Повреждения мягких тканей лица, полости рта. Особенности первичной хиргической обработки ран лица
#562
*!A 29 years old man rushed to the emergency room after getting home injury. On examination: the wound of frontal area length of 5.0 cm, width 1.5 cm, bleeding heavily, when auditing the integrity of the periosteum and bone is not disturbed, the edges of the wound smooth.
Which treatment is MOST appropriate?
*the imposition of secondary sutures
*the imposition of deferred seams
*plugging tight bandage
*+primary surgical treatment of wounds
*secondary surgical treatment
#563
*!A36 years old woman rushed to the emergency room with a wound of the parotid-chewing area on the right that was 6 hours 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.
What 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
#564
*!A 35 years old man appealed with complaints of pain and the presence of bleeding wounds in the forehead. Fell down the stairs 1 hour ago-lost consciousness for a short time. Objectively: General condition is of moderate severity, pale skin. In right area of forehead is horizontal linear wound with 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 jagged, moderately bleeding wound, gaping.
Consult any of these professionals, it is more rational to spend the first day treatment?
*nephrologist
*therapist
*+neurosurgeon
*ophthalmologist
*gastroenterologist
#565
*!A 36 years old man rushed to the emergency Department of the hospital 3 hours after falling. In the area of the upper lip is visualized through the wound length of about 2.0 cm.
Introduction of what drug is MOST indicated for initial surgical treatment?
*gamma globulin
*anti-rabies serum
*staphylococcal toxoid
*+tetanus toxoid
*antibotulinic serum
#566
*!A 42 years woman was admitted to the emergency room after the injury. Objective: through the mouth.
Which of the following sequences wound closure the MOST appropriate?
*fascia, skin, mucous membrane
*+mucosa, muscle and skin
*muscles, skin and mucous membrane
*skin, muscle and mucosa
*muscle, mucosa and skin
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#567
*!In the emergency room delivered a man of 47 years 2 hours after the injury. Objectively: the extensive through defect of cheek region.
Which of the following tactics of the doctor is the MOST shown?
*plastic local fabrics
*plastic triangles of Limberg
*layer-by-layer wound closure
*+stitching of the skin with mucous membrane
*the use of a flap on feeding pedicle
Дефекты и деформации челюстей. Планирование пластических операций. Костная пластика челюстей
#568
*!Male 36 years old, was admitted with complaints of cosmetic defect of the face. From history 2 years ago surgery about the removal of ameloblastoma the lower jaw on the right. Objectively after conducting the instrumental examination identified defect of the bone tissue of the mandible in the body region to the right. Shows the operation using translatat
The use of what material are MOST recommended?
*allogeneic cancellous bone
*autogenous cortical bone
*homogeneous cortical bone
*+autogenous cancellous bone
*deproteinisation of bone
#569
*!Male 26 years old, appealed 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
#570
*!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
#571
*!Male, 35 years old, appealed with complaints of cosmetic defect of the face. Upon inspection diagnosed progenesis occlusion due to the excessive development of the mandible. To eliminate warping, the surgeon applied the oblique sliding osteotomy of the branches of the lower jaw.
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What line of osteotomy of the following is MOST appropriate?
*+from the mid-mandibular clippings to the angle of the mandible
*from the mid-mandibular clippings to the edge of the jaw at the first molar
*from the middle of the tenderloin to the mandibular external oblique line of the mandible
*mid-height rear edge of the branches to the external oblique line of the mandible
*from the mid-mandibular clippings to the edge of the jaw anteriorly 2 cm from the corner
#572
*!Male 40 years old, appealed with complaints of cosmetic defect of the face. Upon inspection diagnosed progenesis occlusion due to the excessive development of the mandible.
What kind of an osteotomy of the following are MOST recommended?
*horizontal osteotomy of the branches of the lower jaw
*oblique sliding osteotomy of the branches of the lower jaw
*+compactsteam diagonal branches of the lower jaw
*vertical sliding osteotomy of the branches of the lower jaw
*retromolar sagittal osteotomy of the branches of the lower jaw
#573
*!Male 19 years old, was admitted to 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 with "lower macrognathia".
Conducting osteotomy in what area is MOST appropriate?
*angles
*4. 4, 3. 4 teeth
*condylar processes
*+the branches
*chin
#574
*!Female 22 years old, was admitted with complaints of deformation of the face due to the protrusion of the lower jaw forward, the lack of closure of anterior teeth, the impossibility of biting food. The increase of the jaw is noted with the age of 9 and progressed. Surgeon recommended the holding of a fragmented osteotomy.
The removal of any teeth is MOST appropriate?
*4.4, 3.4
*4.3, 3.3
*4.2, 3.2
*+4.5, 3.5
*1.6, 2.6
#575
*!Female 22 years old, appealed with complaints of cosmetic defect of the lower half of the face, difficulty in biting food, and slurred speech. The examination revealed protrusion of the upper jaw forward relative to normally developed mandible. Recommended to conduct osteotomy of the mandible to correct the lower retrognathia.
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What kind of surgery MOST of these shows?
*+bone plastic
*transplantation of fascia
*the engraftment of muscle
*transplantation of skin graft
*contour
#576
*!Female 22 years old, appealed with complaints of cosmetic defect of the lower half of the face, difficulty in biting food, and slurred speech. The examination revealed protrusion of the upper jaw forward relative to normally developed mandible. Recommended to conduct osteotomy of the mandible to correct the lower retrognathia.
What intraoperative complication of these are the MOST anticipated?
*salivary fistula
*secondary deformation
*ischemia of the tissues of the operating area
*neuritis of the marginal branches of the facial nerve
*+damage to the region innervated by inferior alveolar artery
#577
*!Female 24 years old, was admitted to 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 with "lower macrognathia". Held retromolar sagittal osteotomy of the mandible. During surgery there is damage to the regional branches of the facial nerve on the left.
