QCM en Dermatologie 2008 18

 

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@AK (h@ p`ofts) 3) Hl kïhcf`kl> C- survolft l p phus hus s`uvlft suruf fclvus fclvusprïlxostcft prïlxostcft G- fl m`ffl m`fflpcs pcsml ml kïtcstcsl cr v`ol jïkct`iêfl A- slprïslftl slprïslftl`un`urs `un`ursa`kklufl a`kklufl ïso`fgrufl ïso`fgrufl `u f`orl M- cuKcr`a, soêil soêilml ml dcé`fprïdïrlftolhhl dcé`fprïdïrlftolhhlcu cu fovlcuml fovlcuml c phcftl mu polm L- Q`fpr`f`stoa Q`fpr`f`stoavcrol vcrol cvla 'ïpcosslur l c tuklur 7) Hls ïpotjïho`kcs cs`alhhuhcorls C- soêilftcvlaprïmohlato`f cvlaprïmohlato`fsur sur l voscil G- pluvlfts'caa`kpciflr pluvlfts'caa`kpciflrl kïtcstcsls A- pluvlftîtrl pluvlftîtrl ml a`uhlurf`orl a`uhlurf`orl M- `ft uf csplat hofoqul k`f`k`rpjl L- `ft jcgotulhhlklft\f \f g`fpr`f`stoa g`fpr`f`stoa 1) Ucrko ls cddlato`fs cddlato`fsprïfï`phcsoquls, prïfï`phcsoquls,`us `us ltlflz> C- hc bïrct`sl atofoqul G- h'lazïkcml h'lazïkcml a`ftcat A- hc a`rflautcfïl a`rflautcfïl M- hc hlua`phcsol L- hl ps`rocsos =) Hl acraof`kl pof`alhhuhcorl C-plut survlforsur survlforsurufl uflbïrct`sl atofoqul G- plut survlfor sur surufl ufl aoactroalml aoactroalml gròhurl A- plutîtrl plutîtrl vïiïtcft M- fl m`ffl m`fflpcs pcsml ml kïtcstcsls L- ïpcriflls ïpcriflls kuqulusls C- uflkchcmol kchcmolml ml J`mibof G- ufl fsuddoscfal ïfchl ïfchlajr`foqul ajr`foqul A- ufljyp`tjyr`àmol M- uflp`hyih`guhol L- ufljyplrtjyr`àmol 9) Hc ichl ml h'cmuhtl lst acrcatïrosïl acrcatïrosïlpcr pcr > C-, uf prurot surt`ut f`aturfl G- mls hïso`fs oftlrmoiotchls A- ufl cttloftl mu voscil M- hl rlsplat mu m`s L- ufl cttloftl mls `ricfls iïfotcux lxtlrfls

3

 

:) Hc rïp`fsl> « sïr`h`iol TMWH +++, ]UJC fïictod ² o~moqul > C- ufl sypjohos prokcorl G- ufl sypjohos sla`fmcorl A- ufl sypjohos tlrtocorl M- ufl aoactroal sïr`h`ioqul L- uf dcux p`sotod ?) Hc kchcmol ml Bcp`so Qomc sl acrcatïrosl acrcatïroslpcr pcr C- ufl cttloftl autcfïlmoddusl s`us d`rkl ml phcquls lt f`muhls G- hl rlsplat rlspl at mls kuqulusls A- h'css`aocto`f å uf tcux ml HAM= f`rkch M- hc p`ssogohotï m'cttloftl moilstovl L- hc p`ssogohotï m'cttloftl puhk`fcorl 35) Hc mlrkctotl ct`poqul C- Lst mul å ufl rïcato`f m'jyplrslfsoghotï okkïmoctl G- Mïgutl jcgotulhhlklft å h'çil cmuhtl A- Ql h`achosl cvcft 'çil ml 7 cfs cu fovlcu mls z`fls a`fvlxls mu voscil M- Lst ufl a`ftrl ofmoacto`f cgs`hul å hc vcaaofcto`f L- Ulut îtrl css`aoïl css`aoïlå å uf cstjkl Oh)

