJIJ1- 1'0HaJ1bHbie, c rrynKoo6pa3HbIM np;am:1eHl1eM B I(eHTpe, Ha IlOBepxHOCTI1 HMeeTCSJ ceTo•u<a YJU(,-xeMa. ITpon;ecc corrpoBmK,r:r,aeTCSJ Jy,r:i;oM.
oIlcopml3. Ero rrpo5.!BrreHJ15.I OTJJWla10TCSJ OT ncopvta311cpopMHoro nanyneJHoro CMcpHJil1)l;a HaJIWIHeM xapaxTepHo~1 rrcopHaTJ1qecKoJ1: TJJMa,!l;bl, rrepHcpepWieCKHM pocTOM l1 CKJIOHHOCTbIO K CJIIDlHHIO c o6pa3oBaHJ1eM 6JI5.lmeK, xpoHW1eCKl1M Te'le1n1eM c qaCTbL\1.llI peu;l1,!J;f'h BaMl1, a TaJOKe p 030BbIM D;BeTOM BbIChlilaHHM.
,.IIapancopHa3. OrnH~iaeTCSJ HaJIWIHeM xapaKrepHoi1: Tpuap;hI cttr.-1/ IITOMOB (cKpbITOe menyweI-IHe, CHMIITOM « 0 5JiaTKl1» , reMoppanrn BOKpyr narry1Th1, B03HHKaIOID;aSi npl1 ee rrocKa6rrl1BaHl1l1) . BhICbITiaHJ15.I corrpOBO)f(,!l;alOTCSi MeHbilll1M HHcpIDibTJJaTOM no cpasHeHHIO c cmj:m-
•'JIHTH'leCK11Ml1rrarryrraM11.
•OcrpOKOHe<JHbie KOH,!J;J-fJIOMbI. OrJ1WiaIOTCSi OT IIJl!lpOKl1X KOH,!J,HJIOM )l;OJibqaTbIM crpoeHHeM, HaJIH'll1eMTOHKOM HO~H, MSffKOH KOHCHCTeHl(Hel1.. 0HH MMelOT 1.1,BeT HOpMaJibHOtt KO)f(l1 11.JTH p030BYIO OKpa-
CKJ .
nanyn.e3H&tii. cucpUJ1.uiJ e n on.ocmu pma CJJ.eiJyem iJucpt/Je-
peHyupoeam& co c.t.e.zzyroll.l,HMH 3a6o.t.eBaHH5IMH:
"KpacHbIH rrnocKHM JIHIIIal1. BbIChIIIaHHSJ rrpM KpacuoM ITJIOCKOM
.m11uae JTOKaJil13YlOTC5I, rrraBHblM o6pa30M, I-Ja CJUl3MCTOH In;eK 110 Jl]l[-
Hl1l1 CMbIKaHIDr 3y60B, r)J,e OHM o6pa3yJOT xapaKTepHblH pHcyHOK (ceTO'lKa).ITpM CO'leTaI-U-IOM rropa)f(einrn IIOJIOCTT1 pTa )I[ KO)f(l1 ,r:i;11cpcpe-
peHI[l1aJlbHaSJ p;HaruocTHKa o6n ercraeTca.
ofleHKOIIJiaKHR. Vfan 106.neH1-IbIM MeCTOM JIOKaJii;t3aD;Hl1 .SIBJI5.leTCSJ CJIT13l1CTaSJ JIJ,eK no Jl11lil1M CMbIKaHJ15.I 3y60B 11 .sr3bIK. .£JI5.1111Kl1 rreHKOI1JlaKl1J1, KaK rrpaBMJIO, Kpy rrHee, He '1HcjJJ1JlbT}JOBaHbI, IIOBepxttOCTb l1X cyxasr, rrra,o;KaSJ., 6necT.mn;asr, ceponaTo-6enoro n;BeTa. BocnarrMTeJih-
Hbl~l BeH"lfID< no Kpa.10 OTCYTCTByeT. Te'ler-rne 6onee )])111TeJibHoe (xpom1-qecKoe).
•KpacHan sonqauKa. ITp11 p;attHOM 3a6orreaaHHM xapaKTepHbIM RBJISJeTC5! cjJoJIJIHKJH.SJPHblli nmepKepaT03, RpKaSJ 3pvrreMa u aTpocjJIDI KO)f(H, qero He Ha6mop,aeTC5! rrpH c11:cjJMJIHce.
