Пластика местными тканями . Пластика лоскутом на ножке. Пластика стебельчатым ло скутами
#335
*!А 45 years old man was was admitted with complaints of cosmetic defect of the face. In anamnesis morbi 6 months ago received a facial injury. The examination found the drawback of the soft tissues of the upper lip triangular shape with the base of more than 2 cm, exposed alveolar bone, and Central incisors of the upper jaw, skin of the lower lip macerated.
Which of the following preliminary diagnoses is MOST probable?
*+through defect of the upper lip
*focal defect of the upper lip
*Subtotal defect of the upper lip
*Subtotal defect of the midface
*limited defect mouth region
#336
*!A 30 years old man was admitted with complaints of asymmetry of the face, defect in the lower jaw on the right. From the anamnesis it is known that two years ago operated on ameloblastoma lower jaw. On radiographs determined defect branches and the angle of the mandible on the right.
What is the MOST material of these are shown for autotransplantation?
*collarbone
*humerus
*thigh
*+iliac bone
*fibula
#337
*!A 46 years old man was was admitted with complaints of cosmetic defect of the face. In anamnesis morbi 4 months ago, got injured, was not treated. The examination found a scar in the infraorbital area on the right. The mucous membrane of the conjunctiva of the lower eyelid on the right is naked, the skin under the eye maseribane.
Which of the following preliminary diagnoses is MOST probable?
*lagophthalmos
*+cicatricial ectropion
*linear keloid scar
*scar contracture of the lower eyelid
*fibrous contracture of the lower eyelid
#338
*!A 32 years old man was was admitted with complaints of cosmetic defect of face, flow of saliva during a meal in the scar. In anamnesis morbi 4 months ago, got injured, was not treated. The examination found a scar in the parotid-chewing area on the right, distal edge of which stands out clear liquid. In the mouth of the mouth of the duct of the parotid gland on the right salivate.
Which of the following preliminary diagnoses is MOST probable?
*subcutaneous granuloma
*scar contracture
*fibrous contracture
*full salivary fistula
*+incomplete salivary fistula
#339
*!A 50 years old man in order to replace the extensive defect of the face should be cut out stalked flap length of 30 cm
Some of these donor sites are MOST recommended for transplant?
*+anterior-lateral surface of the abdomen
*inner thighs, drumsticks
*front-inner surface of the shoulder
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*front-becomeapparent chest
*the surface of the back in the region of the broadest muscle
#340
*!38 years old woman complaining of a face asymmetry. In anamnesis morbi transferred osteomyelitis 3 years ago. During physical exam.: 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
#341
*! A 32 years old man was admitted with complaints of a defect in the forehead on the right. From anamnesis morbi 8 hours ago received a household trauma.Held plastic free skin flap to close the defect in the forehead.
What method of fixation on the wound of these are MOST recommended?
*nodal joints
*pressure bandage
*intradermal sutures
*+nodal sutures and a pressure bandage
*lamellar sutures and a pressure bandage
#342
*!A 31 years old woman was admitted with complaints of cosmetic defect in the face. From anamnesis morbi revealed that 2 years ago I was treated regarding basal cell carcinoma in the upper lip on the left, the uninstallation of education. Oral and maxillofacial surgeon recommended cosmetic surgery of the upper lip using flap.
Which of the following methods of retention are MOST recommended?
*+nodal seam
*a continuous suture
*plaster cast
*unloading joints
*collodial bandage
#343
*!A 46 years old man was admitted with complaints of cosmetic defect of the face. Anamnesis morbi of work injury 6 months ago, injury to the orbital region on the right. When viewed from the edge of the right century behind eyes and folded down, the mucous membrane turned outwards, palpebral aperture is not closed.
What preliminary diagnosis of the following is MOST likely?
*+cicatricial eversion of the right eyelid
*spastic eversion of the right eyelid
*paralytic ectropion of the right eyelid
*senile eversion of the right eyelid
*iatrogenic ectropion of the right eyelid
#344
*!A 30 years old man with ameloblastoma was operated. Doctor carried out the resection of the mandible. Formed defect was from the angle of the jaw to 3.5 teeth.
