Врожденные кисты и свиши лица и шеи. Одонтогенные и неодонтогенные эпителиальные кисты челюстей. Клиника, диагностика, лечение
#532
*!Woman 28 years, appealed with complaints of a swollen region of the alveolar process of the upper jaw on the left. In the region of the alveolar process on the left upper jaw in the projection of 2.2, 2.3 is determined by the deformation due to swelling, painless on palpation. 2.2, 2.3, 2.4 intact. At OPG: the area of rarefaction of bone tissue with clear boundaries, in the form of an inverted pear, between 2.2 and 2.3. The roots of the teeth apart, the periodontal gap is preserved. EDI - in the normal range.
What tactics of treatment the MOST appropriate?
*+cystectomy
*cystotomy
*periostotomy
*extraction 22, 23 teeth
*partial resection of the upper jaw
#533
*!A young man of 18 was sent for a consultation with a maxillofacial surgeon, during the inspection of the visualized tumor formation in a diameter of 4–5cm. movable, tightly-elastic consistency, painless, the skin over it is not changed. Is located between the sternocleidomastoid muscle and the larynx.
What tactics of treatment the MOST appropriate?
*+direction to surgical treatment
*referral to physiotherapy
*the appointment of antibacterial therapy
*the appointment of anti-inflammatory therapy
*Supervisory tactics
#534
*!The young man of 18 during the inspection of the oral and maxillofacial surgeon, identified a point hole on the side away from the midline of neck below hyoid bone at 3 cm from the external opening of which is marked mucous discharge moderate amount. On palpation determined dense the cord, walking toward the hyoid bone.
What tactics doctor the MOST appropriate?
*radiography of the neck in two projections
*conducting myography
*ultrasonography of the neck
*CT of the head and neck
*+the conduct of fistulography
#535
*!The young man of 18 during the inspection of the oral and maxillofacial surgeon, identified a point hole on the side away from the midline of neck below hyoid bone at 3 cm from the external opening of which is marked mucous discharge moderate amount. On palpation determined dense the cord, walking toward the hyoid bone. After conducting instrumental methods of diagnostics of the diagnosis: "the Median fistula of the neck."
What tactics of treatment the MOST appropriate?
*+operative – excision of the fistula
*conservative
*physiotherapy
*operational – ligation of the fistula
*antibacterial therapy
#536
*!A girl of 15 years asked for an Advisory opinion to the maxillofacial surgeon. During the inspection of the visualized point hole on the side away from the midline of neck below hyoid bone 2 cm From the external opening of the mucous discharge is noted in meager quantity. On palpation determined dense the cord, walking toward the hyoid bone.
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What diagnostic manipulation the MOST appropriate?
*+the conduct of fistulography
*radiography of the neck
*conducting myography of neck
*ultrasonography of the neck
*conducting MSCT of the neck
#537
*!Girl 19 years old was treated in the emergency Department of a specialized hospital. Physician maxillofacial surgeon revealed tumor formation, located between the sternocleidomastoid muscle and the larynx, up to 4 cm in diameter, densely-elastic consistency, movable, the skin over it hyperemic, slightly painful on palpation.
What tactics of treatment the MOST appropriate?
*the appointment of antibacterial therapy
*the purpose of the physiotherapy treatment
*the appointment of compresses
*the appointment of anti-inflammatory therapy
*+operative treatment
#538
*!A boy of 14 years, entered the clinic with a diagnosis of "Chronic osteomyelitis of the mandible on the left". Was produced by extraction of the tooth and the lancing of an abscess of the neck. In the postoperative period formed a fistula, which is periodically opened. Introduced into the fistula a solution of methylene blue revealed in the throat of the child, the solution stood out in drops at the base of the left tonsil.
What tactics of treatment the MOST appropriate?
*surgical treatment – ligation of the fistula
*+operative treatment - excision of a fistula
*surgical treatment – suturing of soft tissue at the base of the tonsils
*conservative treatment – antibiotic therapy
*conservative treatment – appointment NSAIDs
#539
*!Male, 35 years old, appealed with complaints of swelling in the neck after transferred 3 months back anginas. On examination: the neck area on the right is enhanced by a painless, slow-moving education. Surgeon was diagnosed with "cervical lymphadenitis" and appointed antibacterial therapy. But the effect of antibiotic therapy within 7 days were noted, education in the neck increased.
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What tactics doctor the MOST appropriate?
*extension of antibiotic therapy to 14 days
*the purpose of the physiotherapy treatment
*the work of the section in the field of education
*+conduct thin-needle aspiration biopsy
*the appointment of local treatment
#540
*!Men 55 years of age, during a routine inspection on the radiograph is determined by the center of destruction of bone tissue with smooth, sharp edges rounded in the region of the 13 root tooth diameter of 1.0 cm.
What tactics doctor the MOST appropriate?
*implementation of cystotomy
*+holding cystectomy
*implementation of hamartoma
*remove 13 tooth
*endodontic treatment of the tooth 13
#541
*!Male 42 years turned to the maxillofacial surgeon with complaints of pain in the left lower jaw and a feeling of bulging gums in the lower molars on the left, the increase in body temperature. After conducting x-rays revealed the center of destruction of bone tissue with smooth, sharp edges rounded in the region of the roots of 33, 34, 35, 36 teeth.
