Врожденные кисты и свиши лица и шеи. Одонтогенные и неодонтогенные эпителиальные кисты челюстей. Клиника, диагностика, лечение



#272

*!A 25 years old woman appealed to the doctor complaining of the presence of a tumor in the sublingual area to the left, the violation of the meal. At objective inspection is determined the bulging of the hyoid region in the left, the mucous membrane over it a bluish color. Palpation is determined by symptom fluctuations.

Which of the following preliminary diagnoses is MOST probable?

*+ranula

*adenoma

*cylindroma

*adenocarcinoma

*cancer of the salivary glands

 

#273

*!A29 years old woman appealed with complaints about the availability of education in the area of the lower lip on the left, after biting opened with the release of viscous liquid, then filled. At objective inspection is determined by the education of the lower lip on the left, the mucous membrane over it a bluish color. On palpation of the formation of soft-elastic consistency.

Which of the following preliminary diagnoses is MOST probable?

*adenoma

*cylindroma

*+retention cyst of the lower lip on the left

*adenocarcinoma

*cancer of the salivary glands

 

#274

*!A 47 years old man appealed with complaints about the presence of a tumor in the parotid gland on the left. An objective study is determined by education painless, soft-elastic consistency, about 3 cm in diameter, with clear boundaries, not soldered to the surrounding tissues. On sialogram defined filling defect 2,5x2,5 cm with smooth contours.

Which of the following preliminary diagnoses is MOST probable?

*sialadenitis

*hemangioma

*cancer of the salivary gland

*+cyst of parotid gland

*false mumps of Herzenberg

 

#275

*!A 4 years old child on the left lateral surface of the neck has formation. According to parents ' education increased slowly, over 3-4 years. Objectively: in the middle third of the neck at the anterior margin of the sternocleidomastoid muscle is determined by the circular formation the size of a hen's egg, the skin in the area of education in color is not changed, palpation – painless limited education, not welded to the skin, elastic consistency.

Which of the following preliminary diagnoses is MOST probable?

*lipoma

*+lateral cyst of the neck

*sebaceous cyst neck

*chondroma

*osteoma

 

#276

*!A 25 years old man on x-ray picture has focus of rarefaction of bone with clear boundaries, different density, with a narrow area of enlightenment on the periphery.

Which of the following preliminary diagnoses is MOST probable?

*chondroma

*+cyst

*osteophytes

*exostosis

*intraosseous fibroma

 

#277

*!A55 years old man during a routine inspection on the radiograph is determined by the center of destruction of bone tissue with smooth, sharp edges rounded in the region of the root 16 of the tooth.

Which of the following preliminary diagnoses is MOST probable?

*+radicular cyst

*osteoclastoma

*fibroids

*angiomatous epulis

*odontogenic fibroma

 

#278

*!A 29 years old woman during checkup on the X-ray has destruction of bone tissue with smooth, crisp edges and the presence of the coronal portion of the non-erupted 23 tooth.

Which of the following preliminary diagnoses is MOST probable?

*+follicular cyst

*osteoclastoma

*fibroids

*angiomatous epulis

*odontogenic fibroma

 

#279

*!A27 years old man appealed with complaints of formation. During the inspection noted the presence of elastic bulging in the anterior hard palate, in the course of palatal suture behind the Central incisors is determined by palpation rounded education with fluctuation in the center.

Which of the following preliminary diagnoses is MOST probable?

*+nasal-palatinal cyst

*osteoclastoma

*fibroids

*angiomatous epulis

*odontogenic fibroma

 

#280

*!A 50 years old woman, came for preventive examination on the radiograph is determined by the dilution of the bones in shape, resembling an inverted pear with clear boundaries. The roots of the teeth 12,13 apart, the contours of the periodontal slit saved.

Which of the following preliminary diagnoses is MOST probable?

*+globular maxillary cyst

*osteoclastoma

*fibroids

*angiomatous epulis

*odontogenic fibroma

 

#281

*!A24 years old man appealed with complaints of education. During the inspection education has the appearance of soft tissue that lies under the upper lip, which moves up the wing of the nose, widens the nostril, and the deformation of the nasolabial fold.

Which of the following preliminary diagnoses is MOST probable?

*+nasolabial cyst

*osteoclastoma

*fibroids

*angiomatous epulis

*odontogenic fibroma

 

#282

*!A 35 years old woman admitted to the clinic with complaints of pain when biting. Objectively: the face is symmetric, skin color is not changed, the regional lymph nodes are not enlarged. The mouth opens freely. 1.2 – 1.3 teeth under the filling, changed in color, percussion sharply painful.

