Неогнестрельные переломы нижней челюсти. Клиника, диагностика. Лечение
#154
*!48 years old man was admitted to the emergency room after the injury. Patient has open bite.
Which of the following preliminary diagnoses is the MOST probable?
*+bilateral fracture of the condylar process
*fracture of the mandible in the anterior region
*fracture of the upper jaw
*fracture of the zygomatic bone on both sides
*fracture of the alveolar process of the maxilla
#155
*!45 years old man came to the emergency room after the injury. The doctor revealed multiple fractures of the mandible.
Which method of x-ray are MOST recommended for diagnosis?
*+orthopantomogram
*lateral x-ray
*panoramic radiography
*intraoral contact radiography
*plain radiography of the skull in frontal and lateral projection
#156
*!37 years old man, contacted the clinic two months after the injury, with complaints of inadequate food intake, malocclusion, inability of dense occlusion. From history: previously not treated, after the injury noted pain, swelling. Status localis: pathological mobility of fragments of the lower jaw, signs of inflammation are absent.
Which of the following diagnoses is the MOST probable?
*+false joint
*fracture of the condylar process without displacement of fragments
*traumatic osteomyelitis of the mandible
*fracture of the mandible angle with displacement of fragments
*not right grown fracture of the mandible
#157
*!42 years old man turned to the clinic 2 days after the injury, with complaints of painful eating, malocclusion, inability of dense occlusion. During the inspection noted abnormal mobility of fragments of the mandible, the mucosa of the retromolar region at 3.8 tooth is cyanotic with hemorrhages.
Which of the following diagnoses is the MOST probable?
*false joint
*malunion of the mandible
*fracture of the condylar process without displacement of fragments
*+fracture of the lower jaw at the corner on the left
*fracture of the mandible at the condylar process with displacement of fragments
#158
*!A 25 years old man, came 2 hours after a face injury. Ph.exam.: there is pathological mobility of fragments of the lower jaw. On radiographs the fracture line is localized between 4.4 and 4.5 teeth.
What is the MOST likely nature of this fracture?
*distal
*+open
*combined
*multiple
*comminuted
#159
*!During the inspection of man of 23 years, who applied due to the injury of the face, detected abnormal mobility of the mandible. On radiographs the fracture line is localized between 4.6 and 4.7, teeth, and branches to the left.
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What is the MOST likely nature of this fracture?
*distal
*+bifocal
*combined
*multiple
*comminuted
#160
*!A 42 years old man turned to the clinic 2 days after the injury with complaints of painful eating, malocclusion, inability of dense occlusion. From history: previously, help was not performed. During the inspection noted crepitus of the parotid-chewing area on the right. In the mouth the lack of contact of the molars antagonists on the left.
Which of the following diagnoses is the MOST probable?
*traumatic osteomyelitis of the mandible on the left
*fracture to the lower jaw at the corner on the right
*false joint on the left
*malunion of the mandible to the left
*+fracture of condylar process of mandible on the right
#161
*!A 37 years old man, contacted the clinic a day after the injury with complaints of painful eating, malocclusion, inability of dense occlusion. From history: previously, help was not sought. During the inspection there is swelling of the chin region. In the mouth the gap of the mucous membrane between 3.4 and 3.5 teeth.
Which of the following diagnoses is the MOST probable?
*traumatic osteomyelitis of the mandible on the left
*fracture to the lower jaw at the corner on the left
*+fracture of the mandible body left
*malunion of the mandible
*fracture of condylar process of mandible on the right
#162
*!A 38 years old man admitted to the hospital. Ph.exam.: local pain, malocclusion, abnormal mobility of fragments in the region of 4.5, 4.6 teeth, the gap of the mucous membrane, positive symptom of Vincent, symptom load, positive in the region of the mandibular body on the right.
Which of the following diagnoses is the MOST probable?
