Неогнестрельные переломы верхней челюсти. Клиника, диагностика, лечение
#186
*!A 43 years old man, was carried to the emergency room after the injury. Objectively: the elongation and flattening of the midface.
Which of the following preliminary diagnosis is the MOST correct?
*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
*fracture of the mandible in the posterior
#187
*!A 44 years old woman was rushed to the emergency room after an accident. Objective: the fracture line runs horizontally across the nasal bones, the inner and lower wall of the orbit, ends near zygomatic-jaw seam.
What preliminary diagnosis is the MOST correct?
*fracture of the alveolar process of the maxilla
*fracture of the zygomatico-orbital complex
*fracture of the tuberosity
*fracture of the anterior wall of the maxillary sinus
*+Le-Fort 2
#188
*!A 35 years old man, rushed to the emergency room after an accident. The doctor diagnosed a complete separation of the maxilla from the nasal, zygomatic bones and the pterygoid processes of the sphenoid bone from the base of the skull.
What preliminary diagnosis is the MOST correct?
*fracture of the anterior wall of the maxillary sinus
*+Le-Fort I
*fracture of the zygomatico-orbital complex
*fracture of the alveolar process of the maxilla
*fracture of the tuberosity
#189
*!A 35 years old man, rushed to the emergency room after an accident. The doctor revealed that the fracture line passes through the alveolar processes, tuberosity of the upper jaw and the lower portions of the pterygoid processes of the sphenoid bone.
What preliminary diagnosis is the MOST correct?
*fracture of the anterior wall of the maxillary sinus
*+Le-Fort, III
*fracture of the zygomatico-orbital complex
*fracture of the alveolar process of the maxilla
*fracture of the tuberosity
#190
*!A 24 years old man, was admitted to the emergency department 3 hours after injury. On the radiograph: a line of violation of the integrity of bone tissue takes place, starting at the edge pear-shaped holes on two sides, goes backwards above the bottom of the maxillary sinus, via the hill and the lower third of the pterygoid process of the sphenoid bone.
Which of the following diagnoses is the MOST appropriate?
*fracture of the maxilla by Le Fort I
*fracture of the maxilla by Le Fort II
*+maxillary fractures at the Le Fort III
*fracture of the anterior wall of the maxillary sinus
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*bilateral fracture of the frontal process of the maxilla
#191
*!A 27 years old man, was admitted to the emergency department 2 hours after the injury. On the radiograph: a line of violation of the integrity of bone tissue passes through the root of the nose, on the inner wall of the orbit to infraorbital slit,on the external wall of the socket through loveschool suture and zygomatic arch and pterygoid processes of the sphenoid bone.
Which of the following diagnoses is the MOST appropriate?
*+Le-Fort I
*Le Fort II
*Le Fort III
*Le-Fort-Guérin
*Bilateral fracture of the frontal process of the maxilla
#192
*!A, 35 years old man, contacted the clinic 2 days after the injury, with complaints of inadequate food intake, malocclusion, inability of dense occlusion. During the inspection there is swelling of the upper lip and buccal areas, the "elongation" of the middle third of the face, abnormal mobility of the alveolar process together with a solid sky.
Which of the following diagnoses is the MOST appropriate?
*fracture of the zygomatic bone
*fracture of zygomaticoalveolar crist
*+maxillary fractures Le-Fort II
*fracture of the anterior wall of the maxillary sinus
*fracture of the upper jaw of Le Fort I
#193
*!A 22 years old man, taken to the hospital 2 hours after injury in a serious condition. During the inspection noted bilateral edema of the upper lip and buccal areas, the abnormal mobility of the upper jaw together with the zygomatic bone.
Which of the following diagnoses is the MOST appropriate?
*fracture of the zygomatic bone
*fracture of zygomaticoalveolar crist
*fracture of the upper jaw of Le Fort II
*fracture of the anterior wall of the maxillary sinus
*+maxillary fractures Le-Fort I
#194
*!The man, 33 years old, with a clinical picture of fracture of the upper jaw on polyaxial radiographs revealed a homogeneous shadow in the region of the maxillary sinus.
Which of the following symptoms identified in a patient?
*diplopia
*+gemosinus
*enophthalm
*symptom points
*the displacement of bone fragments
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#195
*!A 29 years old man, was carried to the emergency room after an accident. The doctor diagnosed a complete separation of the facial skeleton from the skull base.
What preliminary diagnosis is the MOST correct?
*+fracture of the type Le Fort I
*fracture of the type Le Fort II
*fracture of the type Le Fort III
*the type of the Le-Fort-guérin
*fracture of the zygoma-orbital complex
#196
*!A 29 years old man appealed to the clinic 3 hours after the injury. Complaints of spilled pain in the middle third of the face. Objective: clear consciousness, the general condition satisfactory. Line of violation of the integrity of bone tissue takes place, starting at the edge pear-shaped holes on two sides, goes backwards above the bottom of the maxillary sinus, via the hill and the lower third of the pterygoid process of the sphenoid bone.
Which of the following preliminary diagnoses is the MOST probable?
*Le Fort I
*Le Fort II
*+Le-Fort, III
*Le-Fort IV
*Le-Fort-Guérin
#197
*!Woman. 48 years in the fall got stroke in the face, consciousness is not lost, there was pain in the upper jaw, bloody discharge from the mouth. Objective: abnormal mobility of the front teeth along with the alveolar process of the maxilla, violation of the integrity of the mucosa, bleeding on a transitional fold.
Which of the following preliminary diagnoses is the MOST probable?
