Повреждения мягких тканей лица, полости рта. Особенности первичной хиргической обработки ран лица
#307
*!Which of the following is the MOST common contraindication for an early PSP in case of injured soft tissue without signs of threatening bleeding?
*decompensated shock (4 degree)
*+compensated traumatic shock (1-2 degree)
*reversible decompensated traumatic shock (3 degree)
*the presence of bone fragments in the wound
*compensated traumatic shock (2 degree)
#308
*!A36 years old woman, an ambulance rushed to the emergency room with a wound of the parotid-chewing area on the right which was received 5 days ago. On examination: the wound edges are jagged, the skin around the wound is hyperemic, edematous, palpation is painful. The angle of the mouth drooping to the right, there is the symptom of the sail.
Which of the following preliminary diagnoses is the MOST probable?
*+paresis of the facial nerve
*traumatic contracture of the muscles
*inflammatory contracture of the muscles
*scar contracture of the muscles
*neuritis of the facial nerve
#309
*!Teen 12 years delivered to the clinic with complaints of pain and bleeding from the mouth. The survey revealed the following characteristics: mouth opening is free, on the border of soft and hard palate there is a triangular wound 2x1,5 cm, the wound edges are not smooth, the wound communicates with the cavity of the nose.
Which of the following preliminary diagnoses is MOST probable?
*+ripped through wound of soft palate
*bruised wound of the hard palate
*puncture wound soft palate
*bruised wound of the soft palate
*cross-cutting bruised wound of the hard palate
#310
*!A 28 years old man admitted to the hospital after injury by electrosaw with a penetrating wound of the lower lip and buccal region on the right.
What layer is MOST appropriate to start primary surgical treatment of wounds
*+from the mucosa
*the skin
*muscular layer
*subcutaneous fat
*submucosa
#311
*!A 36 years old woman rushed to the emergency room. From history the hours ago episode of a dog attack. Objectively determined swelling of the soft tissues of the midface, in the upper lip on the right is the violation of the integrity of the soft tissue from the border of the skin and red border of lips to the transitional fold, the size of 1.5 x 0.5 cm. Wound edges irregular, heavy bleeding.
Which of the following preliminary diagnoses is MOST probable?
*a stab wound
*incised wound
*chopped wound
*+bitten wound
*torn-bruised wound
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#312
*!A32 years old man was admitted to the clinic after receiving a sports injury. In the zygomatic and buccal regions visualized a gaping hurt-ripped wound.
What anatomical feature of the MOST likely causes gaping wounds of the face?
*an abundance of adipose tissue and severe traumatic edema
*+attachment to the skin of the face mimical muscles
*anatomical features of masticatory muscles
*anatomical features of blood vessels of the face
*due to tension their own dermis
Дефекты и деформации челюстей. Планирование пластических операций. Костная пластика челюстей
#313
*!Young man 23 years old, appealed with complaints of aesthetic defect violation eating and speech. Pathology are congenital. On examination: facial asymmetry due to shortening of the middle third of the face, the upper lip, nasolabial folds smoothed. The mouth opening is free. The bite is deep. Frontal lower teeth rested in the mucosa of the hard palate.
Which of the following preliminary diagnoses is MOST probable?
*in retrognathia
*upper micrognathia
*+upper prognathia
*lower micrognathia
*lower macrognathia
#314
*!Young man 22 years old, appealed with complaints of a cosmetic defect, violation during a meal. Pathology are congenital. On examination: facial asymmetry due to underdevelopment of the lower jaw. Chin region of face sloping posteriorly. Lip-mental angle is not pronounced. Lip-mental sulcus is smoothed. The soft tissue chin region is shifted posteriorly relative to the lower lip. Neck-chin angle is poorly expressed, the distance between the chin and hyoid bone are reduced. The mouth opening is free. Is determined by the crowding of the front teeth on the lower jaw. Bite open.
Which of the following preliminary diagnoses is MOST probable?
*in retrognathia
*upper micrognathia
*the upper prognathism
*+lower micrognathia
*lower macrognathia
#315
*!Male 27 years old, appealed with complaints of a cosmetic defect, violation during a meal. Pathology are congenital. On examination: facial asymmetry due to flattening and collapse of the middle third of the face. The base of the cartilage region of the nose drops, the nasal passages are narrowed due to a decrease in the pear-shaped hole. Nasal breathing is difficult. Upper lip drops. The nasolabial angle is less than 90 degrees. Nasolabial folds expressed, deep. The lower lip covers the upper lip. The chin protrudes forward. The mouth opening is free. Bite open.