•KaH,r:i;n,r:i;o3 CJIH3HcroJ1: 06ono<1K» nonocr11. pTa (MOJIO'IHHa;a).Or- rr11-qae-rc51 OT c11:cjJMJIJ1TWiecKHX narryn TeM, 'ITOnocne yp,arreHIDI. c oqaroB nopa)l(eHIDI cepoBaTo-6erroro t1arreTa o6tta)f(aeTc5! Kpac1m5!, 6apxan1cnrn, He3p o3ttponaHHa.11. nonepxHOCTb. ITptt Ml1KpOCKOIIli!M B HarreTe o6Hapy)l(HBaeTC5! 6orrhmoe KOJIJ1'leCTBOAPO)l()l(eBbIX KJieTOK.
•Aqno3HbIH: croManrr. Bo MHoroM HanOMHHaeT narryneJHLIM cwcpwJIHJJ;. JJ;wcpcpepem~ttanbHblli1 .a;1mrH03 noJaomreT npoao.a;ITT'h ocrpoe Haqano, pe3KruI 6m1eJHeHHOCTb, SlpKrui. Kai;iMa rwnepeMl1H BOKpyr
yqaCTI<a HeKpoJa, OTCYTCTBHe ttHcpHJibTPaQl1l1, KpaTKospeMeH1-10e
cy~eCTBOBaHMe, qacTb1e per.~l1)].l1BbI.
•3p03HpOBaHHbie Cl1cpl1lll1TH"'leCKl1e narryJibl CJieAY eT OTJIHqaTb OT MHorocpopMROM 3KccygaTIJBHOC! 3pl1TeMbl, 6yJIJie3HOro neMcpt:-trOT1,!l;a, a ynbrapHol1 nyJblp'laTKH,nyJr,1pbKOBoro JIHIIIajl. ITpH 3THX npoqeccax B OCHOBaHlf'H3p03HT1 oTCyTCTByeT T1Hcp11IIbTPaQT1j1, CBOl1crne1-maS1 cwcpHJIHTHqecK011: narryne, a TaIOKe HMeIOTCSI xapaKTepHi.1e AJU1 .a;attHbIX 3a6oneBaHH17l o6IQtte H MeCTI-Ibie CHMITTOMbl.
0KOH'-IaTeAbHblH)JJlarH03 BTOpH'iHOI'Ocmprurnca y 60AbHOro c cmpHAHTH'ieCKHMH rrpO.HBAeHHHMH Ha CAH3HCTOH o60AO'iKeI10AOCTH pTa MO)KeT 6bITb IlOCTaBAeH TOAbKO I10CAe HaxOJKJJ:eHliH Ha nosepXHO· CTH BbICbIIIaHHH 6Ae)l.HbI X TpenoHeM HAH IIOAyqeHIUI IIOAO)KHTeAbHOro pe3yAhTaTa cepoAorHqecKHX peaKIJ;HH.
flycTyAe3HLIH CHcpHAlUI: OTHOCSIT K TIDKeAhIM npoSIBAeHHf!M BTOpH'iHOI'OnpeHo)l.a CHCpHAHCa, KOTOpoe BCTpeqaercSI y 2- 10 %
60AbHbIX, KaK rrpaBHAO, c conyTCTByIOmHMH xpOHH"leCKHMH 3a6oAe - BaHHSIMH, cTpa.n;ammHMH aAKOI'OAH3MOM, ttapKoMaHHeH, Bl{q- HH¢eKIJ;Hdi, rHrrOBHTaMHH03 aMH. IToSIBAeHHe rrycryAe3HbIX CHtPHAH· )l.OB corrpOBO)i()l.aeTCSI 3 Ha'iHTeAhHO Bbip~eHHbIMH HapyweHHSIMH o6mero COCTOSIHHSI opraHH3Ma 60AbHOro (I10BbIWeHHe TeMrrepa-rypbl TeAa, l'OAOBHaSI6oAb, CAa6oCTb, He)l.OMaraHHe, 6oAH B KOCTSIX, cyCTaaax H MhlllII~ax).
Pa3AH'iaIOTCAe)JyromH:e KAHHH'iecKHepaaH.oeuoH.ocmu nyc -
my11e3H.bLX CUcPUJ1U006:
•CHcpHJIHTI1'{eCKOeMMileTlill"O,
•yrpeBaTbIM. rn:¢HJIH,IJ.,
., |
ocneHHOBHJJ;Hbltt cr-i:cpnnwp;, |
•C11cpHJii;IT11'leCKruI31.<THMa,
•c11¢11JI11Tw1ecKrui. pynl1jl.