What are the diseases MOST expedient to carry out differential diagnostics?

*severe periodontitis

*exacerbation of chronic periodontitis

*festering radicular cyst of the jaw

*acute pulpitis with symptoms of periodontitis

*+ceratocystis

 

#283

*!A 24 years old woman during prophylactic examination on the radiograph indicated a homogeneous rarefaction of bone round shape with a clear polycyclic contours.

Which of the following preliminary diagnoses is MOST probable?

*acute periodontitis

*exacerbation of chronic periodontitis

*festering radicular cyst of the jaw

*acute pulpitis with symptoms of periodontitis

*+keratocyst

 

#284

*!A 42 years old man appealed to the doctor complaining of the presence of less painful deformation of the mandibular body in the area destroyed 4.6,4.7 of the tooth. During the inspection revealed that in the first lower molar has a large carious cavity, probing the bottom of which there is a sharp pain, percussion is painless. Radiologically, there is a homogeneous hearth rarefaction of bone tissue in the region of 4.5,4.6,4.7 hearth has clear boundaries, the periodontal gap in the apex of the medial root of the tooth 4.6 not determined.

Which of the following preliminary diagnoses is MOST probable?

*osteoblastoclastoma

*+radicular cyst

*a follicular cyst

*odontoma

*fibroids

 

#285

*!A 22 years old man appealed to the doctor complaining of the presence of a painless deformation of the body of the mandible, which appeared a few months ago. The wisdom tooth on the affected side is not cut through, and the first and second molars intact. On radiographs in the angle of the lower jaw has a rounded homogeneous hearth rarefaction of bone tissue in the center of the cavity is the crown portion of the impacted wisdom tooth and around the root of the wisdom tooth the bone are not changed.

Which of the following preliminary diagnoses is MOST probable?

*ameloblastoma

*+follicular cyst

*radicular cyst

*odontoma

*fibrosarcoma

 

#286

*!A 29 years old woman on X-ray in the area where should be incisive foramen has a homogeneous hearth rarefaction of bone tissue with a size of up to 2cm with clear boundaries. The lesion situated in the strict midline. Periodontal gap in the region of upper right Central incisor irregularly enlarged, the canal of the tooth is sealed to its top. Identified, which is lined by columnar epithelium.

Which of the following preliminary diagnoses is MOST probable?

*radicular cyst

*a follicular cyst

*nasoalveolar cyst

*+nasal-palatinal cyst

*globulo-maxillar cyst

 

#287

*!A 32 years old woman, in intraoral radiograph has homogeneous rarefaction of bone tissue 1.5 cm round shape formation with clear boundaries. In the projection of the dilution are located an intact lateral incisor and canine of the upper jaw, there is a divergence of the roots, the periodontal gap these teeth saved.

Which of the following preliminary diagnoses is MOST probable?

*radicular cyst

*a follicular cyst

*nasoalveolar cyst

*nasal-palatinal cyst

*+globule-maxilar cyst

 

#288

*!A 36 years old man in the area of the base of the nose has a movable, elastic formation of the round shape with a size of about 2cm with clear boundaries, not-soldered with the surrounding tissues. Observed narrowing of the entrance to the nose from this side. On the radiograph of bone changes in this area have not been identified, the teeth are intact.

Which of the following preliminary diagnoses is MOST probable?

*+nasoalveolar cyst

*radicular cyst

*a follicular cyst

*nasal-palatinal cyst

*globulo-maxillar cyst

 

#289

*!A 29 years old man during the oral examination has a round shape formation in the front wall of the upper jaw in the area of transitional fold. Palpation of the deformity is painless, the boundaries of bulging is clear. Palpation is determined by the symptom of "parchment crunch". On X-ray determined homogeneous hearth rarefaction of round shape with clear boundaries in the cystic cavity facing the root of the tooth with a carious cavity, the periodontal gap which is not contured.

Which of the following preliminary diagnoses is MOST probable?

*nasoalveolar cyst

*+radicular cyst

*a follicular cyst

*nasal-palatinal cyst

*globulo-maxillar cyst

 

#290

*!A 20 years old man came to the doctor with complaints of aching pain in the angle of the mandible. During the inspection revealed that the wisdom tooth was not erupted. On the radiograph there is a homogeneous rarefaction of bone tissue round shape and a diameter of about 2 cm, which is located behind non-erupted wisdom teeth.

