It is the most expedient to them of the listed below tools to use for further manipulations?

* Tweezers are surgical

* Bleksli's nipper

* Auriscalpium

* Luke's nippers

*+ probe of the Voyachek

#1238

*! The young man of 19 years notes sharp rhinalgias, the head, violation of nasal respiration, temperature increase to 39 °C. The disease connects with a trauma. Rhinoscopically: narrowing of the nasal courses, an infiltration and a hyperemia of fabrics of a nasal partition in forward department.

What method of treatment from below listed is the MOST expedient?

*+ Surgical treatments

* Vitamin therapy

* Autohemotherapy

* Physiotherapy

* Tamponade

#1239

*! The man of 37 years shows complaints to a rhinitis, headache, it is more in occipital area. Often spits out a purulent sputum. It is sick several years. Rinoskopiya: moderate increase in nasal sinks. Separated in the top nasal course is not present.

What of the listed below research techniques is MOST expedient for specification of the diagnosis?

* Rinopnevmometriy

*+ Roentgenography

* Olfaktometriy

* Olfactometriy

* рН-metriy

#1240

*! The man of 37 years shows complaints to a rhinitis, headache, it is more in occipital area. Often spits out a purulent sputum. It is sick several years. Rinoskopiya: moderate increase in nasal sinks. Separated in the top nasal course is not present.

What of the listed below research techniques is MOST expedient for specification of the diagnosis?

*+ Intubation of the clinoid sinus

* Puncture of a lattice labyrinth

* Trepanopunktion of a frontal sinus

* Intubation of a frontal sinus

* Puncture of a maxillary sinus

#1241

*! The girl of 23 years shows complaints to a headache, puffiness of an upper eyelid of the right eye, purulent discharges from a nose, difficulty of nasal respiration, temperature increase to 39,9 °C. It is sick 6 days after overcooling. At a rinoskopiya – a hyperemia mucous a nose, a purulent discharge on average the nasal course on the right.

What of the listed below surgical methods is MOST expedient in the absence of effect at conservative treatment?

*+ Trepanopunction of the frontal sinus

* Puncture of a maxillary sinus

* Puncture of a main sinus

* Maxillary sinusotomy

* Etmoidotomiy

#1242

*! The man of 53 years complains of a headache, weight and unpleasant feelings in the right half of the face at inclinations forward, difficulty of nasal respiration, purulent discharges from a nose. It is sick 2 months. Rinoskopiya: hyperaemia, hypostasis mucous nasal courses on the right, pus strip on average nasal course on the right. Roentgenography of adnexal bosoms – total blackout of the right gaymorovy bosom. A diagnostic puncture of the right gaymorovy bosom – pus in a great many, with the strong off-flavor.

What consultation of the expert from listed below it is the MOST expedient to appoint?

* Infectiologist

* Neuropathologist

*+ Stomatologist

* Phthisiatrician

* Oculist

#1243

*! The young man of 15 years complains of a constant congestion of a nose from 2 parties, mucopurulent selections from a nose, the poor dream, periodic headaches. It is sick 3 years. At a forward rinoskopiya: the lower nasal sinks are sharply increased in volume, are hyperemic, introduction of 3% of solution of ephedrine does not lead to reduction of sinks.

What of the listed below methods of treatment is MOST expedient?

* Ultrasonic disintegration of a concha

* Puncture maxillary sinus

* Physiotreatment

* Stylostixis

*+ Turbinotomies

#1244

*! The young man of 15 years complains of a nose congestion from 2 parties, plentiful mucous selections from a nose, sneezing attacks, the poor dream, periodic headaches. It is sick 3 years, notes seasonality of a disease which usually begins at the end of August. At a forward rinoskopiya: nasal sinks are sharply hydropic, tsianotichna, are available Voyachek's spots.

What padding inspection from below listed it is the MOST expedient to appoint to the patient for specification of the diagnosis?

* Puncture and washing of a maxillary sinus

* Computer tomography of area of a nose

* Crops from a nasal cavity on a microflora

* Roentgenography of bosoms of a nose

*+ Rinotsitogrammas

#1245

*! The young man of 15 years complains of a nose congestion from 2 parties, plentiful mucous selections from a nose, sneezing attacks, the poor dream, periodic headaches. It is sick 3 years, notes seasonality of a disease which usually begins at the end of August. At a forward rinoskopiya: nasal sinks are sharply hydropic, tsianotichna, are available Voyachek's spots.

What of below the listed medicines it is the MOST expedient to include in a treatment planning?

* Antiinflammatory medicines

*+ Medicines of the antihistamine type

* Anticoagulants

* Antibiotics

* Vitamins

#1246

*! The man of 29 years after the postponed flu complains of temperature increase to 39 °C, there was pain in a forehead and a root of a nose, difficulty of nasal respiration, a flow of pus from a nose, the right eye-socket pains, a swelling a century of the right eye. At survey: exophthalmos, хемоз, eyeglobe immovability. These rinoskopiya: mucous the right nasal course it is hydropic, in nasal to the course abundance of pus.