CmpHAHTH'iec Koe HMIIeTHro, yrpeaaTbIH cH¢HAHA, ocneHHO· BH)l.HbIH CHtPHAHA qa1n;e scero Ha6AIO)l.alOTCSI y 60AhHbIX BTOpH'!HblM cse::itrnM CHtPHAHCOM. CH¢HAHni:'ieCKaSI 3KTHMa H cmpHJ1.HTH'IecKa.s:I pyrrHH BCTpe'iaJOTCHn pe11MYID;eCTBeHHO rrpa BTOpH'iHOMpeu.HAHBHOM CHtPHAHCe H HBAHIOTCH npH3HaKOM 31\0Ka"-IeCTBeHHOro Te'ieHHHCHtPl1· AHca. Bee pa3HOBHAHOCTH nycryAe3HbIX cH¢HAI-r,n;oa 11Me10T o,n;Hy
B~HYIO oco6eHHOCTb: B HX OCHOBaH HH IIOSIBAHeTCH HHqJHAbT paT, xapaKTepHblM )].AH nanyAe3 HOro cm:j:>HAH,ZJ;a. He HCKAIO-'laIOTTaK)Ke, 'ITO
182
11ycryAe3Hb1e cm:jJHJ1.H,D.h I B03HHKaIOT B p e 3y1\.bTaTe pacna,D.a rrarryA, H
HX rrpaBHAbHee Ha3bIBaTb narryAO-rryCTJAOilO,D.06HhlMH cmpHAH,D.aMH.
IlHrMeHTH:&IH CH$HAH.ll (cHcl>HAHTH'leCKaR AeHKO,llepMa)
B03HHKa eT Ha 4-6 MCCSIU.e 3a6oAesan:irn H 06bi'IHO.HBMICTC.H CHMilTO-
MOM BTOpH"IHOro peu;H,D.HBHOro |
cmpHAHCa . |
Ila ToreHe3 IlHrMeHTHOro |
CH cpHAH,l.(a He.HceH, cymecTsyeT |
MHeHHe 0 |
CB513H AeHKO,D.epMbl c rro- |
proKeHHeM JKe11.e3 BHJTpeHHCH ceKpeU,HH, B 'll:lCTHOC H Ha,D.IlO'le"!HHKOB , a HeKOTOpbie ncc11.e,D.OBaTe11.H paccMaTpHB aIOT ACHKO,D.epMy KaK
1-1eH:po,D.HcrpocpmecKHM rrpou.ecc. IIpeHMyw.ec TseHHa51 AOKaAH3au;:irn - Im)Ka 3a,D.neH: n 6oKos oH: nosepxHOCTH weH («OJKepeAhe BeHepb1»),
pe:>Ke - rrepe,D.HHe CTeHKH IlOAMbIUle'!HblXana,D.HH, aepxHeH <JaCTH rpy,n;H , cnHHa, JKHBOT. B o<Ja rax nopIDKeHHSI H a tj:>oHe HeCKO!\.bKO rH-
nepnHrMeHTHposaHHOH KO:JKM |
Bbl.HB !\..IIIOTCSI 6e11.osaTbie OKpyr!\.bie |
||
ruITHa. Ko11.Hqecrso n.HTeH |
nocTeneH H O yne11.H'lHBaeTC.H, OHH pe3KO |
||
Bhr,n:eMIIOTCH |
Ha ¢oHe nHrMe H T HpOBaHHOH K OJKH. CHcpHAHTH'!ecKa.H |
||
11.elfKO,D.epMa |
He weAymMTC5I |
H |
He conpoBmK,D.a eTC5I cyfrbeKTHBHhIMH |
o ruyru.eHH.SIMH. AeiiKo,D.epM a |
cymecTayeT ,ll;hH TeAbHO, ITAOXO no,D.AaeTCB |
||
c neu:H cpHqecKoMy 11.e'!eHHIO. lk'le3a eT "!epe3 6 - 12 Mec.11u;es, a HHOrl-(a
~1epe3 2-4ro,D.a1-(aJKe npH a,D.eKBaTHOM Ae'!eHHH.