Which of the following preliminary diagnoses is MOST probable?

*nasoalveolar cyst

*+paradental cyst

*a follicular cyst

*nasal-palatinal cyst

*globule-maxilla cyst

 

#291

*!A 42 years old man came to the doctor complaining of the presence of less painful deformation of the mandibular body in the region of the ruined molars, periodically grows in size. Objective: 4.6, 4.7 the teeth there is the carious cavity, probing cavity painless, percussion is not painful.. a Radiologically homogeneous hearth rarefaction of bone tissue in the region of 4.5, 4.6, 4.7 teeth the hearth has a clear border, the periodontal gap in the apex of the medial root of the tooth 4.6 not determined.

Some of the preliminary diagnoses is MOST probable?

*+radicular cyst;

*a follicular cyst;

*osteoblastoma;

*odontoma;

*fibroma;

 

#292

*!A 22 years old man came to the doctor complaining of the presence of painless deformity of the mandibular body on the left, which appeared a few months ago. 3.8 the tooth on the affected side is not cut through, and 3.7, 3.6 teeth intact. On radiographs in the angle of the lower jaw has a rounded homogeneous hearth rarefaction of bone tissue in the center of the cavity is the crown portion of the impacted wisdom tooth and around the root of the wisdom tooth the bone are not changed. 3.7, 3.6 teeth are outside of the pathological focus.

Some of the preliminary diagnoses is MOST probable?

*odontoma

*fibrosarcoma

*ameloblastoma

*radicular cyst

*+follicular cyst

 

#293

*!A 33 years old woman, hospitalized in a planned manner about the formation of the upper jaw. On radiographs in the field cutting openings has a homogeneous hearth rarefaction of bone tissue up to 2 cm with clear boundaries. The lesion is strictly midline. Periodontal gap in the region 1.1 of the tooth irregularly enlarged, the canal sealed to the top. According to the results of histological examination of the shell after cystectomy revealed that it is lined with cylindrical epithelium.

Cyst which of the following is MOST likely?

*+nasal-palatinal

*radicular

*follicular

*nasoalveolar

*globulomaxillar

 

#294

*!The 34 years old woman in intraoral radiograph has a homogeneous rarefaction of bone tissue round shape size 1.5 cm with clear boundaries. In the projection of the dilution are located an intact lateral incisor and canine of the upper jaw, there is a divergence of the roots, the periodontal gap these teeth saved.

What diagnosis the MOST probable of the above?

* nasal-palatinal cyst

*radicular cyst

*a follicular cyst

*nasoalveolar cyst

 *+globulo-maxillar cyst

 

#295

*!The man 43 years old, clinically in the area of the nasolabial sulcus (under the wing of the nose) has a movable, elastic bulging of the round shape with a size of about 2 cm with clear boundaries, non-soldered with the surrounding tissues. Observed narrowing of the entrance to the nose from this side. On the radiograph of bone changes in this area have not been identified, the teeth are intact.

What diagnosis the MOST probable of the above?

*nasal-palatinal cyst

*radicular cyst

*a follicular cyst

*+nasoalveolar cyst

*globulo-maxillar cyst.

 

#296

*!A 27 years old man during the oral examination is determined by the bulging of the round shape of the front wall of the upper jaw in the area of transitional fold. Palpation of the deformity is painless, the boundaries of bulging clear, is determined by the symptom of "parchment crunch" in his projection of the protrusion of a tooth with a carious cavity, convergence of crowns of teeth located near. X-ray determined homogeneous hearth rarefaction of round shape with clear boundaries in the cystic cavity facing the root of the tooth with a carious cavity, the periodontal gap which is not contured.

Which of the following cysts is MOST likely detected ?

*nasal-palatinal

*+radicular

*follicular

*nasoalveolar

*globulo-maxillar

 

#297

*!A 30 years old man went to the doctor with complaints of aching pain in the angle of the mandible. During the inspection revealed that the wisdom tooth was not erupted. On the radiograph there is a homogeneous rarefaction of bone tissue round shape and a diameter of about 2 cm, which is located behind non-erupted wisdom teeth.

What is a cyst MOST likely to be identified ?

*nasal-palatinal

*radicular

*follicular

*+paradental

*globulo-maxillar

 

#298

*!During examination of patient doctor found the absence of a canine in the upper jaw on the right side. On the radiograph is determined the homogeneous formation with clear boundaries, in the cavity of this dilution, facing the crown part non-erupted canine, but its root is outside of the cyst.