H'okpïtoi` C- Lst ufl ofdlato`f a`ftciolusl G- Lst ufl ofdlato`f okkufoscftl okkuf oscftl A- Lst t`un`urs mul å uf strlpt`a`qul G jïk`hytoqul M- Qoêil jcgotulhhlklft cu fovlcu mls rïio`fs pïro`rodoaolhhls pïro`rodoaolhhls L- M`ot t`un`urs dcorl rlajlrajlr ufl mlrkct`sls`us calftl ajlz ajl z h'cmuhtl 37) Ucrko hls ofdlato`fs suovcftls, ofmoqulz alhhls quo s`ft muls å uf Qtcpjyh`a`qul

m`rï C- Dur`fahl G- Lrytjrcskc A- Jomr`scmïfotls M- Qyfmr`kl mls lfdcfts ïg`uohhcftïs L- Lrysopêhl 31) Hc vuhv`vciofotl acfmom` acfmom`soqul soqul C- Lst t`un`urs slxulhhlklft rcfskossoghl G- Ur`v`qul uf prurot oftlfsl A- Fl rïaomovl nckcos M- Fïalssotl t`un`urs uf trcotlklft cftokya`soqul pcr v`ol iïfïrchl i ïfïrchl L- Ql kcfodlstl pcr uf ïrytjêkl cvla hlua`rrjïls vlrmçtrls 3=) Hls tloifls t`fmcftls C- Q`ft phus drïqulftls ajlz h'lfdcft G- Ql kcfodlstlft pcr mls z`fls ch`pïaoquls f`f squcklusls A- Lv`hulft vlrs ufl ch`pïaol mïdofotovl M- Q`ft t`un`urs ml trcfskosso`f ftlrjukcofl L- Fïalssotlft t`un`urs uf trcotlklft cftokya`soqul pcr v`ol iïfïrchl

3 Kr K.W., çiïml çiïml 15 cfsa`fsuhtl cfsa`fsuhtlp`ur p`ur mls ïso`fsmls ïso`fsmls mluxphos mluxphos ofiuofcuxf`f ofiuofcuxf`f pruroioflusls ïv`hucftmlpuos ïv`hucft mlpuos1 1 k`os. H'lxcklfk`ftrl H'lxcklfk`ftrl uf phcacrmgrufçtrl phcacrmgrufçtrl oflklftsqucklux cfs iuïros`f lftrchl 3?)Sulh 3?) Sulh lstv`trl lstv`trl mocif`stoa0 C- Lrytjrcskc G- Mlrkct`pjytolmls Mlrkct`pjytolmlsphos phos A- Acfmom`sl lsphos lsphos M- Lazïkcmls Lazïkcmlsphos phos L- Us`rocsosmls Us`rocsosmlsphos phos 75) Sulh (s)trcotlklft lut `fprlsarorl0 C- Mlrk`a`rtoa`omls G- Cftokya`soquls `acux A- Cftogo`toquls `acux M- A`rtoa`tjïrcpol cr v`ol iïfïrchl L- Cftojostckofoqul @W@A (1 M`ofts)

3)- Aotlz cuk`ofs cuk`ofs 1 ïto`h`iolså ïto`h`iolså ïv`qulz lvcftuf lvcftuf pctolftquo pctolftquo prïslftluf prurot cvla

ïrytjr`mlrkol 7)- Aotlz Ao tlz ls 1 profaopcuxkïmoctlurs profaopcuxkïmoctlurskphoquïs kphoquïsmcfs mcfs 'urtoacorl 1)- Sulhhl lst c d`rkl ahofoqul mls `xomlrkolskïmoacklftlusls `xomlrkolskïmoacklftluslsÿ ÿ hc acusllst acusllst lxahusovlklftkïmoacklftlusl0 =)- Aotlr Ao tlr quctrl catl'urs ïfïrcux uo dcv`roslft 'ofdlato`f å AcfmomcChgoacfs. AcfmomcChgoacfs. Acs ahofoSul ahofo Sul fµ3 > (=.< ``ofts) ``o fts) Kr, C.A çiïml çiïml 4< cfs,scfs cfs,scfscftïaïmlfts cftïaïmlftscrtoauholrs, crtoauholrs,a`fsuhtl a`fsuhtlp`ur p`ur ufl ïrupto`fpruroioflusl ïrupto`fpruroioflusl ïv`hucftmlpuos ïv`hucft mlpuos= = k`os. H'lxcklf ltr`uvlmls ltr`uvlmls ïso`fspchpcghls ïso`fspchpcghls a`ftlfu oquomolf ahcor, ml 1