*+fracture of the mandible in the region of 4.5, 4.6 teeth with displacement of fragments
*closed fracture of the mandible in the region of 4.5, 4.6 teeth without displacement of fragments
*partial dislocation of the teeth 4.5, 4.6
*closed fracture of the mandible body on the right without displacement of fragments
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*bilateral fracture of the mandible in 4.5, 4.6 with displacement of fragments
#163
*!A 46 years old man, turned to the maxillofacial Department with complaints of the presence of pain in the body of the mandible on the right, periodic inflammation with pus office. Ph.exam.: in the region of the mandibular body to the right is marked fistula with wibehouse of granulation. When probing the fistula is defined using a movable bone fragment. From the anamnesis: trauma 2 months ago. For help was not sought.
Which of the following diagnoses is the MOST probable?
*fracture of the mandible body on the right
*festering ameloblastoma of the mandible
*malunion of the mandible
*+chronic traumatic osteomyelitis of the mandible
*exacerbation of chronic odontogenic osteomyelitis of the mandible
#164
*!A 17 years old man, went to the clinic 2 hours after the injury. Ph.exam.: General condition is satisfactory, consciousness is clear, local pain, malocclusion, pathological mobility of fragments of the jaw in the area of the tooth 48, the gap of the mucous membrane on the lingual side in the region 48 of the tooth. Positive symptom of Vincent and positive symptom load in the angle of the mandible on the right. On the radiograph: a violation of the integrity of bone in region of mandibular angle, 48 teeth. Small otlook is shifted up and to the inside.
Which of the following diagnoses is the MOST probable?
*anterior dislocation of the lower jaw, complete dislocation 48
*fracture to the lower jaw at the corner on the right without displacement of fragments
*+fracture of the lower jaw at the corner on the right with displacement of fragments
*bilateral fracture of the mandible with displacement of fragments
*fracture of the alveolar process in region 48, with displacement of fragments
#165
*!A 24 years old man, appealed with complaints of pain, swelling in the lower jaw on the left. 2 hours ago beaten by unknown. Consciousness is not lost, nausea and vomiting are negative. On examination: facial asymmetry due to swelling of the soft tissues of the mandible on the left. Determined by palpation tenderness and mobility of bone fragments in the body of the mandible. Positive symptom load with an open mouth. The mouth opening is limited to 1.5 cm Bite broken. The mucosa between the 35 and 36 teeth are broken, bleeding.
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Which of the following diagnoses is the MOST probable?
*+fracture of the mandible's body
*fracture of the mandible angle
*fracture of mandible mental
*fracture of the lower jaw in central area
*fracture of the mandibular ramus
#166
*!A 34 years old man, appealed with complaints of pain, swelling in the lower jaw on the right. 4 hours ago beaten by unknown. Consciousness is not lost, nausea and vomiting are negative. On examination: facial asymmetry due to swelling of the soft tissues of the lower jaw on the right. Determined by palpation tenderness, and mobility of fragments in the angle of the mandible. Positive symptom load with an open mouth. The mouth opening is limited to 1.5 cm Bite broken. Mucous is a 47 tooth broken, bleeding.
Which of the following diagnoses is the MOST probable?
*fracture of the mandible body
*+fracture of the mandible's angle
*fracture of mandible mental
*fracture of the lower jaw in central area
*fracture of the mandibular ramus
#167
*!A 28 years old man, was admitted to the emergency Department, diagnosed with bilateral fracture of the mandible in the region of the foramen mentalis.
The direction in which of the following is MOST likely shifted the average Outlook?
*remains unchanged
*moves to one side
*+is lowered and displaced posteriorly
*falls down and moves anteriorly
*rises and is displaced posteriorly
#168
*!A 43 years old man, contacted the clinic with complaints of pain and swelling in the chin Department of the lower jaw. From the anamnesis: about 3 days ago received a blow to the lower jaw. Consciousness is not lost, nausea, vomiting was not. During the inspection determined the swelling in the chin area, compromising the integrity of the soft tissues and mucosa is not revealed. A malocclusion. There is a pathological mobility in the anterior region between 3.1 and 4.1 of the teeth, accompanied by considerable pain.
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Which of the following diagnoses is the MOST probable?