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Which material is the MOST suitable for bone grafting?
*+rib
*collarbone
*bones of the foot
*thigh
*humerus
#345
*!32 years old man was admitted with complaints of cosmetic defect of the face. From anamnesis morbi 3 years ago operated for tumor of the parotid gland on the right. In the postoperative period was noted the impossibility of complete closure of the right eyelid. During examination doctor noted that the right eye gap not closed, the edge of the right eyelid fall behind the eyes.
What preliminary diagnosis of the following is MOST likely?
*cicatricial eversion of the right century
*spastic eversion of the right century
*senile eversion of the right century
*+paralytic eversion of the right century
*cryptogenic eversion of the right century
#346
*!52 years old man was admitted with complaints of cosmetic defect of the face. From anamnesis morbi 3 years ago operated on for tumor of the parotid gland on the right. In the postoperative period was noted the impossibility of complete closure of the right eyelid. During examination doctor noted that the right eye gap not closed, the edge of the right eyelid fall behind the eyes.
Which of the following is the MOST likely cause of lagophthalmos?
*the wound of the mucosa of the century during the operation
*+paralysis of the facial nerve
*spasm of the circular muscle of the eye
*autoimmune process
*age-related weakness of the circular muscles
#347
*!42 years old man was admitted with complaints of cosmetic defect of the face. 6 months ago received a car injury. The examination found tissue defect of the nose. To eliminate warping, the surgeon decided to apply the Chitrov’s method for total rhinoplasty.
Which flap of the following is the MOST appropriate to use?
*sharp flap
*+stem Filatov
*deltopectoral flap
*free transplant tissues
*the flap on the supply leg from his forehead
#348
*!50 years old man needs to replace extensive defect of the face. For that reason the 30 cm length flap should be cut out.
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Which of the following places is the MOST recommended for intake the flap?
*+anterior-lateral surface of the abdomen
*inner thighs, drumsticks
*front-inner surface of the shoulder
*the anterior-lateral surface of thigh
*the surface of the back in the region of the broadest muscle
#349
*!20 years old female was admitted 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
#350
*!35 years old woman was admitted with complaints of the presence of fistula on the face, from anamnesis morbi a year ago she had an accident, surgical treatment about bruised-torn wounds of the parotid-masticatory region on the left. During physical exam.: in the parotid-masticatory region on the left side found the fistula, from which stands out clear saliva.
Which of the following methods of examination is MOST informative?
*plain radiography in the frontal projection
*plain radiography in the lateral projection
*computed tomography
*positron emission tomography
*+fistulography
#351
*! 36 years old man was admitted with complaints of cosmetic defect of the face. From anamnesis morbi 2 years ago he had surgery about the removal of ameloblastoma of the lower jaw on the right side. During physical exam.: after conducting the instrumental examination ViewRenderer the bone tissue of the mandible in the body region to the right. Shows the operation using translateto.
The use of which material are MOST recommended?
*allogeneic cancellous bone
*autogenous cortical bone
*homogeneous cortical bone
*+autogenous cancellous bone
*deproteinal bone
#352
*!33 years old man was admitted with complaints of cosmetic defect of the face. From anamnesis morbi 6 months ago injury in the accident. During physical exam.: partial defect in the region of the wing of the nose. The recommended plastic surgery with primenyayutsya.
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The use of which material are MOST recommended?
*leather
*bones
*muscle
*adipose tissue
*+cartilage
#353
*!24 years old man was admitted to the hospital with left-sided paralysis of the facial muscles. For 5 months before admission, during radical surgery for acute mastoiditis were damaged facial nerve and developed a persistent paralysis of the facial muscles. In spite of the treatment, the paralysis remained stable.
Which of the following examination methods are MOST justified for treatment selection?
*+a study of electrical excitability of muscles
*magnetic resonance imaging
*plain radiography in the frontal projection
*ultrasound
*Doppler
#354
*!28 years old man was admitted to the hospital with left-sided paralysis of the facial muscles. Over 8 months before admission he was treated for a fracture of the skull base. Despite conservative treatment, the paralysis remained stable.
