Неогнестрельные переломы нижней челюсти. Клиника, диагностика. Лечение
#415
*!A 66 years old man was rushed to the emergency room after the injury. The doctor diagnosed with a bilateral fracture of the mandible.
Which of the following tactics are MOST appropriate to the doctor to prevent dislocation asphyxia is?
*splinting
*+fixation of tongue
*exemption of the oral cavity from foreign objects
*tracheostomy
*tracheotomy
#416
*!A 68 years old man was rushed to the emergency room after the injury. The doctor diagnosed him with a fractured jaw, full secondary edentulous upper and lower jaw.
Which of the following clinical methods of immobilization the MOST appropriate?
*splint of Vasiliev
*splint of Tigerstedt
*splint with pelot
*+sling bandage by Urbanskaya
*splint with splacer curve
#417
*!A 32 years old man, diagnosed with a fracture of the mandible at the condylar process with displacement of fragments, will undergo surgical osteosynthesis of the lower jaw.
Which of the following operational accesses are MOST efficient?
*In the upper transitional fold
*The lower edge of the zygomatic bone, given the state branches of the facial nerve margins by 0.5-1.5 cm
*Longitudinal incision in the region of the cutting the lower jaw
*Under-chin region, on the edge of the lower jaw of 1.5-2.0 cm posterior
*+In the submandibular region, away from the lower edge of the jaw of 1.5-2.0 cm
#418
*!A 24 years old man, diagnosis: fracture of the mandible in the angle without displacement of fragments. On the radiograph: fracture line passes along the germ of tooth 3.8.
What tactics of conducting the patient the MOST appropriate?
*+destruction of the germ, osteosynthesis
*save germ, osteosynthesis
*removal of germ, osteosynthesis, splinting 3.8, 3.7 and 3.6
*perform splinting without removing the germ
*splinting of the jaws, osteosynthesis
#419
*!A 32 years old man hospitalized in a specialized clinic with symptoms
typical for fracture of the lower jaw. With the aim of immobilization on
direct osteosynthesis.
Which method of fixation is MOST appropriate to apply?
*Compressional osteosynthesis
*+ Osteosynthesis with Kirschner spoke
*Fixation apparatus of Sbarge
*Fixation apparatus of Rudko
*Fixation apparatus of Bernadsky
#420
*!A 20 years old man, was injured 6 hours ago. Complaints of pain in the lower jaw to the right, difficulty opening the mouth. Objectively: facial asymmetry due to swelling of the soft tissues in the angle of the mandible on the right. My mouth opens partially, the bite is broken, Positive symptom of Vincent and positive symptom load in the angle of the mandible on the right. Abnormal mobility of the bone in the region of the 48 tooth. On the radiograph: a violation of the integrity of bone in region of mandibular angle, 48 teeth.
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What's the plan of remedial measures of the following is MOST appropriate?
*the use of the apparatus of Rudko
*the use of apparatus of Sbarge
*+overlay claw splints
*overlay ligature by the Ivy
*operation method by Federspil
#421
*!Woman of 48 years turned to the injury when falling face down. Consciousness is not lost. Then came the pain in the upper jaw, bloody discharge from the mouth. Objectively: pathological mobility of all incisors and canines, along with the alveolar process in the anterior region of the upper jaw, violation of the integrity of the mucosa, bleeding on a transitional fold.
Which of the following types of splinting is MOST appropriate?
*script by Ivy
*splint of Sbarge
*+smooth splint-clip
*standard splint of Vasiliev
*splint of Tigerstedt
#422
*!In an accident ward the man is taken 3 hours after the injury. Objective: fracture of the mandible in the median line, the teeth on the upper and lower jaws preserved.
Which of the following tactics of the doctor is the MOST shown?
*splint of Tigerstedt
*+one jaw smooth splint-clip
*splint of Port
*osteosynthesis
*overlay external plate apparatus
#423
*!A 47 years old man appealed to the emergency room with complaints of pain and swelling in the lower jaw. The doctor diagnosed a fracture of the mandible in the median line, full secondary edentulous lower jaw.