 

3-7 ak soïilcft ur plcuscofl plcuscofllt lt ïrytjïkctlusloïilcft ïrytjïkctlusloïilcft ufovlcu fovlcuml ml h'cgm`klf,auossls, h'cgm`klf,auossls,l l dr`ttlklftml ml c plcufl plcufl pr`v`qulpcs pr`v`qulpcsml mïa`hhlklft, t ls kuqulusls tcolf tcolfttscofls 3- Sulh lst v`trl mocif`stoa0 7- Aotlz hls soifls ahofoquls quo v`us `ft plrfhos ml rltlfor hl mocif`stoa 1- U`ur a`fdorfhlr v`trl mocif`stoa, aotlz = lxcklfspcrcahofoquls lxcklfspcrcahofoquls å dcorl lt rcpp`rtlr suaaofatlklft lurs rïsuhtcts =- Sulh trcotlklft prlsarorl ajlz al pctolft0 Cprês 3< `urs mu trcotlklft, h'lxcklf rltr`uvl ufl ckïho`rcto`f mls hïso`fs ofotochls, cvla cppcroto`f ml hïso`fs m'csplat moddïrlft dcotls ml kuhtophls hïso`fs pchpcghls dlrkls ïrytjïkctluslsm`uh`urlusls, ïrytjïkctlusls m`uh`urlusls, ml 3 å 3,< ak, alftrïlspcr alftrïlspcr mls hïso`fs å a`ftlfu puruhlft m'`ÿ ïklrilft ïklrilftmls mlsv`trl p`ohs. Als hïso`fs nustodolr soêilft cu fovlcu mls dlssls, dlssls,auossls auossls lt ïpcuhls (7.< p`ofts) p`ofts ) \f pctolftml pctolftml pj`t`typlf`or, pj`t`typlf`or, çiïml çiïml73 cfs,suovo cfs,suovo p`urufl p`urufl cafï fdhckkct`orlkos fdhckkct`orlkos s`us kof`ayahoflmlpuos kof`ayahofl mlpuos3 3 k`os. Oh prïslftl lpuos< lpuos< `urs uf lxcftjêkl tlfmucvla tlfmucvlauf uf prurot oftlfsllt oftlfsl lt mlscmïf`pctjols mlscmïf`pctjolslrvoachls lrvoachlslt lt cxohhcorls.Hl cxohhcorls.Hl pctolft c pros 1 `urs cvcft c sykpt`kct`h`iol u pcrcaïtck`hlt lt c votckofl A p`ur uf syfmr`kliroppch syfmr`kliroppch 3) Sulh lst l mocif`stoa l phus pr`gcghl0 criuklftlz`trl rïp`fsl. 7) Sulhs s`ft hls lxcklfs `kphïklftcorls rïchoslrajlz rïchoslrajlzal al kchcmllf kchcmllfprïaoscft ls rïsuhtctscttlfmus rïsuhtcts cttlfmus l alslxcklfs0 alslxcklfs0 1) Sulhhl lst 'ïto`h`iol hc phus pr`gcghlml pr`gcghlml alttlkchcmol alttlkchcmolp`ur p`ur al pctolft0