IlpOBO,D.5! aurpcpepeHyUcutbH.bLU OuaZH03, CMcpHAHTH'ICCKJIO 11.e H KO,n:e pMy C/\.e,D.yeT OT/\.H'laTbOT BHT H1\.Hro H B TOpnqHbIX 11.eHKO,D.epM.
•Bwr11JJJ1To OTJI'l1'IaeTc.s1rro.llHbrM o·rcyTCTBHeM nHrMeHTa B oqarax nopa)l(eH'l15f,60J1ee Kpyrrttl>IM pa3MepoM oqaros, HMeK>llzyfX CKJIOHHOCTb K nepwcf>ep~reCKOMJ pocry '11 CJIIDlffiilO.
•BToptt'IHa.H.11el1K'o,u;epMaB03HHKaeT H a Mecre OTpy6eBH,IJ;HOro JIMIIIru:I, x apaKrep113y eTor pa3Jltt'IH OJ1 cf>opMoft 11 BeJIH"IHHO"Ct: p;ernrrMeHTHpoBaHH bIX IUITeH, CKJIOHHOCTbfO HX K CJIHIDUflO c
o6pa30BaHHeM O'laroBc cpecroWiaTbIMJI KpIDIMJI.
CH$HAHTH'lecx:ui: aAone1uu1 xapa KT epHa )l,11..H BTOpH'IHoro p e u.H,n:HBHOrO CHcpH11.HCa H HMeeT H eCKO!\.bKO cpopM (pa3HOBHJJ:HOCTeH:):
• |
M eJIKoo'larosrui, |
|
|
• |
,u;11cf>cpy3na.a, |
|
|
• |
cMemaHHa.a. |
|
|
Bo3HHKHOBeHHe Me.Jl1COOT.iazoeo20 |
06Ab1ceHH.H CB.H3bIBaIOT |
c |
|
n pHMbl M |
.n.eliCTBHeM 6Ae)l:HblX TpenoH e M |
Ha B011.0C51HOH <t>oA11.HKYh |
c |
pa3B HTHeM B OKpyr Hero BOCria!\.HTe/\.bHb lX .sIBAeHMH, Bpe MeHHO Hapy- maIDll.IJ-OC IlHT a HHe 8011.0Ca. J:{wjxj;y3H.051. cpop M a SIB!\..IICTC.H CAe,n:crmi:eM
HHTOKCHKaIJ;H H MAH nopaJKeHH5I cncpHAHT H'leCKOH i-rncpeKu;HeH: HepB-
H OH H 3H)l:OKpHHHOH CHCTCM, pery11.Hpy roru;HX cpyHKIJ:HIO BOAOC.HHOI'O cpoAAH KJAa. IlpH MeJllCOOT.iQ.2080U anoneJJUU B 0611.aCTH BHCKOB H 3a-
" 183
TbIAKa, pe:>Ke 6opo.zrp1, 6poseH: H peCHHU:, B03HHKaeT 60AbllIOe 'UiCAO Me/\KHX (rrpHMepHO 1 CM B ,ll,HaMeTpe) oqCUKKQB 061\bICeHlliI, HMeJOrn:HX 0KpyrAb1e oqepTaHlliI. B o qarax nopa>KeHH.sI Bbma,ll,aJOT He Bee BOAOCbI, Il03TOMY BOAOCHCT ruI qacTb I'OAOBbInpHo6peraeT CXO,ll.CTBO c MeXOM, H3'be)J.eHHbIM MOAbJO. ,LI.ucpcpy3H.Q5l QJlOneyUJl xaprucTepH3YeTCH OCTpo B03H;HKaJOrn:HM 061.l.l,HM rrope.n.eHHeM BOAOC 6e3 H3MeHeHlliI KO-
:>KH. CMewaH.H.G$l anoneyUR. rrpe.n.craBMieT co6oH: CO'IeTUHHe MeAKOoqarosoH H ,a:mpcpy3HOH cpopM . CwcpHAHTw-1ec1me 06Ab1ceHHe 6e3 Ae- 'ICHHHMO:>KCT cym:ecTBOBaTb .ZJ.OAI'OC apeMH, ITOCAC qero BOA~CbI IlOAHOCTbKl OTpaCTaIOT B TC'iCHHC HCCKOAbKHX MCC51U:CB. B YCAOBH.HX Ae- 'iCHH.SIBb!Ila,ll,CHHC BOAOC rrpeKparn:aeTCH qepe3 10-15 .n.ueH:.