Which of the following is the MOST likely cause of the paralysis?
*scar contracture of the facial muscles
*+damage to the facial nerve
*neuritis of the facial nerve
*damage to facial muscles
*spasm of the facial nerve
#355
*!32 years old man was admitted urgently after a domestic injury with defect to the left superciliary region. Doctor recommended to use arterializing flap from the temporal region.
Which of the following arteries contains the flap?
*corner
*front
*circular
*middle temporal
*+superficial temporal
#356
*!54 years old woman was admitted with diagnos "Basaliomas of the tip of the nose." To close the defect flap was taken from the nasolabial folds.
Artery which of the following contains the flap?
*+corner
*front
*temporal
*infraorbital
*outer jaw
#357
*!50 years old man, was admitted to the clinic with a defect of the nose after tumor remove surgery. For closure of the defect shown plastic flap from the forehead.
Which of the following arteries contains the flap?
*corner
*superficial temporal
*front
*+branch of the supraorbital
*occipital
#358
*!42 years old woman was admitted with a defect of the lips after a work injury. Recommended hold the Abbe operation.
Which of the following arteries contains the flap?
*corner
*infraorbital
*front
*outer jaw
*+circular
#359
*!46 years old man was admitted with complaints of cosmetic defect of the face. Anamnesis morbi six months ago, injury to workers. During physical exam.: determined tissue defect of the nose. To close the defect doctor planned to carry out operarion with the use of plastic flap from patient’s forehead.
Which of the following tissue contains the cutted flap?
*split the skin
*full-thickness skin
*+the skin with subcutaneous fat
*skin subcutaneous fat muscle
*skin subcutaneous fat with muscle and the periosteum
#360
*!40 years old woman after an acid burn has multiple scars of the mucous membrane of the buccal region on the right that led to the restriction of mouth opening.
What type of contracture of the lower jaw of the following has patient?
*+mucosagenic
*neurogenic
*pain
*paretic
*reflex
#361
*!46 years old man complains of presence of cosmetic defect in the region of the nose. 5 years ago received a household trauma to the doctors is not addressed. During physical exam.: determined deformation of the bony part of the nose.
The use of which material is the MOST appropriate?
*bones
*+cartilage
*deepidermized skin
*adipose tissue
*fascia
#362
*!23 years old woman 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.
Which 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
#363
*!46 years old woman complains of a defect in the nose area. Anamnesis morbi has pogodnostima on an emergency basis with a bite wound to the nose area. During physical exam.: measured the total defect of the nose, recommended that an operation to close the defect using Filatov stem in a planned manner.
Which tactic is the MOST recommended for the prevention of cicatricial deformities of the nose?
*overlay collodial bandage
*the use of a pressure elastic bandage
*use formative bandage
*application of the plaster bandage and the rigid tubes into the nasal passages
*+overlay forming bandage and tubing in the nasal passages
#364
*!24 years old female was admitted routinely in the hospital to conduct a corrective surgery in the wing of the nose to the right, in anamnesis morbi – cheilorhinoplasty in childhood. Conducted local flaps to eliminate scar deformity in the region of the wing of nose on the right.
How long is the wearing of the plastic liner is MOST indicated for the prevention of narrowing of the nasal passage?
*1 month
*4 months
*2 months
*+3 month
*6 months
#365
*!A 52 years old man was admitted with a total defect of the nose after surgical treatment of malignant tumors. The recommended conduct of the Indian rhinoplasty.
Which area of the following is the MOST appropriate for intake flap?
*the lateral surface of the neck
*+frontal
*buccal
*gubo-buccal fold
*naso-lip furrow
#366
*!Female 34 years, was admitted to the emergency Department in an emergency order with a defect right cheek as a result of domestic injury. During the inspection there is a portion of tissue from the skin side of size 3,0х4,0 see the bottom of the wound and muscle tissue.
What type of defect of the following is MOST likely?