*fracture of the alveolar process
*anterior dislocation of mandible
*torn-bruised wound of the upper lip
*fracture of the maxilla by Le Fort I
*+fracture of the alveolar process of the maxilla
#198
*!A, 35 years old man, was taken to the hospital 2 hours after injury. Objectively: the patient is unconscious, tendon reflexes sluggish, photo-reaction is alive. Face asymmetrically due to edema of the soft tissues of the midface, abnormal mobility of the upper jaw, haemorrhagic discharge from the nose. On the radiograph: a line of violation of the integrity of the bone, passes through the root of the nose, on the inner wall of the orbit to infraorbiatl slit, on the external wall of the orbit through the frontal-zygomatic suture and the zygomatic arch and pterygoid processes of the sphenoid bone
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Which of the following preliminary diagnoses is the MOST probable?
*+Le-Fort I
*Le Fort II
*Le Fort III
*Le-Fort-Guérin
*fracture of the nose
#199
*!A 48 years old man, was admitted to the hospital after the injury. On examination: edema of the soft tissues of the right half of the face, violation sensitivity of the skin infraorbital area on the right, difficulty opening mouth, difficulty in nasal breathing on the right, double vision.
Due to the damage which the anatomical structure is a violation of the sensitivity of the skin infraorbital area on the right?
*nasal bone and ethmoid bodies
*of inferior alveolar nerve
*facial nerve
*vagus nerve
*+infraorbital nerve
#200
*!A 34 years old man got in an accident. Consciousness is not lost. Complaints of headache, dizziness, weakness, nausea. 12 hours after the injury appeared "symptom points," does not extend beyond the circular muscle of the eye.
Which of the following preliminary diagnoses is the MOST probable?
*+fracture skull base
*fracture of the maxilla by Le Fort II
*fracture of the nose
*bilateral fracture of zygomatic bones
*fracture of the frontal bone
#201
*!A 44 years old man appealed to the clinic with complaints of pain and swelling in the infraorbital, buccal areas on the right, dizziness, weakness. From the anamnesis: the injury received during the fight, consciousness is not lost. On examination: facial asymmetry due to swelling of the soft tissues of infraorbital, buccal areas on the right. The skin is hyperemic with cyanotic tint. On palpation, painfull and crepitus of the soft tissues buccal to the right and a symptom of "steps" along the lower edge of the orbit. The mouth opening is painful.
Which of the following preliminary diagnoses is the MOST probable?
*fracture of the maxilla by Le Fort II
*fracture of the upper jaw at the Guérin
*fracture of the zygomatic bone on the right
*+fracture of the anterior wall of the maxillary sinus
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*fracture of the maxilla at the Le-Fort-III
#202
*!Woman 42 years, delivered by ambulance to the emergency department after injury. The examination determined that the line of violation of the integrity of bone tissue takes place, starting at the edge pear-shaped holes on two sides, goes backwards above the bottom of the maxillary sinus, via the hill and the lower third of the pterygoid process of the sphenoid bone
Which of the following preliminary diagnoses is the MOST probable?
*fracture of the maxilla by Le Fort I
*fracture of the maxilla by Le Fort II
*+maxillary fractures at the Le Fort III
*fracture of the anterior wall of the maxillary sinus
*bilateral fracture of the frontal process of the maxilla
#203
*!38 years old woman brought to the emergency department of a specialized hospital. The examination determined that the line of violation of the integrity of bone tissue passes through the root of the nose, on the inner wall of the orbit to infraorbiatal slit, on the external wall of the orbit through the frontal-zygomatic suture and the zygomatic arch and pterygoid processes of the sphenoid bone.
Which of the following preliminary diagnoses is the MOST probable?
*+Le-Fort I
*Le Fort II
*Le Fort III
*Le-Fort-Guérin
*fracture of frontal process of maxilla
#204
*!A 45 years delivered to the clinic within 72 hours after the injury with complaints of inadequate food intake, malocclusion, inability tight closing of the teeth. During the inspection there is swelling of the upper lip and buccal areas, the "elongation" of the middle third of the face, abnormal mobility of the alveolar process together with a hard palate. Which of the following preliminary diagnoses is MOST probable?
*fracture of the zygomatic bone
*fracture of zygomaticoalveolar crist
*fracture of the anterior wall of the maxillary sinus
*maxillary fractures Le-Fort III
*+maxillary fractures Le-Fort II
#205
*!Woman 32 years, is delivered by ambulance 2 hours after injury in a serious condition. During the inspection noted bilateral edema of the upper lip and buccal areas, the abnormal mobility of the upper jaw together with the zygomatic bone.
Which of the following preliminary diagnoses is MOST probable?
*Fracture of the zygomatic bone
*Fracture of zygomaticoalveolar crist
*Fracture of the upper jaw of Le Fort II
*Maxillary fractures Le-Fort III
*+Maxillary fractures Le-Fort I
#206
*!A woman of 40 years, delivered to the emergency department after 6 hours after injury. After the examination it is expected the diagnosis of "Zygomaticomaxillary fracture".
In the area of branching of a nerve, MOST likely there is a violation of surface sensitivity?
*alveolus
*mental
*naso-palatal
*supraorbital
*+infraorbital
#207
*!A 39 years old woman referred to the clinic after 4 hours after injury. Complains of spilled pain in the middle third of the face. When x-ray line of violation of the integrity of bone tissue takes place, starting at the edge pear-shaped holes on two sides, goes backwards above the bottom of the maxillary sinus, via the hill and the lower third of the pterygoid process of the sphenoid bone.
Which of the following preliminary diagnoses is MOST probable?
*Le Fort I
*Le Fort II
*+Le-Fort, III
*Le-Fort IV
*Le-Fort-Guérin
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