8 Ou</JcpepeH.tJ,Ua.nbH.OU OttaZKOCmUJce OCHOBHOC 3Ha'ICHHC HMCJOT I'HC3,llH. rul MOITCU:I-rn H nosepXHOCTHa51 TpHXOcpHTHH BOAOCHCTOH qacTH roAOBbI.
•ITp11 rHe3,o;mJi1: ano11e1.1;in1 o'la.TI1 o6JJbICeHIDI 3naqureJJbHO Kpyrraee,
c 6JJeCI'Sl~eC!:, r JJa,[J;KOH nosepxHOCTb!O M IlOJIHbIM OTCY'fCTBMeM Ha
Hl1X BOJIOC, a TaIOKe c JOHOU pacrnaTaHHbIX BOJIOC no nepwcf>eptttt.
•ITp11 nosepxttocrttoH: TpttxocpttTMl1 B oqarax nopa)l(eHIDI ttMeeTC5I n1erry10etttte, BOJJOCbl He BbIIla;:J;a10T, a o6JJaMbIBaIOTOl, B nopa)l(eI-Hf blX BOJ10cax 06ttapy»u rna10T01 cnophI rpM6Ka. JJ:m:Pcf>epett11r-1.anbHbil1 ,o;11- arHoJ .n.w¢¢YJHoro c11cpmrMTit'IecKoro 06J1brcemrn c rrpe)!(}J,espeMeHHblM Bbrrrap;eHMeM BOJJOC, c ce6opettHbIM o6JlhlceHMeM, c Bbmap;e- HMCM BOJJOC nocne OCTpbIX tttt<:fleKIJ;MOHHbIX Ja6onesaHMl1 OCHOBbIBaeTC5I Ha attaMHeCTM'JCCKMX)l,aHHbIX l1 peJyJibTaTax cepOJJOI'M'lCKOI'O 11cCJJe)J,OBaHl15f.
KoHTponbHbtH TeCT K coaep»<aTenbHOMy MORynw N!? 10
1.qTO xapaicrepHO JJ,JUl BTOplf~IHOI'O cm:p.:i1mca?
a)OTcyTCTBMe ocrpbIX BOCilaJJllTeJfbHb!X 5IBJJeH11t1,
6)caMonpo113BOJibHOe 11C"le3HOBCHMe CbITTM,
s)OTCYTCTBtte cy6oeKT11BHhIX paccTpowcTB,
r)sepHo a), 6), s),
A)sepHo a), s).
2.KaKH e BHAbl BblCbUJaHHtt Ha61110,o;a10TC.H Ha KO)l(e 60JibllbIX BTOpH'l-
HblM CHcpHJIHCOM?
a)PoJeOJibI,
6)nanynb1,
s)nycrynbl,
r) neti'.Ko.n.epMbI,
IJ.) see rrepeq11cneHHoe septto.
184
3. KaK11e BbICblIIa1-nrn o6bl'IHOHa6Juo,n;aIOTCH npM BTOpHlIHOM CBe)l(eM
cm:fnvrnce?
a)Heo6HJlbHbie,
6)o6IDibHble,
B)HeCMMMe-rpw:qffbie,
r)HeHpKoti OKpaCKM,
.u;) crpymmpoaaHHbie.
4.KaKHMH np113HaKaM11 xapaKTep113y10TcH BTop11<IHhle c11cp11JI11JJ;bI?
a)Bb1cbmaHlffi BTop111<rn:oro rrepuo1w 11Me10T HeqeTK11e Kprui, uerrpa- Bt-UibHbie oqepTaHT1>1,
6) BbIC&maHH5I BTOPlift1Horo nep11op;a conpoao~a10TcJ1 qyacmoM )l()l(el-UUI, 6oJie3HeHHOCTbIO,
a) BbICbmaHlUI BTOpttqHoro nep11op;a coxparunoT01 ,o;.mrre.rlbHO, HeCMO'I'p51Ha npoao,a;ttMYIO Tep axuno,
r) BbICbin3Hl/151 6bICipo pa3peruaIOTOl nop; BJIHJHIHeM 11eqeHID1,
11)BbIChmaHl/151 ttMeIOT ocTpoaoc:namtTeJibHbitt xapaKTep nopa)f(eHH5I.