Which of the following tactics of the doctor is the MOST shown?
*splint of Tigerstedt
*one jaw smooth splint-clip
*splint of Vasiliev
*+splint of Port, plaster and a sling cap
*overlay external plate apparatus
#424
*!Man, 58 years, appealed to the emergency room with complaints of pain and swelling in the lower jaw. The doctor diagnosed a fracture of the mandible in the midline with a bone defect of 1 cm, on one atlake teeth are missing.
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Which of the following tactics of the doctor is the MOST shown?
*splint of Tigerstedt
*one jaw of a smooth splint-clip
*splint of Vasiliev
*overlay External plate apparatus
*+osteosynthesis
#425
*!A 36 years appealed to the emergency room with complaints of pain and swelling in the lower jaw. The doctor diagnosed a fracture of the mandible at the level of 3.3 tooth, the teeth on the upper and lower jaws preserved.
Which of the following tactics of the doctor is the MOST shown?
*splint of Port
*osteosynthesis
*overlay external plate apparatus
*+one jaw wire splint-clip
*splint of Tigerstedt
#426
*!A 42 years appealed to the emergency room with complaints of pain and swelling in the lower jaw. The doctor diagnosed a fracture of the mandible at the level of 3.3 points, long atlake teeth are missing.
Which of the following tactics of the doctor is the MOST shown?
*splint of Port
*+osteosynthesis
*overlay external plate apparatus
*one jaw wire splint-clip
*splint of Tigerstedt
#427
*!A 44 years old man appealed to the emergency room with complaints of pain and swelling in the lower jaw. The doctor diagnosed a fracture of the mandible at the level of 3.3 tooth with bone defect up to 1 cm, there is the interposition of soft tissues.
Which of the following tactics of the doctor is the MOST shown?
*splint of Tigerstedt
*splint of Port
*overlay external plate apparatus
*+osteosynthesis
*one jaw wire splint-clip
#428
*!Man, 34 years, appealed to the emergency room with complaints of pain and swelling in the left lower jaw. The doctor diagnosed a fracture of the mandible in the angle, the teeth on the upper and lower jaws preserved.
Which of the following tactics of the doctor is the MOST shown?
*splint of Port
*+splint of Tigerstedt
*external bone apparatus
*splint of Vankevich
*one jaw wire splint-clip
#429
*!A 29 years old man appealed to the emergency room with complaints of pain and swelling in the lower jaw on the right. The doctor diagnosed a fracture of the mandible in the angle with the displacement of the short fragment 1.5 cm, teeth on the upper and lower jaws preserved.
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Which of the following tactics of the doctor is the MOST shown?
*splinting of Port
*splinting of Tigerstedt
*splinting of Vankevich
*+holding osteosynthesis
*overlay of one jaw with wire splint-staples
#430
*!In the emergency room delivered a 52 years old man after 3 hours after injury. Objective: fracture of the mandible in the region of 4.3 of the tooth and the angle to the left, the teeth on the large atlace the lower jaw is missing.
Which of the following tactics of the doctor is the MOST shown?
*osteosynthesis in the canine area and the splint of Tigerstedt
*osteosynthesis in the region of the tooth and one jaw of a wire splint-clip
*osteosynthesis in mandibular angle and splint of Tigerstedt
*+osteosynthesis in the canine area and the angle of the mandible
*osteosynthesis in the angle of the lower jaw and one jaw wire splint-clip
#431
*!In the emergency room delivered a man of 48 years old in 1.5 hours after the injury. Objectively: bilateral fracture of the mandible in the corners, the teeth on the upper and lower jaws preserved.
Which of the following tactics of the doctor is the MOST shown?