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9) Mlvcft uf ïa`uhlklft urïtrch, hls ïhïklfts quo `rolftlft. vlrs h'ïto`h`iol å ajhckymoc s`ft> C-ufl cmïf`pctjol fiuofchl ,,'>>> G- ufl mysurol mysurol lt ufl m`uhlur ttrês rês vovl a- ufïa`~hlklft ahcor plu cg`fmcft...".. a"..".êM-uflpïro`mlm'ofaugcto`f a"..".êM-uflpïro`mlm'ofaugct o`f ml 1 slkcofls L- uf. ïa`uhlklft puruhlft :) Hc rlajlrajl morlatl ml ]rlp`flkc pchhomuk lst p`ssoghl mcfs hls hïso`fs ml hc C-Q ypjohos prokcorl G- Qypjohos sla`fmcorl A- Qypjohos hctlftl M- Qypjohos tlrtocorl autcfïl L- Qypjohos tlrt tlrtocorl ocorl flur`h`inqul ?) \f pctolft cu stcml ml QOMC QOMC kchcmol prïslftl mls pcpuhls lt mls f`muhls cfio`kctlux, hls mocif`stoas å ïv`qulr s`ft> C- K`3husauk a`ftcio`suk G- Cfio`kct`sl gcaohhcorl A- ]uglrauh`sl autcfïl , M- Kchcmol ml bcp`s L- Tcroalhhl 35) Hc pustuh`sl lxcftjïkctoqul lxcftjïkctoqul coiul iïfïrchosïl C- lst c phus ircvl mls t`xomlrkols kïmoacklftlusls kïmoacklftlusls G- sl acrcatïrosl pcr hl mïa`hhlklft autcfï ml k`ofs ml 35% ml hc surdcal ml hc plcu A- cppcrcæt jcgotulhhlklft 3 k`os cprês c prosl kïmoacklftlusl M- cppcr~æt jcgotulhhlklft 3 å = `urs cprês c prosl kïmoacklftlusl L- c uf tcux ml k`rtchotï ml 15% Oh) Hls jomr`scmïfotls . C- Q`ft mus å ufl ofdlato`f strlpt`a`aaoqul G- Q`ft mls ofdlato`fs mls ihcfmls laarofls A- Ql h`achoslft cu fovlcu mlsrïio`fs cxohhcorls M- Q`ft mus å ufl ofdlato`f ofdlato`f stcpjyh`a`aaoqul L- Uluvlft sl a`kpNoqulrml ih`kïruh`fïpjrotl co~l 37) Hl syfmr`kl m'lfdcfts ïg`uohhcftïs C- Lst mu cu stcpjyh`a`qul m`rï G- Lst mu å ufl prosl kïmoacklftlusl kïmoacklftlusl A- QQl v`ot lsslftolhhlklft ajlz h'lfdcft Ml kcfodlstl pcr ufl ïrupto`f vïsoauhlusl L- Lst acrcatïrosïpcr h'cttloftl mls kuqulusls 31) Ucrko als trcotlklfts ml h'cafï, alux quo `ftufl cato`f profaopchlklft cfto ofdhckkct`orl s`ft C- Ulr`xyml ml glfz`yhl G- Wïtof`àml h`ach A- Cftogo`toquls h`acux ' . M-J`rk`f`t jlrcphl '-'-a

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3=) Hl soifl ml Fob`hsby lst p`sotod cu a`urs ml C-U lkpjoi`àml G- Lpomlff`hysl stcpjyh`a`aaoqul a- Mlffc~otljl~ïtod`ffl Mlffc~otljl~ïtod`ffl ' a'~- 'oM~ U lkpjhius ,.~.,.," L- Qyfmr`kl ml Hylhh 3 (1.< M`ofts) M`oft s)

Kkl C. I, a`fsuhtl p`ur ufl hïso`f f`muhcorl ofdhckkct`orl ofdhckkct`o rl alftrïl pcr ufl z`fl fïar`toqul ar`toqul ncufçtrl cu fovlcu mu pho fcs`iïfolf, scfssoifls iïfïrcux css`aoïs. 3- Sulh lst v`trl mocif`stoa0 7- Sulh lst l trcotlklft å prlsarorl0 (aj`osor ufl sluhl k`hïauhl, v`ol m'cmkofostrcto`f, m`sl, murïl) 1- Lf cgslfalml cgslfalml trcotlklft, aotlr hc profaopchl a`kphoacto`f å arcofmrl. < n`urs cprês l mïgut ml trcotlklft, hc pctolftl a`fsuhtl p`ur ufl ïrupto`f cppcrul 7 n`urs cupcrcvcft. H'lxcklf rltr`uvl 7 phcquls kcauhluslsml kcauhluslsml 7ak/7ak crr`fmols ïtytjïkctlusls cu fovlcu ml h'cgm`klf cvla mls ïr`so`fs ml hc kuqulusl iïfotchl lt guaachl =- Sulh lst v`trl mocif`stoa0

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