*+blind
*end-to-end
*gaping
*full
*total
#367
*!Patient 18 years, entered the clinic with complaints of deformation of the face due to a sharp protrusion of the lower jaw forward. Increase jaw celebrates 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
#368
*!Male 43 years old, was admitted with complaints of a defect in the nose area. From the anamnesis it is known that a year ago he received his injury. During physical exam.: determined unilateral defect of the cartilage Department of the nose in the preservation of his bones. Recommended cosmetic surgery of the defect at Suslov.
What is the tissue for defect closure of the following are MOST recommended?
*+the curl of the ear
*the mucosa of the upper lip
*leather upper lips
*skin gubo-buccal folds
*the stem on the stem with shoulder
#369
*!Female 29 years old, was admitted with complaints of cosmetic defect in the region of the nose. From the anamnesis defect 11 years of age. During physical exam.: determined retraction of the wing of the nose to the left. Using instrumental methods of examination revealed the hypoplasia of the pyriform aperture edge.
What are the tactics of these is the MOST priority?
*+radical plastic nose wing
*replanting Autorama
*plastic triangular flaps
*vector plastic nose wing
*osteotomy in the region of the edge of the aperture
#370
*!Female 29 years old, was admitted with complaints of cosmetic defect in the region of the nose. From the anamnesis defect 11 years of age. During physical exam.: determined retraction of the wing of the nose to the right.
What method of study of these shows the MOST?
*panoramic radiography
*positron emission tomography
*Doppler
*+CT
*magnetic resonance imaging
#371
*!Male 32 years old, was admitted with complaints of cosmetic defect of the face. 6 months ago got injured pirateboy region. The examination found the drawback of the soft tissues of the upper lip triangular shape with the base of more than 2 cm, exposed alveolar bone, and Central incisors of the upper jaw, skin of the lower lip maseribane. Recommended cosmetic surgery according to the method of Abbe.
What is the flap of these shows the MOST?
*+the flap of the lower lip
*flap with the buccal region
*a flap from the temporal area
*flap-shoulder -
*a flap from the forehead
#372
*!Male 45 years old, was admitted with complaints of cosmetic defect of the face. In anamnesis morbi 5 months ago received a facial injury. The examination found the drawback of the soft tissues of the upper lip triangular shape with the base of more than 2 cm, exposed alveolar bone, and Central incisors of the upper jaw, skin of the lower lip maseribane.
Which of the following preliminary diagnoses is MOST probable?
*+through defect of the upper lip
*focal defect of the upper lip
*Subtotal defect of the upper lip
*Subtotal defect of the midface
*limited defect pirateboy region
#373
*!Male 22 years old brought by ambulance to the emergency room with electrical 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
#374
*!Male 45 years old, was admitted with complaints of cosmetic defect of the face. Anamnesis morbi of chemical burn on production 6 months ago. On examination revealed a transverse tightness of the lower lip in a result of the restructuring of scar tissue. The upper lip is without pathological changes. The recommended cosmetic surgery for Alexandrov.
What pieces MOST of these shows?
*a flap from the forehead
*flap with the buccal region
*a flap from the temporal area
*flap-shoulder -
*+flaps from the upper lip
#375
*!Woman 36 years old, 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 is the MOST likely cause of the paresis of mimic muscles of the face?
*damage to the masticatory nerve
*damage to the muscles of mastication
*damage of USNO-temporal nerve
*+damage branches of the facial nerve
*damage to the branches of the trigeminal nerve
#376
*!Woman 36 years old, 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 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
#377
*!Man, 34 years old, complains of limitation of mouth opening. Anamnesis morbi – gunshot wound to the right side of my face 2 years ago. During the inspection severe scarring in the temporal and cheek areas on the right. Mouth opening limited to 1 cm of Motion at the temporomandibular joints are almost not defined.
Which of the following preliminary diagnoses is MOST probable?
*lockjaw
*muscle contracture of the lower jaw
*neurogenic contracture of the lower jaw
*+scar contracture of the lower jaw
*inflammatory contracture of the lower jaw
#378
*!Male 48 years old, was admitted with complaints of cosmetic defect in the face. From the anamnesis it is known that 2 years ago produced by total resection of the lower lip for cancer. Visually during the inspection is determined by the total defect of the lower lip. Recommended to carry out plasty by the method of Diffenbach.