5.Cny crH I<aKoe speMH c MOMeHTa 3apa)l(eHJ1H H3l{11HaeTCH BTOpM'IHbIH
nep110,n; c11cp111111ca?
a)1-2 Meom;a,
6)2-3 Meorn;a,
B)3-4 Mernu;a,
r)4-5 Mernu;ea, ,n;) 6-7 Mernu;ea.
6.qepe3 KaKoe upeMH nocne rroHBJieHHH TBep,n;oro maHKpa HacryrraeT uTop11'1HbIHrrep110.n; c11cp11.nwca?
a)5-6 He)J,erro,
6)6-7 He1Ie.flb,
B)7-8 He,n;erro,
r)8-9 ue.z:i;erro,
11.) 1·-2 He11em1.
7. c K3Kl1M 3a6onenaHJ1eM He XIpOBOp;l1TCR: .n;11cp¢epeHI.J;J1aJibHaR: ,n;11arHOCH:IKil rranyne3Horo n1cpttnl'.l,n;a?
a)Kpac:Hbitt nnocKati mnuatl:,
6)KanneBl1,!l;HbIH naparrcopHa3,
s)sereTHpyrom;aH rry31>ipqaTKa,
r)ncopHa3,
µ;) cj:>OJIJIT1KfII51pHbIM rn:nep KepaT03.
8. Cnycui: KaKoe ape11ur p a3peuia10TCH 6e3 neqeHJ1H 60JiblllT1HCTBO BTOptt'IHhIXC11cp11JIJ1)J;OB?
a) 1- 2 He,a;en11,
185
6)2-3 Mec.sru;a,
s)3-4 Meom,a, r ) 4-5 Mec»u;eB,
.o:) 1-2 Mec.sru;a.
9.c KaKttM 3a60JJeBa1u1eM He CJiep;yeT npOBO,l1;J1Tb p;mpq,epeHIJ;JfaJibH}'JO
p;ttaC"HOCTMKY cttq)JfJJJfTJf'leCKJfXnanyJJ Ha CJIJ13JfCTOM o60JIO'IKe
IlOJJOCTJf P'ra?
a) <!>O.TUiffKYII.sipHa.sr aHrttHa,
6)p;mprepIDI 3eBa,
B)cpy3ocm1pJfJUie3,
r)KpaCHblM fUIOCKlfWm1Ulati:,
.o:) HeByc.
10.l.fro He xapaKTeptto p;JJll BTOptt'IHOrocmpttn11ca?
a)Hanlf'ItteocTPoBocnanHTeJibHbIX .srarrettm1:,
6)rropa)f(etttte na.n;oHetl tt nop;oum,
B)OTCJTCTBlfe ocrpOBOCilaJIJ.fTeJibHbIX HBJieHMM,
r)IIOJIJfaJJ;eHMT,
A)3YA oqarou.
11.KaK11e ¢opMbI B11cu;epaJJbHbI X rropa)l<eHtttt pa3JJM'laJOTnptt BTOPH'l- HOM rrep110,u:e ni:cjJmnt:ca?
a)<f>yHKIJ;lfOHaJJbHbi e,
6)CTOJiiI<Me,
a) TPYAHO rro)J.!J,aIOUJ;Meo1 TepaIIm1,
r) Me,u)leuuo perpeccwpy10111we,
A)BhI3brna10rn;ue opra1-n1•1ecKtte nopa)l(eHIDI.
12.Ka1<11:e npH3HaI<Jf He cuoti:crBeHHbl BCeM BTOpH'IHbIMcmpttJIH)];aM? a) .D:o6poKaqecTBeHHOCTb,
6) HaJilf'ItterrpH3HaKoB OCTPOro uocnaneirn.SI,
B)IlOJIHMOpcpH3M,
r)6bICTpbitt perpecc Ha cpoHe cneuwcpuqecKoro neqemrn, A) OTCYTCTB11e cy6'heKTHBHbIXOUJ;yIIIemn1.
13.KaKHe pa3HOBH,l1;HOCTH He OTHOC»TC.11 K c11<PttJIJfTH'leCKOMpo3eone?
a)YpT11Kapnai:i:,
6)3JieBMPYIOIIIa.sI,
a)3epHMCTal'l:,
r)CJilfBHaH,
A)reMoppanrqecKa5r.