*+fracture of the mandible body
*fracture of the mandible angle
*fracture of mandible mental
*fracture of the condylar process
*fracture of the mandibular ramus
#169
*!A 32 years old man, was admitted to the clinic with complaints of swelling in the lower buccal region on the right and the presence of fistulous with purulent discharge, swelling in the submandibular region on the right and pain in this region, aggravated by eating. From history revealed that 5 months ago was injured in the lower jaw to the right during the fight. The doctor asked a week after the injury, was treated at the hospital then in the clinic. A week after removing bimaxillary tires again there was swelling in the right colocolostomy tissues, skin flushing, opened fistulous course with purulent discharge.
Which of the following diagnoses is the MOST probable?
*traumatic osteomyelitis of the mandible on the left
*+traumatic osteomyelitis of the mandible on the right
*fracture to the lower jaw at the corner on the right
*fracture of the upper jaw to the right
*fracture of the mandible in the anterior region
#170
*!A 48 years old man, contacted the clinic after 3 days after injury with complaints of painful eating, malocclusion, inability of dense occlusion. During the inspection noted crepitus of the parotid-masticatory region on the left. In the mouth the lack of contact of the molars antagonists on the right.
Which of the following preliminary diagnoses is MOST probable?
*traumatic osteomyelitis of the mandible on the left
*fracture to the lower jaw at the corner on the right
*false joint of the left
*+fracture of the condylar process of the mandible to the left
*fracture of condylar process of mandible on the right
#171
*!A 34 years old man was admitted to the emergency Department after the injury. An objective examination marked local pain, malocclusion, pathological mobility of fragments of the jaw in the region of 45, 46 teeth, rupture of mucous membrane, positive symptom Vincent and symptom load in the body of the mandible on the right.
What type of radiography is MOST informative for this case?
*Schuller;
*paraxially;
*craniography profile;
*+the side of the lower jaw;
*intraoral the floor of the mouth.
#172
*!A 33 years old man was admitted to the emergency 8 hours after the injury with complaints of painful mouth opening, impaired chewing function. Ph.exam.: edema of soft tissues in the region of the mandibular body on the right. Palpation: local tenderness in the region of the mandibular body to the right, there is a positive symptom load. The bite is not broken. The integrity of the mucosa is not violated. The drums 45, 46 teeth slightly painful, the teeth stable.
Which of the following preliminary diagnoses is MOST probable?
*posterior dislocation of the lower jaw;
*unilateral fracture of the articular process of the mandible
*bilateral fracture of the mandible angle to the left and body right;
*+unilateral fracture of the mandible body on the right without displacement of fragments;
*unilateral fracture of the mandible body on the right with displacement of fragments;
#173
*!A, 28 years old man, contacted the clinic with complaints of pain and swelling in the chin Department of the lower jaw. From the anamnesis: about 3 days ago received a blow to the lower jaw. Consciousness is not lost, nausea, vomiting was not. Medical help was not sought. During the inspection determined the swelling in the chin area, compromising the integrity of the soft tissues and mucosa of the lower lip was not detected. A malocclusion due to displacement of the fragments in the anterior region between the 41 and 31 teeth. There is a pathological mobility of fragments of the lower jaw, accompanied by considerable pain.
Which of the following preliminary diagnoses is MOST probable?
*+fracture of the mandible in the anterior region with displacement
*fracture of the mandible in the anterior region without displacement
*unilateral fracture of the mandible body on the right with displacement of fragments
*unilateral fracture of the mandible body on the right without displacement of fragments
*unilateral fracture of the articular process of the mandible
#174
*!The young man 20 years old, the accident injured lower jaw. Consciousness is not lost, nausea, vomiting was not. On the third day after the injury was treated in a specialist clinic. 6 months before the latest injury was a fracture of the left lower jaw in region of tooth 37. Mouth opens up to 1.5 cm, is determined by palpation tenderness in the region of the condylar process on the left. When the load on the chin causes pain in the region of the condylar process of the mandible on the left. 37 tooth is missing, pathological mobility at the former site of fracture no.