What pieces MOST of these shows?
*+musculo-cutaneous-mucous
*skin and muscle
*muscular-mucous
*mucous
*muscular-skeletal
#379
*!Male 48 years old, was admitted with complaints of cosmetic defect in the face. From the anamnesis it is known that 2 years ago produced by total resection of the lower lip for cancer. Visually during the inspection is determined by the total defect of the lower lip. Recommended to carry out plasty by the method of Diffenbach.
From which area MOST illustrates the intake flap?
*+buccal
*Antero-lateral abdomen
*the lateral surface of the neck
*internal surface of the shoulder
*inner thigh
#380
*!Male 40 years old, was admitted with complaints of cosmetic defect of the face. 6 months ago got injured in the accident. When viewed detected through the tissue defect of the cheek, the lower lip on the right. Recommended cosmetic surgery sharp round stalked flap.
What part of the body for the intake flap is the MOST shown?
*forearm
*+the inner surface of the shoulder
*inner thighs
*the anterior-lateral surface of the abdomen
*the anterior surface of the chest
#381
*!Woman of 32, was appointed the dermabrasion in the region of the transplanted flap. From anamnesis morbi 5 months ago delivered a bitten wound to the left superciliary region. Held plastic free flap. During the inspection clearly defined where the closure of the defect due to the difference in the color of the bed and flap power flap is not broken.
The development of some complications of the following MOST likely is an indication for dermabrasion?
*+hyperpigmentation
*wrinkling of the flap
*rough scarring
*the threat of necrosis
*hematoma
#382
*!Male 26 years old, was admitted with complaints of cosmetic defect of the face. Upon inspection diagnosed progenesis occlusion due to the excessive development of the mandible. Diagnosed lower macrognathia. Conducted osteotomy of the mandible. In the postoperative period came asymmetry of the face due to the omission of the corner of his mouth to the left.
Which branch of the facial nerve is MOST likely injured?
*temporal
*zygomatic
*buccal
*+regional
*neck
#383
*!Girl 19 years old, entered 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 jaw celebrated 11 years of age and with age progressed. Diagnosed lower macrognathia. Held retromoderated the sagittal of the mandible.In the postoperative period came asymmetry of the face due to the omission of the corner of his mouth to the right.
Which of the following is the MOST likely cause complications?
*+damage to the regional branches of the facial nerve
*neuritis of the facial nerve
*damage Rechnoy branches of the facial nerve
*damage to the cervical branch of the facial nerve
*lockjaw chewing muscles
#384
*!Male, 28 years old, complains of discomfort in the mouth opening, chewing, talking. In anamnesis morbi a year ago, got a burn of the lower half of the face. During physical exam.: determined small threshold of the cavity, the presence of scars. With the aim of deepening the vestibule of the oral cavity selected method of transplanting a free skin graft.
What type of flap is the MOST shown?
*+thin epidermal flap Tirso
*full-thickness skin graft
*split skin flap for Paget's
*thick skin flap.
*split skin flap in brown
#385
*!A woman 22 years complaining of the immobility of the lips, the violation pronunciation of sounds. Anamnesis morbi of trauma 7 years ago. During physical exam.: determined small threshold 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
#386
*!Male 20 years old, was admitted to the Department of maxillofacial surgery with complaints of cosmetic defect in the form of thickening of the upper lip. The patient's face changed due to the thickening of the upper lip, which is evident in the smile. Upper lip without clear boundaries, soft, palpation painless.
Which of the following preliminary diagnoses is MOST probable?
*+double upper lip
*fibroma of the upper lip
*papilloma of the upper lip
*cheilitis of the upper lip
*cancer of the upper lip
#387
*!A woman of 53 years, turned to the maxillofacial surgeon with complaints of education in the area of the nose, which appeared six months ago. During the inspection visualized on nose nodule size of 1,0x1,0 cm in the center of which there is erosion covered with crust, the base not sealed.
What tactics of treatment of these the MOST appropriate?