What tactics of treatment the MOST appropriate?
*+the conduct of cystotomy
*carrying out cystectomy
*implementation of periostotomy
*only extraction of teeth
*endodontic treatment of 33, 34, 35, 36 teeth.
#542
*!Woman 29 years, with checkups on the radiograph is determined by the center of destruction of bone tissue with smooth, crisp edges and the presence of the coronal portion of the tooth non-erupted 23.
What tactics of treatment the MOST appropriate?
*+surgical treatment
*the appointment of antibacterial therapy
*the purpose of the physiotherapy treatment
*appointment detoxification therapy
*the appointment of anti-inflammatory therapy
#543
*!A young man of 16 years admitted to hospital with a diagnosis of "Median fistula neck" for the surgical treatment. When excision of the median fistula neck is necessary to resect
*thyroid cartilage
*palatal tonsil
*+site of the hyoid bone
*submandibular gland
*duct the submandibular salivary gland
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#544
*!Girl, 16 years, turned to the maxillofacial surgeon. On examination, the surgeon revealed the presence of pin holes on the side away from the midline of neck below hyoid bone 2 cm From the external opening of the mucous discharge is noted in meager quantity. On palpation determined dense the cord, walking toward the hyoid bone.
Select a method of treatment of congenital fistulas of the neck
*ligation
*+excision
*flashing
*cryosurgery
*sclerotherapy
#545
*!Girl 17 years old appealed to a specialized clinic by a Physician oral and maxillofacial surgeon revealed tumor formation, located between the sternocleidomastoid muscle and the larynx, up to 4 cm in diameter, densely-elastic consistency, movable, the skin over it in color is not changed, palpation painful education.
Select surgical access for removal of lateral cysts of the neck:
*in the supraclavicular area
*on the leading edge m.trapesius
*by the front edge of the chewing muscles
*+horizontally across the upper cervical crease
*2 cm below the edge of the lower jaw
#546
*!Girl 16 years old turned to the clinic with complaints of education. Oral and maxillofacial surgeon revealed tumor formation, located between the sternocleidomastoid muscle and the larynx, up to 3 cm in diameter, densely-elastic consistency, movable, the skin over it in color is not changed, palpation painful education.
The most threatening complication during the removal of lateral cysts of the neck is
*paresis of the facial nerve
*fracture of the mandible
*+damage to major vessels of the neck
*trauma to the parotid gland
*fracture of the maxilla
#547
*!The boy is 14 years pre-ear area to the left determines the fistula. Her parents had a fistula from birth, occasionally suppurate. Objectively: the skin around the fistula in pre-ear region in color is not changed, with the introduction of the probe into the fistula fistulous course is directed toward the rim of your ears.
What tactics of treatment the MOST appropriate?
*cryotherapy
*chemotherapy
*radiation therapy
*dynamic monitoring
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*+surgery
#548
*!A teenager 14 years old on the lateral surface of the neck to the left is determined by education. According to parents ' education increased slowly, over 3-4 years. Objectively: in the middle third of the neck at the anterior margin of the sternocleidomastoid muscle is determined by the circular formation the size of a hen's egg, the skin in the area of education in color is not changed, palpation – painless limited education, not welded to the skin, elastic consistency.
What tactics of treatment the MOST appropriate?
*cryotherapy
*chemotherapy
*radiation therapy
*+surgery
*dynamic monitoring
#549
*!The teenager 15 years on the side of her neck in the middle third of the front edge of the sternocleidomastoid muscle on the left visually is determined fistula with bilging granulation tissue around the soft tissue hyperpigmented. Of fistula secreted a yellowish viscous liquid, this is determined by skin maceration.
What tactics of treatment the MOST appropriate?
*cryotherapy
*chemotherapy
*radiation therapy
*dynamic monitoring
*+surgery
#550
*!The teenager of 14 years on the front of the neck in the middle is determined fistula with bulging granulation tissue around the soft tissue hyperpigmented. Of fistula secreted a yellowish viscous liquid, this is determined by skin maceration. Swallowing fistula is shifted together with the hyoid bone.
MOST true when excision of the median fistula neck is necessary to resect
*thyroid cartilage
*palatal tonsil
*+site of the hyoid bone
*submandibular gland
*duct the submandibular salivary gland
#551
*!The doctor asked the woman complaining of the presence of a tumor in the lower lip area on the left, after biting opened with the release of viscous liquid, then filled. At objective inspection is determined by the education of the lower lip on the left, the mucous membrane over it a bluish color. On palpation of the formation of soft-elastic consistency.
Specify the MOST appropriate treatment.
*cystotomy
*sclerosing therapy
*+cystectomy
*blockade novocaine
*coagulation
#552
*!Woman 32 years old worried about the availability of education in the sublingual area to the left, the violation of the meal. At objective inspection is determined by the bulging of the hyoid region in the left, the mucous membrane over it a bluish color. Palpation is determined by symptom fluctuations.