What is a cyst MOST likely to be identified?

*radicular

*paradental

*+ follicular

*nasoalveolar

*globulo-maxillar

 

#299

*!On the radiograph of the mandible of a 45 years old man doctor revealed a polycystic formation, which is represented in the form of extensive rarefaction of bone tissue (in the body of the mandible) with a clear and polycyclic contours. Molars projected on the region and in the cavity of the cysts are clearly visible periodontal slit. When removal of the cyst revealed that it is filled with a pasty content, its cavity lined with membrane, microscopically non-keratinizing stratified squamous epithelium.

What kind of cyst is identified?

*radicular cyst

*paradental cyst

 *nasoalveolar cyst

*globulo-maxillar cyst

*+keratocyst

 

#300

*!On X-ray in the area where should be incisive foramen doctor found a homogeneous rarefaction of bone tissue up to 2 cm with clear boundaries. The lesion is strictly midline. Periodontal gap in the region of upper right Central incisor irregularly enlarged, the canal of the tooth is sealed to its top. After the cystectomy, the shell of the cyst subjected histopathological examination. It is revealed that it is lined with cylindrical epithelium. What is a cyst?

*radicular

*follicular

*nasoalveolar

*+nasopalatine

*globulo-maxillar

 

#301

*!On intraoral radiograph of the area is homogeneous rarefaction of bone tissue round shape size 1.5 cm with clear boundaries. In the projection of the dilution are located an intact lateral incisor and canine of the upper jaw, there is a divergence of the roots, the periodontal gap these teeth saved. On the basis of radiographs what diagnosis do You put?

*radicular cyst;

*a follicular cyst;

*nasoalveolar cyst

*nasopalatine cyst;

*+globulo-maxillar cyst.

 

#302

*!Clinically the patient in the area of the nasolabial sulcus (under the wing of the nose) has a movable, elastic bulging of the round shape with a size of about 2 cm with clear boundaries, non-soldered with the surrounding tissues. Observed narrowing of the entrance to the nose from this side. On the radiograph of bone changes in this area have not been identified, the teeth are intact. Which diagnosis fits that description?

*radicular cyst;

*follicular cyst;

*+nasoalveolar cyst;

*nasopalatine cyst;

*globulariaceae cyst.

 

#303

*!During the inspection of the oral cavity of the patient is determined by the round shape formation in the front wall of the upper jaw in the area of transitional fold. Palpation of the deformity is painless, the boundaries of bulging clear. Palpation is determined by the symptom of "parchment crunch". In the projection of the protrusion of a tooth with a carious cavity and the pulp is necrotic, there is a convergence of crowns of teeth located near. X-ray determined homogeneous hearth rarefaction of round shape with clear boundaries in the cystic cavity facing the root of the tooth with a carious cavity, the periodontal gap which is not contured. What is the cyst diagnosed in the patient?

*+radicular;

*follicular

*nasoalveolar,

*nasopalatine

*globulo-maxillar,

 

#304

*!Patient appealed to the doctor with complaints of aching pain in the angle of the mandible. During the inspection revealed that the wisdom tooth was not erupted. On the radiograph there is a homogeneous rarefaction of bone tissue round shape and a diameter of about 2 cm, which is located behind non-erupted wisdom teeth. What is a cyst discovered in a patient?

*radicular;

*follicular;

*nasopalatine

*globulo-maxillar;

*+paradental;

 

#305

*!During examination on the upper jaw of patient revealed the absence of a canine. On the radiograph is determined by the homogeneous bone thinning oval with clear boundaries, in the cavity of this dilution, facing the crown part non-erupted canine, but its root is outside of the cyst. What is a cyst in this patient?

*radicular;

*+ follicular;

*nasoalveolar;

*globulo-maxillar,

*paradental;

 

#306

*!22 years old patient appealed to the doctor complaining of the presence of a painless deformation of the body of the mandible, which appeared a few months ago. The wisdom tooth on the affected side is not cut through, and the first and second molars intact. On radiographs in the angle of the lower jaw has a rounded homogeneous hearth rarefaction of bone tissue in the center of the cavity is the crown portion of the impacted wisdom tooth and around the root of the wisdom tooth the bone are not changed. The first and second molars are outside of the pathological focus. What preliminary diagnosis in a patient?

*ameloblastoma;

*radicular cyst;

*+follicular cyst

*odontoma;

*fibrosarcoma.

 


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