14.KaKHe nptt3HaKH CBH)~eTeJibCTBYIOT 0 B03M0)1(HOM HaJIH'IHHy 60Jib-
Horo BTOptt'IHOropeu;ttAHBHOro cttcpttJJHCa?
a) OcHnnocn, ronoca,
186
6)ner1Kop,epMa,
B)IDHpOKJ1e KOH;r~l1JI0Mbl,
r ) MeJIKooqaroBaH anorrer~l1>l,
A)Bee nepeq11ene1rnoe Beptto.
15.KaK11e peaKu;1111 Heo6xo.n.111110 ncnoJJh30BaTb n cnyqae no.n.o3peHMH Ha cmpttJJJ1C BTOp11'IHb!H peQl1,El;l1BHbIH np11 CJia6on oJIO)KJ:lTeJ1bHbIX KCP?
a) PeaKIJ;mo KoJIMepa,
6)peaKQmo MMMyHocpmoopecu,eHu,rm,
B)peaKu;iuo MMM0611n113au,w11 Eirre.U,HbIX TPen oHeM,
r)BepHO 6) T1 B),
.p;) peaKQMIO BaecepMaHa e Kapp;wom1nl1HOBbIM aHT11reHOM.
16. ·qeM o6bI'lHOxapaKTepHbl BbICbIIIaHl1.H rrp11 BTOp l11IHOM peIJ;J:l)J.liBHOM cmpwrnce?
a) Heo6MJibHbie,
6)06T1JlbHbie,
B)e11MMeTpI1qHble,
r ) IIOHBJIHIOTeH epa3y,
,r.r,) w:MeIOT OCTPOBoerramrreJihH}'IOoKpacKJ.
17.qeM xapaKTep113yeTcH cmpm111T11tJec1<aH ::ipHTeMa1."03HaH au rttHa?
a)Pe3KMe rpaH111\bI 3pncreMM B 3eBe,
6)I-Iepe3KT1e rparrn:QhI 3prrreMbI B 3eBe,
B)oreqHOCTb TKaHel1 Ml1H}J;aJJMH,
r)p e3KaH 6one3HeHHOCTb,
A)BbICOKaH TeMrreparypa.
18.Ka1<11e pa3HOBJ1)l;HOCTl1 He OTHOCHTCH K nycryne3HOMY cnqmm'lp;y~·
a) A KttecpopMHbie,
6)ocneHHOBMJJ:Hbie,
B)ttMIIeTm11H03Hhie,
r)p ynnOT1)J.Hbie,
A)ciJYPYHKYJie3Hbre.
19.C KaKJ1Ml1 3a6onesaH11HMl1 Heo6xo.n;uMo nposo.n;un• .n;u¢¢epeuu;n-
aJibHhn:1 p;warH03 nycryne3Horo c11¢111111p;a?
a)Bym.rapHoe HMIIeTHro,
6)nyllbrapmrn 3KTHMa,
B)BYJibrapttbie yrpn,
r)nyJrbrapHbIM rrcoptt33,
.n;) Bee n epeqnCJieHHoe Bepno.
20. KaKHe 3apa3Hhle Bblc1>rrraff11H Ha6Juo.n.aroTcH npn BTOpl1<rHOM c11¢11Jittce?
187
a) IIanyrrhI ryrroB~a,
6)p03eorra T}'JIOBm~a,
B)mwpoKHe KOH,UHJIOMbl BOKp yr aI-I)'Ca, r) JieJ.1Ko,z:i;epMa meH,
A)Att<l><l>YJH<Ul anoneu;mi:.
21.c KaKHMH 3a6oneBaHHHMH n eo6XO,!J;HMO ,z:i;11¢¢epenu;v.:poBaTb cH¢H-
JJHTH'leceyro poJeo;iy?
a) ToKcHKo,z:i;epMIDI,
6)poJOBbIH mimai:i: )](i;i6epa,
s)OTIJy6eBffAHbil1 munai:i:,
r)KpaCHbIM ilJJOCKHM JIHIDaH,
.n;) see o'IBeThIrrpaeWJibHbie.
22.KaKMe BttyrpeHHHe opraHbl MOl)'TnopaJKaTbCH npH BTOpK'IHOMCl1:- ¢ttm1ce?
a)fieqeffb,
6)IIOT.J:KH,
B)nepnna.sr cttcreMa,
r)cep,z:i;e•rno-cocy,z:i;ttcTa.sr CHCTeMa,
A) ece OTBeTbl npaBMJlbHble,
23. qTO ne xapaKTepn o p;m1 BTOpH'IHOro cttqnurnca? a) Harru<rn:e ocrponocmunr.re.TibHbIX gnneHHCt,
6) nop a)f(eHHe Jia)J.OHetil l1 n op;ourn,
n) OTCYTCIBHe oc1poBocnanHTeJibHhIX .srnneHH"Ci, r) IlOJrn.a.n;eHHT,
A) Jy,z:i;a oqaroB.