A violation MOST foul?
*+drooping corner of the mouth on the left
*lagophthalmos
*watery eyes
*drooling
*lockjaw chewing muscles
#578
*!Female 28 years old, was admitted with a diagnosis of "lower prognathia II degree with a deep bite I degree." Produced osteotomy of the mandible. The plane of the cut was downward from the external oblique line in the spongy substance between the compact plates and reached the bottom edge of the angle of the mandible. On small fragments removed a strip of the outer compact plate of width 6 mm. Bone fragments bonded tantalum wire.
Which of the following methods of osteotomy used?
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*+retromolar sagittal
*vertical sliding
*curved for Vasilyev
*horizontal split
*speed
#579
*!Female 22 years old, appealed with complaints of deformity in the face. The examination revealed marked elongation of the lower third of the face. Mandibular angles also deployed approximately 140°. A sagittal slit between the teeth 10 mm. contact between the teeth in the area of molars. The upper lip seems truncated and underdeveloped hiatus from the mouth slit. Lips sluggish, locked with tension. Mouth permanently half-open. Shown holding the osteotomy.
For the planning of operation 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
#580
*!The 27 year old female, complains of deformation in the region of the chin. Objectively, the face symmetrical, proportional, in side overview of the observed excess performance of the chin. Opening the mouth freely. The middle line between the Central incisors matched, the front buccal hump upper first molar is placed in the transverse fissure between the tuber of the first lower molar, the cutting surface of the upper and lower incisors mapped.
Which treatment is MOST recommended?
*+intraoral osteotomy of the chin
*intraoral osteotomy of the body of the mandible in the mental area
*sagittal osteotomy of the mandibular angle
*vertical wedge osteotomy of the mandibular Ramus
*horizontal osteotomy of the mandibular Ramus
#581
*!Male 23 years old, for 4 years was carried out orthodontic treatment for the upper prognathia. The treatment was not effective.
Which treatment is MOST recommended?
*+osteotomy of the maxilla according to Semenchenko
*continuation of orthodontic treatment
*compactsteam at Titova using arc Angle
*vertical osteotomy of the mandible
*horizontal osteotomy of the mandible
#582
*!Woman 24, complains about the flattening of the face in the lower third on the left. The mouth opening is free, not limited. The function of facial muscles is not broken. From the anamnesis it is known that in childhood suffered a left-sided osteomyelitis of the mandible.
Which treatment is MOST recommended?
*+contouring
*rational prosthetics
*osteotomy of the mandible
*plastic local fabrics
*osteotomy of the upper jaw
#583
*!The clinic contacted a young man 19 years with complaints of aesthetic defect, respiratory disorder, speech. Conditions are congenital. On examination: facial asymmetry due to shortening of the middle third of the face, the upper lip forward, a few raised. Nasolabial folds are smoothed. The mouth opening is free. Deep bite, front teeth protrude. When smiling, the upper lip, shifting upward, exposes the mucosa of the alveolar process of the maxilla.
Which treatment is MOST recommended?
*physiotherapy
*the wearing of hats for face lifting
*overlay bimaxillary tires
*+osteotomy of the upper jaw
*osteotomy of the mandible
#584
*!A young man 18 years old, contacted the clinic with complaints of violation of the food intake, restriction of mouth opening, facial violation. At 3 years of age suffered purulent automateit. On examination: facial asymmetry due to swelling on the right buccal region. Movement in the temporomandibular joint on the right limited. Chin shifted to the right, jaw to the left flattened. The mouth opening is limited to 1.5 cm in cross-Bite.
What is the complication of the following is MOST likely?
*+of the secondary deforming osteoarthritis
*bone ankylosis
*scar ankylosis
*nonarthrosis
*chronic arthritis
#585
*!Young man 19 years old, hospitalized in the maxillofacial Department at the portal with a diagnosis of Upper prognathism. Planned elimination of aesthetic drawback and to achieve multiple – contact between the teeth- antagonists.
Which of the following methods is MOST appropriate?
*step genioplasty
*+segmental osteotomy
*planar osteotomy
*vertical subcondylar osteotomy
*vertical osteotomy
#586
*!A young man of 17 years, hospitalized in the clinic. Objectively determined asymmetric deformation of the facial skull, caused by hemifacial microsomia the THIRD degree. For surgical treatment needs a large number of bone-plastic material. When using autografts of the bone time and severity of the operation greatly increases.
The use of what materials is MOST appropriate?
*implants
*autografts
*xenografts
*heterotransplantation
*+orthotopic allotransplantat
#587
*!Teenager 15 years old, hospitalized in the maxillofacial Department with a clinical diagnosis of Bilateral bony ankylosis.
Which treatment is MOST appropriate?
*orthodontic treatment
*redressesion
*+osteotomy
*splinting
*bone plastic
#588
*!Teen 14 years old, hospitalized in the maxillofacial Department with the diagnosis of Bilateral lower retrognathia with ankylosis of the temporomandibular joints. Which treatment is MOST appropriate?
*surgical
*conservative
*+apparatus- surgical
*physiotherapy
*orthodontic
#589
*!Male 44 years old, contacted the clinic with complaints of violation of mastication, speech. 1 year ago after a road traffic accident was treated at the hospital for about a combined fracture of the upper and lower jaws. Gradually, the closure of teeth between the front teeth was gone, the contact is saved between 17, 47 and 27, 37 teeth. Diagnosed with Open bite.
Which method of operative treatment are MOST recommended?
*longitudinal speed osteotomy
*horizontal osteotomy
*vertical osteotomy
*+bilateral oblique osteotomy
*retromolar sagittal osteotomy
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