Specify the MOST appropriate treatment.
*excision of education
*sclerosing therapy
*+cystotomy
*blockade novocaine
*coagulation
#553
*!Male 26 years, was admitted to the emergency Department with complaints of pain in pre-ear the left pane, redness of the skin in this area. From the anamnesis it is known that from birth pre-ear in the left pane, the patient noted the presence of the fistula orifice, which is not bothered. Objectively: the skin around the fistula in pre-ear region hyperemic, edematous, painful, symptom of "fluctuations" is positive.
What tactics of treatment the MOST appropriate?
*carrying out cryotherapy
*the appointment of antibacterial therapy
*prescription NSAIDs
*dynamic monitoring
*+autopsy festering fistula
#554
*!Male 25 years old was admitted to the emergency Department with complaints of pain in pre-ear the left pane, redness of the skin in this area. From the anamnesis it is known that from birth pre-ear in the left pane, the patient noted the presence of the fistula orifice, which is not bothered. Objectively: the skin around the fistula in pre-ear region hyperemic, edematous, painful, symptom of "fluctuations" is positive. In the emergency Department performed an autopsy on the abscess, the patient was hospitalized with the hospital.
What advice is MOST appropriate to give the patient at discharge?
*+surgical treatment in a planned manner
*UHF in the clinic
*Electrophoresis in the clinic
*UFO in the clinic
*the appointment of novocaine blockade
#555
*!Teen 15 years enrolled in a planned manner with a diagnosis of "Median fistula neck" for the surgical treatment. Objectively - on the front of the neck in the middle is determined fistula with bulging granulation tissue around the soft tissue hyperpigmented. Of fistula secreted a yellowish viscous liquid.
Resection which structure MOST indicated for the surgical treatment
*thyroid cartilage
*Palatine tonsils
*+area of the hyoid bone
*submandibular salivary gland
*duct the submandibular salivary gland
#556
*!The office received a teenager of 13 years to carry out surgical treatment. Pre-ear in the left pane determines the fistula. Her parents had a fistula from birth, occasionally suppurate. Objectively: the skin around the fistula in pre-ear region in color is not changed, with the introduction of the probe into the fistula fistulous course is directed toward the rim of your ears.
Resection which structure MOST indicated for the surgical treatment
*+section of the cartilage of the helix of the auricle
*the tragus of the ear
*earlobe
*Palatine tonsils
*footage of the hyoid bone
#557
*!Teenager 15 years old, came in clinic with complaints about the presence of a fistula. From the anamnesis it is known that earlier had been treated, carried out the extraction of the tooth and the lancing of an abscess on the right neck, postoperative fistula was formed, which is periodically opened. Introduced into the fistula a solution of methylene blue revealed in the throat at the base of the tonsil to the right.
What tactics of treatment the MOST appropriate?
* ligation of the fistula
*+excision of a fistula
*suturing of soft tissue at the base of the tonsils
*antibacterial therapy
*cryosurgery
#558
*!Woman 32 years old, appealed with complaints about the presence of a nodule in the neck. On examination: the neck area on the right is enhanced by a painless, slow-moving education. Surgeon was diagnosed with "cervical lymphadenitis" and appointed antibacterial therapy. Effect of antibiotic therapy within 7 days were noted, education in the neck increased.
What tactics doctor the MOST appropriate?
*the work of the section in the field of education
*extension of antibiotic therapy to 14 days
*+conduct thin-needle aspiration biopsy
*the purpose of the physiotherapy treatment
*the appointment of local treatment
#559
*!Male 55 years. turned to maxillo-facial surgeon, from history - in the course of preventive inspection, the x-ray was discovered a hearth of destruction of bone tissue with smooth, sharp edges rounded in the region of the root 12 of the tooth with a diameter of 1.0 cm.
What tactics doctor the MOST appropriate?
*implementation of cystotomy
*+holding cystectomy
*implementation of hamartoma
*only the removal of the 12 tooth
*endodontic treatment of tooth 12
#560
*!Men 40 years, turned to the maxillofacial surgeon with complaints of pain in the lower jaw to the right and a sense of vbuhanie gums in the lower molars on the left, the increase in body temperature. After conducting x-rays revealed the center of destruction of bone tissue with smooth, sharp edges rounded in the region of the roots 42, 43, 43, 43 teeth.
What tactics of treatment the MOST appropriate?
*carrying out cystectomy
*+the conduct of cystotomy
*implementation of periototomy
*only extraction of teeth
*endodontic treatment 43, 44, 45, 46 teeth.
#561
*!Teen 16 years admitted to hospital for surgical treatment in a planned manner. Oral and maxillofacial surgeon revealed tumor formation, located between the sternocleidomastoid muscle and the larynx, up to 4 cm in diameter, densely-elastic consistency, movable, the skin over it in color is not changed, palpation painful education.
During the operation to remove a cyst should be aware of the possibility of damage to what structure?
*facial nerve
*esophagus
*+carotid artery
*parotid gland
*aortic
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