*anti-bacterial treatment
*+excision of education with the plastic
*skin grafting after radiation therapy
*holding novocaine blockades
*chemotherapy and subsequent radiation therapy
#388
*!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 sunken, the chin deviated to the right. Determined by the subtle movements of the lower jaw when opening mouth. The bite is deep. Fan-shaped front teeth are 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
#389
*!Differential diagnosis of true or false the lower prognathia based on the measurement
*mandibular angle in degrees
*the ratio of bridles upper and lower lip
*the gap between the Central incisors upper and lower jaw
*the ratio of the size of the body and Ramus
*+the ratio of large molars of the jaws
#390
*!Male 46 years old complains of presence of cosmetic defect in the region of the nose. 5 years ago received a household trauma to the doctors is not addressed. During physical exam.: determined deformation of the bony part of the nose.
The use of a autoplastic material is MOST shown?
*bones
*+cartilage
*deepidermized skin
*adipose tissue
*fascia
#391
*!Male 43 years old, was admitted with complaints of a defect in the nose area. The defect is formed as the result of a work injury. During physical exam.: determined unilateral defect of the cartilage Department of the nose in the preservation of his bones. To remedy the defect the graft is cut out from the curl of along with the skin to create endonasal lining.
What method of plasty described?
*+Krucinska
*Suslov
*by Abbe
*Roweru
*Bruns
#392
*!In women 40 years after an acid burn define multiple scars of the mucous membrane of the buccal region on the right that led to the restriction of mouth opening.
Which of the following preliminary diagnoses is MOST probable?
*muscle contracture of the lower jaw
*neurogenic contracture of the lower jaw
*inflammatory contracture of the lower jaw
*+scar contracture of the lower jaw to the right
*lockjaw chewing muscles
#393
*!Male 54 years old, was admitted with complaints about the availability of education in the area of the bridge of the nose. From the anamnesis it is known that initially appeared on the skin small nodule, which began to ulcerate, covered with scabs, and gradually increase in size within 5 years. During physical exam: the formation of pink color in the field of the nose size 1,0x1,0 cm, with sharp edges, in the center of the recess.
Which of the following preliminary diagnoses is MOST probable?
*+basal cell carcinoma
*atheroma
*papilloma
*nevus
*in syringoma
#394
*!Male 24 years old, was admitted to the hospital 30 hours after a dog bite. There
the defect of the lower lip to the right of 4,0x3,0 cm
What tactics of treatment of the MOST priority?
*anti-bacterial treatment
*detoxification treatment
*introduction protivogangrenoznaya serum
*+PHO wounds
*the imposition of a pressure bandage
#395
*!Male 45 years old, was admitted with complaints of soft tissue defects of the frontal area after the burn of the III degree. The upper limit of the defect starts from the beginning of the scalp, side of the boundary, in the transition of the frontal region in the temporal, the lower bound on the areas of the brow. The depth of the defect at the level of the skin and subcutaneous fat. Shown plastic free skin graft.
What is the area of the following are MOST recommended for a transplant?
*+the inner surface of the shoulder
*outer thighs
*the back of the leg
*the lateral surface of the neck
*the front of the thigh
#396
*!Woman 33 years old, was admitted with complaints about the presence of soft tissue defect of frontal area on the left after a work injury. The upper limit of the defect starts 2 cm below the scalp, the lateral the lateral boundary at the transition of the frontal region in the temporal, the lower bound on the areas of the brow. The bottom of the defect at the level of subcutaneous fat. Shown holding plastic.
What is the area of the following are MOST recommended for a transplant?
*+anterior-lateral surface of the abdomen
*outer thighs
*front-inner surface
*the lateral surface of the neck
*the area of the latissimus dorsi
#397
*!Dentist during the examination of women 69 years found on the skin of the nasolabial fold education of 2,5x2,0cm, towering above the skin, in the center of which there was a crust, which when removed revealed erosive surface. Regional lymph nodes are not enlarged.
Which of the following preliminary diagnoses is MOST probable?
*papillary form of skin cancer
*multiple papilloma of the skin
*congenital nevus
*+basal cell carcinoma
*melanoma
#398
*!The dentist during the examination of men 75 years found on the skin of the nasolabial fold education of 2,5x2,0cm, towering above the skin, in the center of which there was a crust, which when removed revealed erosive surface. Regional lymph nodes are not enlarged.
