Сочетанные и комбинированные повреждения челюстно-лицевой области и других областей тела. Клиника, диагностика, особенности течения
#515
*!A 35 years old man appealed with complaints of pain and the presence of bleeding wounds in the forehead. Fell down the stairs about an hour ago, lost consciousness for a short time. Objectively: General condition is of moderate severity, pale skin. Forehead right horizontal linear wound a length of 4.0 cm, depth of the wound within the soft tissue, bottom of the wound is the periosteum of the frontal bone. The edges of the wound are uneven, moderately bleeding wound, gaping.
Consult any of the following specialists is MOST efficiently held in the first day treatment?
*consultation
*therapist
*+neurosurgeon
*ophthalmologist
*plastic surgeon
#516
*!A 46 years old man, severe traumatic brain injury, requiring strict bed rest, for signs of cerebral compression. Which of these is the MOST informative method of investigation to confirm the diagnosis?
*x-ray
*encephalography
*angiography
*ventriculography
*+MRI
#517
*!A 39 years old man after the accident rushed to the emergency Department of the General hospital with multiple fractures of ribs, sternum, bones of the upper extremities, bones of the skull.
Which of the following is MOST indicated for additional examination of the patient with a fracture of the sternum?
*radiography of the sternum
*ultrasound of the sternum
*+ECG
*CT
*MRI
#518
*!A child of 7 years old, was admitted with complaints of headache, nausea, vomiting, increase temperature to 390 in the evenings. From anamnesis: was injured 2 weeks ago – open fracture of the right frontal bone with the transition to the upper wall of the orbit (bumped into rotten boards). Objectively: State of moderate severity. During the inspection groaning from headache, repeated vomiting. The temperature of 37.60. Pulse 110 beats per min. Focal symptoms from the nervous system have not been identified. Rigidity of muscles of nape are expressed, positive Kernig symptom.
The development of any of the following complications is MOST likely?
*meningococcal meningitis
*viral encephalitis
*concussion, reconvalescent
*+post-traumatic purulent meningitis
*post-traumatic abscess of the right frontal lobe
#519
*!A 28 years old man complains of constant headache in the forehead and decreased vision for 2 weeks. About 9 months ago, he came under the wheels of a car, received a wound of the scalp. In the past 7 months have often suffered from headaches in the forehead. The patient became irritable, difficult in everyday communication. In the last month appeared excessive sleepiness, the patient could sleep for 30 hours. During the examination - the initial symptoms of edema of disks of optic nerves, enlargement of the left pupil and right hemiparesis.
|
|
|
Which of the following diagnostic methods MOST appropriate to verify the diagnosis?
*electroencephalography
*X-ray
*+CT
*lumbar puncture
*somatosensory evoked potentials
#520
*!A 23 years old man, work fell off the machine, bruised his left temple, but stayed conscious and continued to work. 2 hours after injury were headache, first in the field of trauma, and then throughout the head, nausea and vomiting. Then the patient began to yawn, complain about the fact that he wanted to sleep. The patient is delivered 6 hours after injury, the workers found him sleeping near his workplace.
Which of the following diagnostic methods MOST appropriate to verify the diagnosis?
*magnetic resonance imaging
*electroencephalography
*+CT
*lumbar puncture
*somatosensory evoked potentials
#521
*!Teen 15 years old taken to the emergency Department with a wound in the maxillofacial region after falling from a skateboard. According to peers, the victim briefly lost consciousness, was 2 times vomiting.
What treatment strategy is MOST appropriate ?
*+primary surgical processing of wounds, consult a neurologist.
*dynamic observation in the clinic by place of residence
*hospitalized in the maxillofacial Department
*observation of therapist
*direction in the neurosurgical Department
#522
*!Teen 14 years old, riding a bike, fell and was injured. For 1 min was unconscious. Later notes that the headaches were repeated vomiting. In Bucco-zygomatic region on the right there is the wound of size 2,0x1,0 cm, gaping, bleeding.
What treatment strategy is MOST appropriate?
