Вывих нижней челюсти. Клиника. Лечение
#228
*!A 42 years old woman was admitted to the emergency room after the injury. Objective: the chin and the middle line is misaligned, the teeth do not interlock, the head of the condylar process is palpated through the external auditory canal.
Which clinical diagnosis is the MOST correct?
*+unilateral dislocation of the TMJ
*anterior dislocation of the TMJ
*unilateral fracture of the condylar process
*posterior dislocation of the TMJ
*bilateral fracture of the condylar processes
#229
*!A 44 years old man arrived in emergency room after injury. Objective: the articular head is displaced on the cutting edge of the articular tubercle.
Which clinical diagnosis is the MOST correct?
*unilateral dislocation of the TMJ
*+anterior dislocation of the TMJ
*unilateral fracture of the condylar process
*posterior dislocation of the TMJ
*bilateral fracture of the condylar processes
#230
*!A 52 years old man was admitted to the emergency room after the injury. Objectively: could not close his mouth, unable to speak, head of the condylar process are not palpated through the external auditory canal.
Which clinical diagnosis is the MOST correct?
*unilateral dislocation of the TMJ
*+bilateral dislocation of the TMJ
*unilateral fracture of the condylar process
*posterior dislocation of the TMJ
*bilateral fracture of the condylar processes
#231
*!A 42 years old woman, was admitted to the emergency room after the injury. Objectively: the head is displaced posteriorly, rupture of the capsule of the joint, bleeding from the ear.
Which clinical diagnosis is the MOST correct?
*unilateral dislocation of the TMJ
*bilateral dislocation of the TMJ
*unilateral fracture of the condylar process
*+posterior dislocation of the TMJ
*bilateral fracture of the condylar processes
#232
*!A32 years old man applied 6 hours after injury. During the examination it was noted: General condition is satisfactory, consciousness clear, wide open mouth, displacement of the chin downward and forward, the expressed painful syndrome, it is difficult, mastication is impossible. On both sides in front of the tragus of the ear marked retraction, under the zygomatic arch is defined by the protrusion.
Which of the following preliminary diagnoses is the MOST probable?
*bilateral fracture of the zygomatic arch
*unilateral dislocation of mandible
*bilateral posterior dislocation of the mandible
*+bilateral anterior dislocation of the mandible
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*bilateral fracture of the mandible at the condylar processes of the offset
Ожоги лица. Термические ожоги. Химические ожоги. Электротравма. Особенности клинического течения. Особенности лечения ожогов лица
# 233
*!A man of 35 years was taken by ambulance crew to the maxillofacial hospital. Complaints about pain, swelling and redness of the forehead skin, cheeks on the left. From an anamnesis: a burn with boiling water. Objectively: against the background of hyperemic skin there are blisters with a transparent yellowish liquid. Under the lid of the bladder, a wet tissue of bright red or pink color with a pronounced pain sensitivity is determined.
Which of the following preliminary diagnoses is MOST POSSIBLE?
*1st degree burn
*+ 2nd degree burn
*Third degree burn
*III degree burn
*4th degree burn
# 234
*!A man of 40 years was taken to the clinic by an ambulance brigade, picked up on the street after a severe thunderstorm. Objectively: on the face skin there is a local lesion in the form of a label or signs of current, which have the form of red lines of branched form, well contour, rising above the surface of intact skin.
Which of the following preliminary diagnoses is MOST POSSIBLE?
*thermal burn
*Chemical burn with acid
*chemical burn with alkali
*+ electric burn
*frostbite
# 235
*!A 47-year-old man was taken by ambulance to the in-patient department of the hospital. Objectively: extensive damage to the face, neck, hands, as a result of a burn. A few hours later, hypothermia, chills, muscle tremors, thirst, nausea and vomiting.
Which of the following preliminary diagnoses is MOST POSSIBLE?
*+ burn shock
*loss of consciousness
*collapse
*pain shock
*anaphylactic shock
# 236
*!A 42-year-old man was taken to the clinic after a long stay in cold water. Objectively: the general condition is satisfactory, locally the phenomena of exfoliation of the deceased epidermis are noted with the formation of blisters filled with yellow or hemorrhagic fluid. When the blister is opened, a bright pink, sharply painful dermis is exposed.
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Which of the following preliminary diagnoses is MOST possible?
*frostbite degree I
*+ frostbite degree II
*frostbite degree III
*frostbite IV degree
*frostbite degree
# 237
*!A 37-year-old man was taken to the maxillofacial hospital by an ambulance crew. Complaints about pain, swelling and redness of the forehead skin, cheeks on the left. From an anamnesis: a burn with boiling water. Objectively: against the background of hyperemic skin there are blisters with a transparent yellowish liquid. Under the bubble cover, a wet tissue of bright red color with a pronounced pain sensitivity is determined.
Which of the following diagnoses is MOST possible?
*1st degree burn
*+ 2nd degree burn
*Third degree burn
*burn IIIb degree
*4th degree burn
# 238
*!The girl is 24 years old, the ambulance crew was taken to the waiting room. Complaints of pain, swelling and reddening of the skin of the forehead, nose and cheeks to the right. From an anamnesis: a burn with boiling water. Objectively: against the background of hyperemic skin there are blisters with a transparent yellowish liquid. Under the bubble cover, a wet tissue of bright red color with a pronounced pain sensitivity is determined.
Which of the following diagnoses is MOST possible?
