Вывих нижней челюсти. Клиника. Лечение
#488
*!A 32 years old man applied 6 hours after injury, with complaints of pain, impaired mobility of the mandible, which is already hard speech. Objectively: General condition is satisfactory, consciousness clear, the interdigitation does not turn smoothly, the displacement of the chin down and forward, severe pain, chewing is impossible. On both sides in front of the tragus of the ear marked retraction of the soft tissues under the zygomatic arch is defined by the protrusion.
Which of the following therapies is MOST appropriate in this clinical case?
*the method of Galen
*+the method of Hippocrates
*method of Federspil
*methodology Kalamkarova
*the method of Kovtunovych
#489
*!A 45 years old woman came to emergency with complaints of inability to close the mouth. Wanted to crack a nut. Objectively: the lower part of the face lengthened, mouth opened, comes out saliva. When you try to close the mouth the lower jaw makes a springy motion. In front of the tragus can be seen the retraction, and under the zygomatic arch — a rounded protrusion; in these areas are palpated abnormally located condyles.
Which of the following tactics doctor the MOST appropriate?
*bus Sound
*method V. Popescu
*camera petrosova
*+the method of Hippocrates
*camera Burgansky and Khodorovich
#490
*!A 62 years old woman came to the emergency room with complaints of sharp pain in the parotid areas, limitation of mouth opening. The patient in the forced anterior position with a lowered head. The chin is displaced posteriorly. The lower incisors touch mucous membrane of the hard palate in its anterior section. The lower molars are not in contact with the teeth-antagonists. The tongue root is displaced posteriorly. The head of the mandible is palpated near the mastoid process.
Which of the following tactics doctor the MOST appropriate?
*+reduction of dislocation
*surgery
*camera petrosova
*camera Burgansky and Khodorovich
*method Khodorovich
#491
*!A 52 years old man brought to the clinic with complaints of inability to close the mouth. In the study the diagnosis: Habitual anterior dislocation of the temporomandibular joint.
What movement is MOST indicated for reduction of the dislocation?
*+down and back
*onward and upward
*up and down
*top and back
*down and forward
#492
*!A 34 years old man after removal of the tooth 48 is unable to close his jaw. Objectively: mouth half open, the lower jaw is moved forward. Palpation: masticatory muscles tense and defined in the form of rollers. Tissue in front of the tragus of the ear on both sides. Interdigitation of the front impossible. On the radiograph: the head of the mandible is located on the front slope of the articular tubercle.
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What tactics of treatment the MOST appropriate?
*+reduction of dislocation
*surgery
*physiotherapy
*conduct of massage
*splinting of the jaws
Ожоги лица. Термические ожоги. Химические ожоги. Электротравма. Особенности клинического течения. Особенности лечения ожогов лица
# 493
*!A 37-year-old man complains of pain and redness in the area 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 cloth of bright red and pink color with a pronounced pain sensitivity is determined.
What tactic is the patient MOST MATURE?
*+keratoplasty
*physiotherapy
*treatment with brilliant green solution
*5% solution of potassium iodide solution
*Close the wound surface with a bandage
# 494
*!A 34-year-old man, during the work, received a burn of the right half of his face. After the clinical examination, the diagnosis was made: "Acid burn in the buccal region to the right of the 2nd degree".
What is the first aid for soft tissue burns with acid?
*administration of antibiotics intramuscularly
*treatment of the burned surface with 96% alcohol
*the imposition of an antiseptic dressing with erythromycin ointment
*Excision of burned soft tissue
*+treatment of the burnt surface with 2% soda solution
# 495
*!A woman of 34 years old, under industrial conditions, was electrocuted. Trauma was accompanied by convulsive contraction of the muscles without losing consciousness.
What tactic of first medical emergency is the most urgent?
*skin washing with running water
*termination of traumatizing agent
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*antiseptic treatment
*+immediate transportation of the victim
*prevention of burn disease and burn shock
# 496
*!A woman of 45 years, was taken by an ambulance crew to the maxillofacial hospital. 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: 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 (under the bladder) 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 forecasts DO YOU expect most?