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Which of the following preliminary diagnoses is MOST probable?
*in retrognathia
*+upper micrognathia
*the upper prognathism
*lower micrognathia
*lower macrognathia
#316
*!Male, 35 years old, appealed with complaints of a cosmetic defect, violation during a meal. Pathology are congenital. On examination: facial asymmetry due to the forward protrusion of the mandible. Upper lip drops, pronounced nasolabial folds, deep. The lower lip covers the upper lip. The chin protrudes forward. The mouth opening is free. Bite progenic.
Which of the following preliminary diagnoses is MOST probable?
*in retrognathia
*upper micrognathia
*the upper prognathism
*lower micrognathia
*+lower macrognathia
#317
*!Male 29 years old, appealed with complaints of a cosmetic defect, breach of meal. Conditions are congenital. On examination: facial Asymmetry due to the forward protrusion of the mandible. Upper lip sinks, pronounced nasolabial folds, deep. The lower lip covers the upper lip. The chin protrudes forward. The mouth opening is free. Bite progenesis.
What method of examination for diagnosis the MOST informative?
*+CT
*magnetic resonance imaging
*ultrasound
*teleradiography
*master
#318
*!Female 22 years old, appealed with complaints of cosmetic defect due to the deformation of the lower half of the face, difficulty in biting food, and slurred speech. The examination revealed protrusion of the upper jaw forward relative to normally developed mandible. The front group of teeth in the upper jaw protrudes forward, the cutting edges touch the lower lip.
What preliminary diagnosis of the following is MOST likely?
*progeny
*lower macrognathia
*the lower prognathism
*+upper macrognathia
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*top retrognathia
#319
*!Male 19 years old, was admitted to the clinic with complaints of deformation of the face due to a sharp protrusion of the lower jaw forward, the lack of closure of anterior teeth, the impossibility of biting food. Increase of jaw noted 11 years of age and with age progressed.
What preliminary diagnosis of the following is MOST likely?
*+lower prognathia
*lower micrognathia
*lower retrognathia
*top macrognathia
*the upper prognathism
#320
*!Male 23 years old, was admitted to the clinic with complaints of deformation of the face. Objective examination revealed marked elongation of the lower third of the face. Mandibular angles also deployed approximately 140°. Sagittal slit between the teeth 10 mm. Contact between the teeth in the area of molars. The upper lip seems shortened and underdeveloped from the mouth slit.
What preliminary diagnosis of the following is MOST likely?
*+lower prognathia
*lower micrognathia
*lower retrognathia
*top macrognathia
*the upper prognathism
#321
*!Female 22 years old, appealed with complaints of deformation of the lower portion of the face, difficulty chewing food. In early childhood, suffered a right-sided otitis and osteomyelitis of the mandible on the right. With 11 years noticed the curvature of the lower portion of the face on the right. During the inspection, the reduction in size of the mandibular body on the right, the displacement of the chin to 2.0 cm right from the midline and posteriorly. Bite broken, cross.
Which of the following preliminary diagnoses is MOST probable?
*+right microgenia
*right macrogenia
*progeny
*the lower prognathism
*lower macrognathia
#322
*!Female 20 years old, came in clinic with complaints about the lack of closure of anterior teeth, the impossibility of biting the food, protrusion of the lower jaw forward. The deformation of the lower portion of the person's notes 13 years of age, which age has increased. During the inspection there is a sharp protrusion of the chin forward, the angle of the mandible is expanded, obtuse to 140°. The bite is open, contact only molars.
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What preliminary diagnosis of the following is MOST likely?
*the upper prognathism
*lower micrognathia
*top macrognathia
*lower retrognathia
*+lower prognathia
#323
*!38 years old woman, complaining of a face asymmetry. In history transferred osteomyelitis 3 years ago. Objectively determined the defect of the mandible in the body region to the right.
Which of the following research methods is MOST informative?
*+CT
*ultrasound
*plain radiography in the frontal projection
*plain radiography in the lateral projection
*radiography for Schüller
#324
*!Male 30 years about ameloblastoma carried out through the resection of the mandible. Formed defect from the angle of the jaw to 3.5 teeth.
What is the MOST material of these are shown for bone grafting?