24. KaK1111u1 rrptt3HaKaMw xapaKTepl13)'IOTCH BTOpH'IHbie cw¢1111w,o;bl?
a) BhIChillfilfIDI BTopw-n-10r o rrep110.n:a l1MeJOT ne'leTKwe Kpa.sr, HcnpaBWJlhHble oqepTaHWH;
6) BbIChIIlaHWI BTop11•n10r o n ep110.n;a conpOBQ)K,JJ,aIOTCSI •ryBCTB OM )f()f(eHJUI, 6oJie3HeHHOCTbIO;
B) BbICbIIlaHHH BTOpH'IHOrorrepttop;a coxpattHIOTC.H p;Jil1TeJII>H0, neCMOTp.sr Ha npOBO)J,HM)'IO repanw10;
r ) BbICbmaHMH 6I.1cTpo pa3perua10TC.sr non BJUi.srHHeM JieY:ettl1.Sl;
A)BbICbIIlaHH.51 WMeJOT OC!pOBOCnamffeJibHbIM xapaKTep rropa:lKeHH.sr.
25.qepe3 KaKoe BpeMH rmcne no.srBJieHHH TBepp;oro maHKpa nacrynaeT
BTOpH'IHbIK nepHOA cw¢mrn:ca?
a)5-6 He,[(eJib,
6) 6-7 nep;errb,
B)7-8 nep;enb,
r)8-9 nep;eJTb,
188
A)1-2 He}J;effi'I.
26.qeM xapaKrep1nyeT01 nopa)l(eH11e JI11Mcpoy3JIOB npn BTOPH'IHOMcncpnn11ce?
a) Ysem 1qem1eM meM:Hoil: rpy=r,
6) ysemt'leHneMnax oBblX nn.."1cpoy3nos,
a)yseJlfftteHJ1eM ry6wra.TibHbIX Jll1M<}Joy3JIOB,
r)IlOJlffa}J;eHJ1TOM,
p;) Jll1McjJOy3JibI Hel13MeHeHbI.
27. KaKJ1'e. M3 nepe'IJ1CJieHHblXHBJUllOTOI nepHO,r;(3Mff BTOpH'IHOroCHcpH-
JIMCa?
a)BTOpH'IHhrnCBe)l(11M,
6)BTOpKttHblM cepoHeranIBHbIH, B) BTop11·qHbIH peQl1,!).J1BHbIM,
r)BTOpr-NHbIH CKpb!TbU1, A) aepHo a), a), r).
28.KaKoaa o6~aH npo.a;OJI)l(JITeJibHOCTb BTopH'Ioro nep110.a;a c11cpttnnca 6e3 ne<reHHH?
a)1-2 mp;a,
6)6-8 MeCHQeB,
a)2-4 rop;a,
r)2-4 Mernu;a,
A)5-10 JieT.
29.Tipw K3KJ1:X ycnOBHJIX MO)l(HO I-Ia6JIIO)'.J,aTbocraTKJ1 TBepnoro waHKpa BO BTOpH'IHOMnep11op;e?
a)ITpw BTOpwrnoM cKpbrTOM c11¢J1J1wce,
6)rrpw BTOpl1'IHOMpeu;J1}J;l1BHOM c11¢J1J1wce,
a)np11 OCJia6rreHJ111 HMM)'HHOM CJ1CTeMbr MaKpoopraHHJMa,
r)np11 BTopw'IHOM cse)J{eM nrcpw n11ce,
A) BepHO a) J1 6).
30 c K3KJ1Mff 3a60JieBaHJ1JIMH He npOBO.l(J1TCJI ,o;11cpcpepeHu;11aJibHblK JJ:H- arno3 po3eone3Horx B1>ICbman11M: BTopw<1Horo nepwo.a;a cwcpHrrHca?
a) Kopb,
6)Kparnyxa,
B)6pIOIDHOH Tl1<}J,
r)ry6ep ryrre3,
p;) TOKCHKO}J;epMIDI.
C11ryal.lHOHH&1e 3a11a&1n K co11ep»ear en&H0My Mo11yn10 N!! 10
189