*dynamic monitoring
*hospitalized in the maxillofacial Department, the appointment of antibacterial therapy
*+primary surgical treatment, referral to a neurosurgical Department
*development of a plan of treatment and preventive measures
*surgical treatment in a hospital
|
|
|
#523
*!Complex preventive measures on prevention of asphyxia valve:
*intubation or tracheotomy
*flashing language, the crowding of the head, the imposition of a smooth tire-staples on the lower jaw
*fix the dangling flap suture or excision of e turn the head to one side
*removal of foreign body blocking the entrance to the windpipe
*+head turning to the side or face down position
#524
*!A 35 years old man was taken to the hospital 2 hours after injury (fell off a ladder, hit his head on the steps, briefly lost consciousness). When you receive complaints of headache, nausea, presence of a head wound. Objectively: In the parietal region has a skin-aponeurotic wound size 6x2 cm, the bottom of the wound is intact periosteum. Consciousness clear, small horizontal nystagmus when looking to the side, facial nerve paresis on the Central type on the left. Pathological and meningeal signs are not.
What treatment strategy is MOST appropriate?
*+primary debridement, conservative treatment
*surgical treatment
*antibacterial therapy
*local treatment in the form of ointment dressings
*physiotherapy
#525
*!A 43 years old man was taken to the hospital after 1.5 hours after injury (got hit by an axe to the head). On admission: consciousness is depressed to SOPOR. Pupils are equal, photo-reaction is retained. In the left parietal region has a chopped wound size 8x1 cm, which enters the blood.
What treatment strategy is MOST appropriate?
*conservative treatment
*+CT scans of the brain, PHO wounds
*craniotomy
*EEG brain, antibacterial treatment
*armbands with “Levomecol”
#526
*!A 32 years old man rushed to the emergency Department with a nosebleed. From a history of trauma 2 hours ago with loss of consciousness. Consulted by a neurosurgeon. Diagnosed "Closed head injury with brain concussion, fracture of the nose". What treatment strategy is MOST appropriate?
*+stop nasal bleeding
*ice on the nose
*plaster on the back of the nose
*conservative treatment of concussion
*hamartoma
#527
*!29 years old man delivered to the clinic 2 hours after injury, got in an accident while driving in an alcohol intoxication. At the time of injury lost consciousness for 3-5 minutes. When you receive no complaints, motor excitation, bruised skin, the wound left parietal region. Neurologically, consciousness at the level of stun, difficulty, verbal contact, small horizontal nystagmus when looking to the side.
|
|
|
What treatment strategy is MOST appropriate?
*consultation with ENT, skull x-ray
*+neuro consult, CT of the brain
*consult a neurologist, skull x-ray
*consultation of the psychiatrist, skull x-ray
*hospitalized in the maxillofacial Department
#528
*!A 35 years old woman delivered to the emergency department with a wound in the maxillofacial region after a personal injury. From history – a brief loss of consciousness, occasional vomiting.
What treatment strategy is MOST appropriate?
*dynamic monitoring in the clinic
*+consultation of the neurologist, primary surgical processing of wounds
*hospitalized in the maxillofacial Department
*surgical treatment
*direction in the neurosurgical Department
#529
*!Youth 18 years delivered to the clinic with a wound of the face, resulting in the fall from the bike. In the anamnesis of the disease, there was a brief loss of consciousness and occasional vomiting. The examination found a wound in the buccal region on the left gaping and bleeding.
What treatment strategy is MOST appropriate?
*+consultation of the neurologist, primary surgical processing of wounds
*hospitalized in the maxillofacial Department
*surgical treatment
*direction in the neurosurgical Department
*observation of therapist
#530
*!Teen 14 years of age brought to the emergency Department of oral and maxillofacial surgery with a wound of the face, received when falling down the stairs at school. In the anamnesis of the disease, there was a brief loss of consciousness and occasional vomiting. The examination found a wound in the chin area that gapes and bleeds.
What treatment strategy is MOST appropriate?
*hospitalized in the maxillofacial Department
*surgical treatment
|
|
|
*+consultation of the neurologist, primary surgical processing of wounds
*direction in the neurosurgical Department
*consult a pediatrician
#531
*!Teen 13 years, during training I got injured. Consciousness is not lost, said weak headaches when driving. The General condition is satisfactory. On examination: in the area of the supraorbital ridge to the right, the wound length of about 2.0 cm, bleeding, uneven edges, swelling of the surrounding soft tissues.
What treatment strategy is MOST appropriate?
*hospitalized in the maxillofacial Department
*local wound treatment in the form of bandages
*+consultation of the neurologist, primary surgical processing of wounds
*direction in the neurosurgical Department
*consult a pediatrician
Дата добавления: 2019-03-09; просмотров: 249; Мы поможем в написании вашей работы! |
Мы поможем в написании ваших работ!