*spontaneous epithelialization of tissues
*epithelization after 1-2 weeks without scar formation
*epithelization after 3-4 weeks with the formation of granulation tissue
*+epithelization after 4-6 weeks with the formation of non-structured scars
*formation of cicatricial contracture
# 497
*!A girl of 23 years complains of pain and redness of the skin of the chin and cheek area on the left. From an anamnesis: a burn with boiling water. Objectively: the skin of the chin and buccal region on the left is hyperemic, edematous, sharply painful on palpation.
What tactic is the patient MOST appropriate?
*prescription of keratoplastic preparations
*local physiotherapy
*+antiseptic treatment of wound surface
*free skin grafting
*antibiotic therapy
# 498
*!A woman of 38 years, was taken by ambulance to the maxillofacial hospital. Complaints of pain, swelling and reddening of the forehead skin, the nose of the infraorbital and zygomatic areas to the left. From an anamnesis: a hot 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 (under the bladder) 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.
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What tactic is the patient MOST appropriate?
*+prescription of keratoplastic preparations
*local physiotherapy
*antiseptic treatment of wound surface
*free skin grafting
*antibiotic therapy
# 499
*!A girl of 20 years complains of pain, redness of the skin of the chin and front surface of the neck. From an anamnesis: about 2 hours ago I received a burn with boiling water. Objectively: the skin of the chin and the front surface of the neck, edematous, sharply painful on palpation.
What tactic is the patient MOST appropriate?
*+prescription of painkillers
*prescription of keratoplastic preparations
*physiotherapy on the lesion site
*free skin grafting
*antibiotic therapy
# 500
*!A man of 38 years, was taken by ambulance 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 bubble cover, a damp cloth of bright red or pink color with a pronounced pain sensitivity is detected.
Which of the following forecasts is the MOST likely?
*cicatricial contracture
*+epithelization after 1-2 weeks without scar formation
*formation of granulation tissue
*spontaneous epithelization after 4-6 weeks with the formation of non-rough scars
*formation of significant deformities of the facial section
# 501
*!A young man of 18 years complains of pain, redness of the skin of the chin, nose and frontal area. From an anamnesis: about 3 hours ago I got a hot steam burn. Objectively: the skin of the chin of the nose and the frontal region is hyperemic, edematous, sharply painful on palpation.
What tactic is the patient MOST appropriate?
*+antiseptic dressing application
*prescription of keratoplastic preparations
*the appointment of physiotherapy to the lesion site
*free skin grafting
*antibiotic therapy
# 502
*!A 45-year-old man was taken to the emergency room by an ambulance. 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 cloth of bright red color with a pronounced pain sensitivity is determined.
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What tactic is the patient MOST appropriate?
*+prescription of keratoplastic preparations
*the appointment of fluxing to the site of defeat
*antiseptic treatment of wound surface
*free skin grafting
*antibiotic therapy
# 503
*!A 34-year-old man complains of pain, redness of the chin's skin and front surface of the neck. He asked for help immediately after receiving the burn with boiling water. Objectively: the skin of the chin and the front surface of the neck is hyperemic, edematous, sharply painful on palpation.
What tactic is the patient MOST appropriate?
*+local hypothermia
*prescription of keratoplastic preparations
*the appointment of physiotherapy to the lesion site
*application of ointment antiseptic dressings
*antibiotic therapy
# 504
*!A woman of 42 years, was taken by ambulance to the maxillofacial hospital. Complaints about pain, swelling and redness of the forehead skin, cheeks on 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 (under the bladder) 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 forecasts is the MOST likely?
*spontaneous epithelization with the formation of gross scars
*spontaneous epithelization after 1-2 weeks without scar formation
*epithelization after 3-4 weeks with the formation of granulation tissue
*+epithelization after 4-6 weeks with the formation of non-structured scars
*formation of significant deformations of the face
# 505
*!A 42-year-old man turned to the emergency room after receiving a face burn. Complaints of pain and redness of the skin of the forehead, nose and cheeks to the left. From an anamnesis: a burn with boiling water about 2 hours ago. Objectively: against the background of hyperemic skin there are several small blisters with a transparent yellowish liquid. Under the lid of the bladder, a wet cloth of bright red color with a pronounced pain sensitivity is determined.
What tactic is the patient MOST appropriate?