Which of the following preliminary diagnoses is MOST probable?
*fracture of the mandible on the right in the region of the condylar process
*+fracture of the left lower jaw in the region of the condylar process
*fracture of the mandible in the anterior region with displacement
*unilateral fracture of the mandible body on the right with displacement of fragments
*unilateral fracture of the mandible body on the right without displacement of fragments;
#175
*!A 24 years old man, came to the emergency Department with complaints of a swelling in the left chin area and soreness in this area during the meal. From history: three days ago at work got hit with a metal detail in the chin area. Just do not pay attention to it. When the inspection is determined by swelling of the soft tissues of the face in the chin, mouth open for 2,5 cm Palpation in the region of the chin and the branches of the left lower jaw painful. Pressure on the chin causes pain in the region of the temporomandibular joint on the left.
Which of the following preliminary diagnoses is MOST probable?
*fracture of the mandible in the anterior region with displacement
*fracture of the mandible on the right in the region of the condylar process
*fracture to the lower jaw at the corner on the left
*fracture to the lower jaw at the corner on the right
*+fracture of the left lower jaw in the region of the condylar process
#176
*!A 32 years old man, contacted the clinic with complaints of painful and restricted mouth opening. From the anamnesis: 4 days ago got hit in the chin. Consciousness is not lost, nausea, vomiting was not. About 7 months ago had a fracture of the lower jaw to the right in region 48 of the tooth. During the inspection defined the small abrasion on the skin of the chin to the left. Mouth opens to 2.0 cm., the wider opening of the mouth difficult and painful. When opening mouth the lower jaw shifts to the left. Palpation is defined soreness in the anterior surface of the branches on the left and in the region of the coronoid process.
Which of the following preliminary diagnoses is MOST probable?
*+fracture of the left lower jaw, in region of the coronoid process
*fracture of the mandible on the right in the region of the condylar process
*fracture to the lower jaw at the corner on the left
*fracture of the mandible in the anterior region to the left
*fracture of the mandible in the anterior region to the right
#177
*!A 55 years old man, came to the emergency Department with complaints of pain and swelling in the chin Department of the lower jaw. From history 2 days ago received a blow to the lower jaw. During the inspection determined the swelling in the chin area, compromising the integrity of the soft tissues and mucosa is not revealed. A malocclusion. There is a pathological mobility in the anterior region between 3.1 and 4.1 of the teeth, accompanied by considerable pain.
Which of the following preliminary diagnoses is MOST probable?
*fracture of the mandible angle
*fracture of mandible mental
*fracture of the condylar process
*fracture of the mandibular ramus
*+fracture of the mandible body
#178
*!A 38 years old man, was admitted to the emergency Department with complaints of swelling in right cheek region and the presence of fistulous with purulent discharge, swelling in the submandibular region on the right and pain in this region, aggravated by eating. From history revealed that 6 weeks ago was injured in the lower jaw to the right on the site. The doctor asked a week after the injury, was treated at the hospital then in the clinic. A week after removing bimaxillary tires again appeared swelling, redness of the skin, opened fistulous course with purulent discharge.
Which of the following diagnoses is the MOST probable?
*fracture to the lower jaw at the corner on the right
*fracture of the upper jaw to the right
*fracture of the mandible in the anterior region
*traumatic osteomyelitis of the mandible on the left
*+traumatic osteomyelitis of the mandible on the right
#179
*!A 56 years old man, referred to the clinic after 4 days after injury with complaints of painful eating, malocclusion, inability of dense occlusion. During the inspection noted crepitus of the parotid-masticatory region on the left. In the mouth the lack of contact of the molars antagonists on the right.
Which of the following diagnoses is the MOST probable?
*+fracture of the condylar process of the mandible to the left
*fracture of condylar process of mandible on the right
*traumatic osteomyelitis of the mandible on the left
*fracture to the lower jaw at the corner on the right
*false joint of the left
#180
*!A 42 years turned to the clinic 2 days after the injury with complaints of painful eating, malocclusion, inability of dense occlusion. From history: previously, help was not sought. During the inspection there is swelling of the chin region. In the mouth the gap of the mucous membrane between 3.3 and 3.4 of the teeth.