*unilateral smooth wire splint
*+splint of Tigerstedt
*splint of Port
*splint of Weber
*external bone apparatus
#432
*!In the emergency room delivered a man of 35 years after the injury. Objectively: bilateral fracture of the mandible in the region of the condylar process with displacement of a fragment to about 3 cm.
Which of the following tactics of the doctor is the MOST shown?
*splint of Tigerstedt and maxillary traction rubber rings
*splint of Tigerstedt, rubber pad 0.3 cm between the molars on the affected side
*splint of Tigerstedt, rubber pad 1 cm between the molars on the healthy side
*+splint of Tigerstedt, rubber pad 1 cm between the molars on the affected side
*splint of Tigerstedt, rubber pad 0.3 cm between the molars on the healthy side
#433
*!A 59 years old man appealed to the emergency room with complaints of pain and swelling in the lower jaw. The doctor diagnosed a fracture of the mandible in the region of the condylar process with displacement outwards a short fragment, full secondary edentulous lower jaw, a partial upper.
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Which of the following tactics of the doctor is the MOST shown?
*splint of Tigerstedt
*one jaw smooth splint-clip
*splint of Vasiliev
*overlay external plate apparatus
*+osteosynthesis
#434
*!A young man of 24 years appealed to the emergency room with complaints of pain and swelling in the lower jaw. The doctor diagnosed a fracture of the mandible in the region of the condylar process with dislocation of the articular head, the teeth on the upper and lower jaws preserved.
Which of the following tactics of the doctor is the MOST shown?
*splinting of Port
*+holding osteosynthesis
*overlay external plate apparatus
*overlay of one jaw with a wire splint-staples
*splinting of Tigerstedt
#435
*!A 31 years appealed to the emergency room with complaints of pain and swelling in the lower jaw on the right. The doctor diagnosed a fracture of the lower jaw for tooth 3.7.
Which of the following tactics of the doctor in relation to tooth 3.7 is shown the MOST?
*remove the tooth in the fracture line
*leave the tooth in the calculation of its engraftment
*wait for some time to determine the possibility of healing
*+to determine the status of crown-root and periapical tissues
*leave the tooth and hold anti-inflammatory treatment
#436
*!A 32 years old man, rushed to the emergency room. Injured 6 hours ago. Complaints of pain in the lower jaw to the right, difficulty opening the mouth. Objectively: facial asymmetry due to swelling of the soft tissues in the angle of the mandible on the right. My mouth opens partially, the bite is broken, Positive symptom of Vincent and symptom load in the angle of the mandible on the right. Abnormal mobility of the bone in the region of the 48 tooth. On the radiograph: a violation of the integrity of bone in region of mandibular angle, 48 teeth.
What's the plan of remedial measures of the following is MOST appropriate?
*operation method of Federspil
*the use of the apparatus of Rudko
*overlay ligature by the Ivy
*+overlay claw splints
*the use of apparatus by Sbarge
#437
*!The man who applied to a specialized clinic on radiographs the fracture line passes through the projection of the germ of a third molar without displacement of fragments. What tactics will be MOST correct:
*remove the germ and make the osteosynthesis
*leave the germ and make the osteosynthesis
*perform splinting using pelota
*remove the germ and hold splinting
*+to produce splinting without removing the germ
#438
*!When performing immobilization of the mandible doctor on the side of the fracture, on each Outlook put a plate clamp, and then compared the fragments of plate clamps connected wheretobuy post. What method most LIKELY the doctor performed the immobilization:
*splint of Vasiliev
*splint of Urazalin
*apparatus of Ermolaeva
*+the apparatus of the Rudko
*direct osteosynthesis
#439
*!The man is hospitalized in a specialized clinic with symptoms typical of mandibular fracture. On radiographs the fracture line passes through the condylar process with displacement of the latter. What method of fixation of the performance, is LIKELY to choose a surgeon?