What tactics of treatment of these the MOST appropriate?
*anti-bacterial treatment
*physiotherapy
*+surgical treatment
*desensitizing therapy
*application of ointments with keratoplastiki
#399
*!After surgery removal of mixed tumors of the parotid salivary gland in men is defined: "a symptom of the racket", symptom "sails", lagophthalmos, may not raise an eyebrow with the operated hand, the liquid food flows from the mouth.
What is the complication of the following is MOST likely?
*+paresis of mimic muscles
*neuralgia of the facial nerve
*neuritis of the infraorbital nerve
*neuritis of the lower alveolus nerve
*2 neuralgia branches of the trigeminal nerve
#400
*!Male 40 years old, was admitted with complaints of cosmetic defect, limitation of the neck. Six months ago removed a large tumor on the right side of his neck.
Which of the following preliminary diagnoses is MOST probable?
*+cicatricial contracture of the neck
*myogenic contracture of the neck
*neurogenic contracture of the neck
*inflammatory contracture of the neck
*muscular torticollis
#401
*!Man, 34 years old, complains of limitation of mouth opening. Anamnesis morbi – gunshot wound to the right side of my face 2 years ago. On examination: severe scarring in the temporal and cheek areas on the right of the mouth Opening limited to 1 cm of Motion at the temporomandibular joints almost not defined
Which of the following preliminary diagnoses is MOST likely?
*lockjaw
*muscle contracture of the lower jaw
*neurogenic contracture of the lower jaw
*+scar contracture of the lower jaw
*inflammatory contracture of the lower jaw
#402
*!Woman, 39 years old, rushed to the emergency room with a wound of the parotid-masticatory region on the left. Objective: the wound edges are jagged, the skin around the wound is hyperemic, edematous, palpation is painful. The angle of the mouth drooping to the left, there is the symptom of the sail.
Exhibited a preliminary diagnosis of "Paresis of mimic muscles of face"
Which of the following is the MOST likely cause of paresis?
*damage to the masticatory nerve
*damage to the muscles of mastication
*damage of USNO-temporal nerve
*damage to the branches of the trigeminal nerve
*+damage branches of the facial nerve
#403
Male 45 years old, was admitted with complaints of a defect in the chin area. From anamnesis morbi: received household injury 8 hours ago. During physical exam.:: a large defect in the chin area. Conducted primary surgical treatment, it is planned to hold the plastic round the stem.
What is the area of the following are MOST recommended for the formation of the stem?
*the front of the thigh
*+front-inner surface of the shoulder
*the back of the leg
*the area of the elbow joint
*the postero-lateral surface of the lumbar region
#404
Male 45 years old, was admitted with complaints of a defect in the chin area. From anamnesis morbi: received household injury 8 hours ago. During physical exam.:: a large defect in the chin area. Conducted primary surgical treatment, it is planned to hold the plastic round the stem.
What is the area of the following are MOST recommended for the formation of the stem?
*scalp
*the back of the leg
*back-bococa thighs
*the lateral surface spins in the region of the trapezius muscle
*+anterior-lateral surface of the abdomen
#405
*!A woman of 30 years old, was admitted with complaints of cosmetic defect of the face. Anamnesis morbi: trauma to the lower half of the face in the accident. In the examination diagnosed with cicatricial deformity of mouth region.
What are functional disorders MOST likely?
*hearing loss
*respiratory failure
*trouble swallowing
*+the difficulty in opening the mouth
*habitual dislocation of the mandible
#406
*!Male 40 years old, was admitted with complaints of asymmetry of the face. A year ago he received a stab wound of the parotid region on the left. During physical exam.: noted the presence of paralysis of facial muscles on the left, watery eyes. Taste and hearing are not violated.
The defeat of the facial nerve at what level MOST likely?