Which of the following diagnoses is the MOST probable?
*traumatic osteomyelitis of the mandible on the left
*fracture to the lower jaw at the corner on the left
*+fracture of the mandible body left
*malunion of the mandible
*fracture of condylar process of mandible on the right
#181
*!A 47 years old man, came to the emergency Department 72 hours later after the fight. Ph.exam.: local pain, malocclusion, abnormal mobility of fragments in the region 4.4, 4.5 of the teeth, rupture of the mucous membrane, positive symptom of Vincent, symptom load, positive in the region of the mandibular body on the right.
Which of the following diagnoses is the MOST probable?
*+fracture of the mandible in the region of 4.4, 456 teeth with displacement of fragments
*closed fracture of the mandible in the region 4.4, 4.5 of the teeth without displacement of fragments
*partial dislocation of the teeth 4.4, 4.5
*closed fracture of the mandible body on the right without displacement of fragments
*bilateral fracture of the mandible in 4.4, 4.5 with displacement of fragments
#182
*!Man, 34 years old man, contacted the clinic with complaints of pain, swelling in the lower jaw on the left. 5 hours ago was beaten by unknown assailants. Consciousness is not lost, nausea and vomiting are negative. On examination: facial asymmetry due to swelling of the soft tissues of the mandible on the left. Determined by palpation tenderness and mobility of bone fragments in the body of the mandible. Positive symptom load with an open mouth. Opening the mouth is limited to 2.0 cm, the Bite is disturbed. The mucosa between the 34, 35 teeth broken, bleeding.
Which of the following diagnoses is the MOST probable?
*fracture of mandible mental
*fracture of the lower jaw in central area
*fracture of the mandibular ramus
*+fracture of the mandible body
*fracture of the mandible angle
#183
*!A 39 years old man, appealed with complaints of pain, swelling in the lower jaw on the right. 6 hours ago beaten by unknown. Consciousness is not lost, nausea and vomiting are negative. On examination: facial asymmetry due to swelling of the soft tissues of the lower jaw on the right. Determined by palpation tenderness, and mobility of fragments in the angle of the mandible. Positive symptom load with an open mouth. The mouth opening is limited to 1.5 cm Bite broken. Mucosa 48 tooth broken, bleeding.
Which of the following diagnoses is the MOST probable?
*fracture of the mandible body
*+fracture of the mandible angle
*fracture of mandible mental
*fracture of the lower jaw in central area
*fracture of the mandibular ramus
#184
*!A 44 years old man, came to the emergency Department with complaints of pain in the lower jaw. An hour ago he fell down the stairs Consciousness is not lost, nausea and vomiting are negative. On examination: facial asymmetry due to swelling of the soft tissues buccal to the left. Opening the mouth is limited to 2.0 cm, the Bite is disturbed. Mucosa between 33, 34 teeth are broken, bleeding. On radiographs of the violation of the integrity of bone tissue between 33 and 34 teeth.
Which of the following diagnoses is the MOST probable?
*fracture of mandible mental
*fracture of the lower jaw in central area
*fracture of the mandibular ramus on the left
*+fracture of the mandible body left
*fracture to the lower jaw at the corner on the left
#185
*!A 42 years old man, appealed with complaints of pain in the lower jaw on the right. 6 hours ago beaten by unknown persons. Consciousness is not lost, nausea and vomiting are negative. On examination: facial asymmetry due to swelling of the soft tissues of the masticatory area on the right. The mouth opening is limited to 1.5 cm Bite broken. Mucosa 48 tooth broken, bleeding.
Which of the following diagnoses is the MOST probable?
*fracture of the mandible body on the right
*+fracture of the lower jaw at the corner on the right
*fracture of mandible mental
*fracture of the lower jaw in central area
*fracture of the mandibular ramus on the right
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