*apparatus by Sbarge
*+the apparatus of Gershooney
*apparatus of Rudko
*method by Federspil
*method by Adams
#440
*!A 50 year old man, went to the doctor with complaints of pain when eating in the angle of the mandible to the left and swelling. Before the patient was removed 4.8 tooth. The doctor used an atypical method - gouging. On examination: asymmetrical face due to swelling in region of left lower jaw, mouth opening is limited. The symptom of "load" on the lower jaw - positive. 4.8 the extraction of a tooth filled with a blood clot.
The development of any of the following complications is MOST likely?
*dislocation of the mandible on the right
*+the fracture of the mandible on the right
*hematoma in the lower jaw to the right
*contracture of the lower jaw to the right
*osteomyelitis of the mandible on the right
#441
*!A 22 years old was taken to the hospital 4 hours after injury. Objectively: General condition is satisfactory, consciousness clear, local pain, malocclusion, pathological mobility of fragments of the jaw in the region of 45, 46 teeth, the gap of the mucous membrane.
Which of the following therapies is MOST appropriate?
*operation according to the method of Federspil;
*operation according to the method Faltin Adams;
*fixation of bone fragments by apparatus of Kaganovich;
*reposition and fixation of bone fragments by apparatus of Sbarge;
*+external osteosynthesis, the therapy.
#442
*!Men 37 years an objective examination of the men observed: General condition is satisfactory, consciousness clear, local pain, malocclusion, pathological mobility of fragments of the mandible in region of teeth 45,46, the gap mucous membrane, positive symptom Vincent and symptom load in the body of the mandible on the right.
Which of the following therapies is MOST appropriate?
*the imposition by apparatus of Sbarge;
*the imposition by apparatus of Rudko;
*+splint by Orazalin;
*the imposition of Arzhantseva's apparatus;
*the fixation by spokes of Kirschner.
#443
*!A young man of 17 years, went to the clinic 2 hours after the injury. Objectively: General condition is satisfactory, consciousness clear, local pain, malocclusion, pathological mobility of fragments of the jaw in the area of the tooth 48, the gap of the mucous membrane on the lingual side in the region 48 of the tooth. Positive symptom Vincent and symptom load in the angle of the mandible on the right. On the radiograph: a violation of the integrity of bone in region of mandibular angle, 48 teeth. Small otlook is shifted up and to the inside.
What's the plan of remedial measures of the following is MOST appropriate?
*the imposition of a smooth splint bracket;
*delete 48, reposition of bone fragments, ligature by the Ivy;
*cold on the fracture, sling bandage;
*+osteosynthesis of the mandible with the removal of the tooth 48;
*antibiotic therapy, dressing of Pomeranceva–Urbanskaya.
#444
*!A 29 years old man, came to the emergency Department 3 hours after injury. Objectively: local pain, malocclusion, pathological mobility of fragments of the jaw in area of 38 tooth, rupture of the mucous membrane on the lingual side in the region of the 38 tooth. Positive symptom Vincent and symptom load in the angle of the mandible on the left. On the radiograph: a violation of the integrity of bone in region of mandibular angle, in 38 tooth. Small otlook is shifted up and to the inside.
What's the plan of remedial measures of the following is MOST appropriate?
*the imposition of a smooth splint bracket;
*+osteosynthesis of the mandible with the removal of the 38 tooth;
*delete 38, reposition of bone fragments, ligature at the ivy;
*cold on the fracture, sling bandage;
*antibiotic therapy, dressing of Pomeranceva –Urbanskayaskaya.
#445
*!A 32 years turned to the emergency Department with complaints of pain in the lower jaw on the right. On examination, the swelling in the parotid-chewing area on the right. After inspecting and x-rays the doctor diagnosed a fracture of the mandible in the region of the condylar process with displacement of bone fragments, the teeth on the upper and lower jaws preserved.
Which of the following tactics of the doctor is the MOST shown?
*splinting Port
*overlay External plate apparatus
*overlay wire splint-staples
*splinting of Tigerstedt
*+holding of the osteosynthesis
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