*+rib
*collarbone
*bones of the foot
*thigh
*humerus
#325
*!Female 20 years old, appealed with complaints of cosmetic defect due to the deformation of the lower half of the face, difficulty in biting food, and slurred speech. Counseled maxillofacial surgeon, the examination revealed protrusion of the upper jaw forward relative to normally developed mandible.
Which of the following methods of examination is MOST informative?
*+CT
*magnetic resonance imaging
*positron emission tomography
*plain radiography in the frontal projection
*panoramic radiography
#326
*!Female 20 years old, appealed with complaints of cosmetic defect of the lower half of the face, difficulty in biting food, and slurred speech. Diagnosed lower retrognathia.
The change in the lower third of the face of the following is MOST characteristic for this pathology?
*+flattening
*reduction
*increase
*asymmetry
*elongation
#327
*!Male 19 years old, was admitted to the clinic with complaints of deformation of the face due to a sharp protrusion of the lower jaw forward, the lack of closure of anterior teeth, the impossibility of biting food. Diagnosed upper micrognathia.
What is the change of the middle third of these is MOST characteristic for this pathology?
*flattening
*+reduction
*increase
*asymmetry
*elongation
#328
*!Female 23 years old, was admitted to the clinic with complaints of deformation of the face. Objective examination revealed marked elongation of the lower third of the face. Mandibular angles also deployed approximately 140°. Contact between the teeth in the area of molars. Planned osteotomy of the jaws.
What method of diagnosis is the MOST shown to calculate the displacement of the jaws?
*orthopantogram
*+teleroentgenogram
*CT
*panoramic radiograph
*review radiographs of the bones of the face
#329
*!Patient 18 years, entered the clinic with complaints of deformation of the face due to a sharp protrusion of the lower jaw forward. Increase of jaw notes 10 years of age. Diagnosed, "Progeny". Planned surgical treatment osteotomy of the mandible.
What method of research of the jaws of these shows the MOST?
*panoramic radiography
*teleradiography
*x-ray in direct projection
*+CT
*radiography in the lateral projection
#330
*!Male 22 years old brought by ambulance to the emergency room with household injury of the maxillofacial region. Since the injury took 4 hours. During examination noticed the presence of a wound of the frontal region, length of 5.0 cm, width 1.5 cm, the wound bleeding, when auditing the integrity of the periosteum and bone is not disturbed, the edges of the wound smooth.
What is the MOST priority?
*radiography for Schüller
*radiography of the sinuses
*panoramic radiography of the jaws
*+roentgenography of bones of face and skull
*roentgenography of chest organs
#331
*!A woman 22 years complaining of the immobility of the lips, the violation pronunciation of sounds. History of trauma 7 years ago. Objectively determined small vestibulum of the oral cavity, deformation of the mandible in the sagittal and transversal directions.
What is the study of these MOST informative?
*magnetic resonance imaging
*+CT
*positron emission tomography
*radiography for Schüller
*Doppler
#332
*!Male 22 years old, complains of limited but painless mouth opening, which arose in childhood after falling from swings, difficulty in eating, significant asymmetry of the face. On examination: the face is asymmetric due to the flattening of the left half, the tissue of the left cheek sinks, the chin deviated to the right. Determined by the subtle movements of the lower jaw when opening mouth. The bite is deep. Front teeth are fan-shaped inclined in the vestibular direction.
Which of the following diagnoses is MOST likely?
*+one-way asymmetric microgenia
*bilateral symmetrical microgenia
*arthrosis of the temporomandibular joint
*habitual dislocation of the left temporomandibular joint
*syndrome I and II branchial arches
#333
*!Male 19 years old, appealed with complaints of deformation of the face due to protruding lower jaw. On the panoramic radiographs determined that the crowns are 2.5 and 1.5 teeth located at the level of cusp teeth 3.6 and 4.6.
Which of the following preliminary diagnoses is MOST probable?
*normal jaw relationship
*a true top prognathia
*false progeny the bottom
*+true lower prognathia
*open bite
#334
*!Female 22 years old, appealed with complaints of cosmetic defect due to
deformation of the lower half of the face, difficulty in biting food, violation
speech. The examination revealed protrusion of the upper jaw forward against
to the normally developed lower jaw. The front group of teeth in the upper jaw
projecting forward, the cutting edges of which touch the lower lip. Upper lip
shortened and somewhat converging upwards, the lips are not closed. When talking
pronunciation of labial sounds is difficult
Which of the following preliminary diagnoses is MOST probable?
*the lower prognathism
*+upper prognathia
*top retrognathia
*top microgenia
*lower macrogenia
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