*prescription of keratoplastic preparations
*local physiotherapy
*+prescription of painkillers
*free skin grafting
*antibiotic therapy
# 506
*!A man of 30 years old, turned to the emergency room immediately after receiving a face burn. Complaints of pain and redness of the skin of the forehead, nose and cheeks to the left. From an anamnesis: a burn with boiling water. Objectively: against the background of hyperemic skin there are several small blisters with a transparent yellowish liquid. Under the lid of the bladder, a wet cloth of bright red color with a pronounced pain sensitivity is determined.
What tactic is the patient MOST appropriate?
*prescription of keratoplastic preparations
*local physiotherapy
*free skin grafting
*+local hypothermia
*antibiotic therapy
# 507
*!The boy turned 20 with complaints about a facial cosmetic defect. From an anamnesis about 3 months ago received a face burn at work, was not treated. Upon examination, a cicatricial reversal of the eyelid on the left was detected. Mucous conjunctiva of the lower eyelid is exposed, the skin under the eye is macerated.
Which method of plastic from the above is MOST appropriate?
*mobilization of the edges of the wound
*flap on the feeder leg
*free skin graft
*+triangular flap over Limberg
*duplicated flap of the lower eyelid
# 508
*!A 30-year-old woman complained of a facial cosmetic defect. From an anamnesis about 5 months ago has received a burn of the face an acid, for medical aid did not address. On examination, a scar was found in the parotid-chewing area on the left 4 cm long, elastic, pink in color.
Which method of plastic is listed the MOST shown?
*+scar excision and mobilization of wound edges
*plastic free skin graft
*triangular rags over Limberg
*flap on the feeder leg
*duplicated graft
# 509
*!The girl 22 years after the burn with acid is determined by multiple scars of the mucous membrane of the buccal region to the left, leading to the restriction of opening the mouth. The diagnosis is "Scarring contracture of the lower jaw on the left". Operative treatment is shown - dissection of scars with defect plastic.
Which of the following complications is MOST Pending during the operation?
*ischemia
*necrosis
*infection
*+bleeding
*paresthesia
# 510
*!The girl 23 years after the burn with acid is determined by multiple scars of the mucous membrane of the buccal region to the right, leading to the restriction of opening the mouth. The diagnosis is "Scarring contracture of the lower jaw on the right." Operative treatment is shown - dissection of scars with defect plastic.
Which of the following complications is MOST expected in a remote period?
*+cicatricial deformity
*ischemia
*infection
*bleeding
*paresthesia
# 511
*!A woman 38 years after the burn with acid is determined by multiple scars of the mucous membrane of the buccal region to the left, leading to the restriction of opening the mouth. The diagnosis is "Scarring contracture of the lower jaw on the left".
Which treatment is the MOST shown?
*+dissection of scars with defect plastic
*excision of scars and tissue stitching
*dermabrasion in the scar area
*microperforation of scar tissue
*dissection of tissues in the area of scars
# 512
*!A 45-year-old man has a defect in the soft tissues of the frontal region after a third degree burn. The upper boundary of the defect begins from the beginning of the scalp, the lateral boundaries - at the site of the transition of the frontal region to the temporal, the lower boundary - in the region of the superciliary. Depth of defect at the level of the skin and subcutaneous fat.
What kind of surgical treatment of the listed MOST shows?
*Plastic with triangular flaps across Limberg
*+closure by a free skin graft from the shoulder
*Plastic flap on feeder leg
*plastic by local tissues
*Plastic visceral graft on Lexer
# 513
*!A 43-year-old woman, complained of a cosmetic defect in the face, difficulty eating. In a history about one year ago she received a burn of the lower third of the face, lips, cheeks on both sides. Objective narrowing of the mouth gap is determined, scars are visualized in the corners of the mouth, cheeks on both sides.
What kind of plastic is the MOST shown?
*+according to Evdokimov
*according to Suslov
*for Karapetyan
*by Weisbilt
*by Adams
# 514
*!A 32-year-old woman turned to the maxillofacial surgeon with complaints about a difficult opening of the mouth. From anamnesis: a burn of the acid of the skin of the buccal and parotid-chewing areas to the left. Multiple scars of the mucous membrane of the buccal region on the left are objectively determined, leading to the restriction of opening the mouth. The diagnosis is "Scarring contracture of the lower jaw on the left".
Which treatment is the MOST shown?
*+dissection of scars with defect plastic
*excision of scars and tissue stitching
*dermabrasion in the scar area
*microperforation of scar tissue
*dissection of tissues in the area of scars
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