*1st degree burn
*+ 2nd degree burn
*Third degree burn
*burn IIIb degree
*4th degree burn
# 239
*!A 34-year-old woman was taken by ambulance to the maxillofacial station. Complaints of pain, swelling and redness of the cheek skin and the front surface of the neck to the left. From an anamnesis: a steam burn. Objectively: on the burn surface, bubbles of considerable size are strained, filled with a liquid or gelatinous content of a yellowish color. The bottom of the burn wound is bright pink, moist. The pain sensitivity is preserved. There are sections of a wax-colored wail, with an elastic surface, pain sensitivity - reduced, tactile - preserved.
Which of the following diagnoses is MOST possible?
*1st degree burn
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*Second degree burn
*+ third degree burn
*III degree burn
*4th degree burn
# 240
*!A 19-year-old boy was taken by ambulance to the emergency room. Complaints of pain, swelling and redness of the skin of the forehead, nose and chin. From an anamnesis: a burn with boiling water. Objectively: against the background of hyperemic skin there are blisters with a transparent yellowish liquid. Under the bubble cover, a wet pink tissue with a pronounced pain sensitivity is detected.
Which of the following preliminary diagnoses is MOST POSSIBLE?
*1st degree burn
*+ 2nd degree burn
*Third degree burn
*III degree burn
*4th degree burn
# 241
*!A 40-year-old man was taken to the emergency room after an accident at the thermal power station. Objectively: on the skin of the face there is a local lesion, in the form of red lines of branched form, well contouring, rising above the surface of intact skin.
Which of the following preliminary diagnoses is MOST possible?
*thermal burn
*Chemical burn with acid
*chemical burn with alkali
*+ electric burn
*frostbite
# 242
*!A 47-year-old man was taken by ambulance to the in-patient department of the hospital. Objectively: extensive damage to the face, neck, front surface of the trunk and legs, hands as a result of a burn. A few hours later, hypothermia, chills, muscle tremors, thirst, nausea and vomiting.
Which of the following preliminary diagnoses is MOST possible?
*+ burn shock
*loss of consciousness
*collapse
*pain shock
*anaphylactic shock
# 243
*!A 32-year-old woman, in domestic conditions, received a burn of the front surface of the neck and hands with a strongly active substance. On examination: against the background of the hyperemic surface, foci of whitish-colored necrosis, blisters with serous contents.
What tactic of emergency care is MOST appropriate?
*termination of the damaging agent
*+ washing with running water
*desensitizing therapy
*topical application of keratoplasty
*antiseptic treatment
# 244
*!A 43-year-old man, in a domestic setting, received a 70% acetic acid solution of facial and neck skin.
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What is the MOST likely tactic for conducting the first emergency care?
*termination of the damaging agent
*+ chemical neutralization of acid
*desensitizing therapy
*topical application of keratoplasty
*antiseptic treatment
# 245
*!A 37-year-old woman, in domestic conditions, received a thermal burn of the anterior surface of the forearm.
Which method of determining the burn area of the listed MOST appropriate to apply?
*+ the rule of the palm
*Lun-da Browder table
*rule of nine
*Voyachek's test
*Glyacel test
# 246
*!A woman of 29 years, in domestic conditions received a thermal burn of the front surface of the neck.
Which method of determining the burn area of the listed MOST appropriate to apply?
*+ the rule of the palm
*Lun-da Browder table
*rule of nine
*Voyachek's test
*Glyacel test
# 247
*!A woman of 38 years, in the household conditions, a burning of the upper respiratory tract with hot steam occurred.
What method of determining the severity of a burn injury from the following is MOST appropriate to apply?
*rule of the palm
*Lun-da Browder table
*rule of nine
*Voyachek's test
*+ defeat index
# 248
*!A 29-year-old man, in the industrial environment, a hot-steam burn of the upper respiratory tract occurred.
What index of severity of defeat is the MOST expected?
*20 items
*+ 30 units
*40 items
*50 items
*60 items
# 249
*!A 42-year-old man in industrial conditions received a thermal burn of a face of the 2nd degree.
What index of severity of defeat is the MOST expected?
*2 pieces
*+ 3 units
*4 units
*5 units
*6 units
# 250
*!A 36-year-old woman, under industrial conditions, suffered a thermal burn of a person of grade III b.
What index of severity of defeat is the MOST expected?
*3 units
*+ 9 units
*12 units
*15 units
*18 items
# 251
*!A 43-year-old woman, in an industrial environment, received electric trauma. Trauma was accompanied by convulsive contraction of the muscles without losing consciousness.
What degree of electrical injury from the following is MOST likely?
*+ I degrees
*II degree
*III degree
*IV degree
*V degree
# 252
*!A woman of 38 years old, under industrial conditions, suffered an electric shock. Trauma was accompanied by convulsive contraction of muscles and short-term loss of consciousness.
What degree of electrical injury from the following is MOST likely?
*I degree
*+ II degrees
*III degree
*IV degree
*V degree
# 253
*!A 49-year-old man, in an industrial setting, received electric trauma. Trauma was accompanied by convulsive muscle contraction, short-term loss of consciousness, a violation of the heart.
What degree of electrical injury from the following is MOST likely?
*I degree
*II degree
*+ III degree
*IV degree
*V degree
# 254
*!A man of 29 years, in an industrial environment, received electric trauma. Trauma was accompanied by convulsive muscle contraction, loss of consciousness, a violation of the heart and led to a clinical death.
What degree of electrical injury from the following is MOST likely?
*I degree
*II degree
*III degree
*+ IV degree
*V degree
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