*in the bone canal below the discharge stony nerve
*+below the discharge drum strings
*at the level of the spine at the point of exit from the brain stem
*inside the brain stem
*in the bone canal above the great stony nerve
#407
*!Male 29 years old, was admitted to the hospital with left-sided paralysis of the facial muscles. 10 months ago admitted to the Department of otorhinolaryngology regarding acute mastoiditis, while surgical treatment has been damaged the facial nerve and developed a persistent paralysis of the facial muscles.
Which of the following methods of examination are MOST recommended?
*magnetic resonance imaging
*plain radiography in the frontal projection
*ultrasound examination of the parotid-masticatory region on the left
*+a study of the muscles faradic and galvanic current
*positron emission tomography
#408
*!Woman 42 years old, was admitted with complaints of asymmetry of the face. A year ago operated about the formation of the parotid gland on the left. In the postoperative period During physical exam.: noted the presence of paralysis of facial muscles on the left, dry eye left, impairment of taste, increased salivation, hyperacusis.
The defeat of the facial nerve at what level MOST likely?
*below the discharge stony nerve
*nerve below the muscle of the stirrup, and the drum above the strings
*at the level of the spine at the point of exit from the brain stem
*inside the brain stem
*+in the bone canal above the great stony nerve
#409
*!Woman 32 years old, was admitted with complaints of asymmetry of the face. A year ago operated on for adenoma of the parotid gland on the right. In the postoperative period During physical exam.: noted the presence of paralysis of facial muscles on the right, impairment of taste, hyperacusis, increased lacrimation.
The defeat of the facial nerve at what level MOST likely?
*+below the discharge stony nerve
*nerve below the muscle of the stirrup, and the drum above the strings
*above the discharge of the large stony nerve
*at the point of exit from the brain stem
*inside the brain stem
#410
*!Woman 38 years old, was admitted with complaints of asymmetry of the face. A year ago operated about the formation of the parotid gland on the right. In the postoperative period During physical exam.: noted the presence of paralysis of facial muscles on the right, tearing, impairment of taste and salivation.
The defeat of the facial nerve at what level MOST likely?
*below the discharge stony nerve
*+nerve below the muscle of the stirrup, and the drum above the strings
*above the discharge of the large stony nerve
*at the point of exit from the brain stem
*inside the brain stem
#411
*!Male 40 years old, was admitted with complaints of the existence of the defect in the nose area. From the anamnesis: 9 months ago injured. During physical exam.:: determined by a unilateral defect of the cartilage Department of the nose to the right in the preservation of his bones. Planned for plasty of the defect at Suslov.
What fabric is as autograft listed is shown the MOST?
*+auricle
*the mucosa of the upper lip
*leather upper lips
*skin gubo-buccal folds
*the stem on the stem with shoulder
#412
*!Male, 28 years old, was admitted to the hospital with left-sided paralysis of the facial muscles. 8 months ago admitted to the Department of otorhinolaryngology regarding acute mastoiditis, while surgical treatment has been damaged the facial nerve and developed a persistent paralysis of the facial muscles.
Which of the following methods of examination are MOST recommended?
*magnetic resonance imaging
*plain radiography in the frontal projection
*ultrasound examination of the parotid-masticatory region on the left
*+a study of elektrical excitability of muscles
*Doppler
#413
*!Male 44 years old, was admitted to the hospital with paralysis of the facial muscles on the right. For 11 months before admission he was treated for injuries of the Department of neurosurgery with the diagnosis "Fracture of the skull base". After discharge paralysis persists.
Which of the following is the MOST likely cause of the paralysis?
*scar contracture of the facial muscles
*neuritis of the facial nerve
*damage to facial muscles
*spasm of the facial nerve
*+damage to the facial nerve
#414
*!Male 32 years old, was admitted with complaints of cosmetic defect of the face. From anamnesis morbi a year ago operated on for tumors of the cerebellopontine division of the brain. In the postoperative period was noted the asymmetry of the face. During physical exam.:: a right eyebrow does not rise, on the right cheek during a call "prosit", the right eye gap not closed, the edge of the century right behind the eyes.
Which of the following is the MOST likely cause complications?
*myasthenia gravis
*+paralysis of the facial nerve
*neuritis of the facial nerve
*extrapyramidal disorders
*neuritis of the trigeminal nerve
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