What padding changes from below listed MOST possibly at this disease?

* Developments of stagnation in an eyeground on the right

* Sharp falling of visual acuity on a right

* Quadrant hemianopsia on a right

*+ Loss of fields of vision on the right

* Bilateral defeat

#1247

*! The man of 38 years addressed with complaints to feeling of weight in the field of the right half of the face, a periodic congestion of a nose. From the anamnesis: suffers within 6 months. At a rinoskopiya: nasal sinks are increased in volume on the right, in the nasal courses there is no separated. These roentgenographies of a nose and adnexal bosoms: a spherical shadow in the right gaymorovy bosom.

What padding inspection from below listed it is the MOST expedient to appoint to the patient for specification of the diagnosis?

* Cytologic research of a nasal secret

*+ Puncture of the maxillary sinus

* Crops on a microflora

* Olfaktometriya

* Diaphanoscopy

#1248

*! The man of 38 years addressed with complaints to feeling of weight in the field of the right half of the face, a periodic congestion of a nose. From the anamnesis: suffers within 6 months. At a rinoskopiya: nasal sinks are increased in volume on the right, in the nasal courses there is no separated. These roentgenographies of a nose and adnexal bosoms: a spherical shadow in the right gaymorovy bosom.

What tactics of treatment from below listed is the MOST expedient?

* Antibacterial therapy

* Fortifying treatment

* Physiotreatment

* Stylostixis

*+ Operations

#1249

*!A patient with acute inflammation of the middle ear feels hearing loss, receptive nature, dizziness, nausea, vomiting, nystagmus to the affected side.

  What tactics are suitable in the first place?

* Urgent surgery

* intensive therapy

*+ Paracentesis

* antibiotic

* Painkillers

#1250

*!The patient N. was admitted with severe pain in the ear, headache, high fever, vomiting single. Otoscopy - tympanic membrane hyperemia, bulging.

Kakya treatment strategy is most advisable?

* Alcohol drops in the ear

* antibiotics

* Vasoconstrictor drops in the ear

* Painkillers

*+ Paracentesis

#1251

*!The baby arrived with severe pain in the ear, headache, high fever, refuses the breast, single vomiting. Otoscopy - tympanic membrane hyperemia, bulging. In terms of the treatment of the child is assigned:

What tactic of treatment is most advisable?

* Alcohol drops in the ear

* antibiotics

* Vasoconstrictor drops in the ear

* Painkillers

*+ Paracentesis

#1252

*!The patient fell ill acutely. There was shortness of nasal breathing, headache, weakness, nausea, vomiting, single, subfibril temperature, purulent nasal discharge. Diagnosed acute purulent sinusitis. The clinic performed a puncture of the maxillary sinus, but by washing through the puncture needle and the contents of the sinus wash water received. The patient felt a sharp pain at one time there was a swelling of the soft tissues of the face. The patient was rushed to a hospital doctor.

What complication of puncture of the maxillary sinus is most expedient in this case.

* Air embolism.

*+ Sheek’s puncture.

* Orbital puncture.

* Pierce the lateral wall of the maxillary sinus was not possible.

* Cheek’s Abscess

#1253

*!Patient 14 years complaints about labored opening the right eye, headache, dizziness, T-37.3. Purulent discharge, weakness, headache worse when bending the head. On an X-ray examination homogeneous darkening the left maxillary sinus, frontal sinus in the liquid level. Left upper eyelid strongly edematous skin flushed, the voltage of the upper eyelid tissue moderately tense, palpation slightly painful. Patient self-eye can not open. Restrictions eyeball mobility didn’t had. Exophthalmos not determined. Conjunctival hyperemia.

What rhinogenous orbital complications are the most suitable in this case?

* Cellulitis of the orbit.

* Retrobulbar abscess.

*+ Inflammatory edema fiber sockets.

* Periostitis of orbit.

* Abscess century

#1254

*!The patient appeared vertigo accompanied by nausea, unsteadiness of gait more than the left. On examination of spontaneous nystagmus not, in the pose of a Fischer-Barre hands harmoniously deflected to the left, with finger-nose test - hands harmoniously miss the left, in the Romberg patient deviates to the left, with head turning dip direction changes in gait for direct patient deviates to the left. When pressed on the right side of the tragus of the patient appears right-spontaneous nystagmus, nausea and dizziness intensified.

Which of the following study the most appropriate?

*+ Rotational test

* Adiadohokinezis

* Voyachek test

* Glyantsel test

* Jelly test

#1255

*!Male 26 years old complaints of hearing loss in the ear on both sides, on the left side of suppuration. Otoskopy: AS-external auditory canal is wide, free. Mt gray, perforation of the epitimpanum. Cholesteatoma. The mucous membrane of the tympanic cavity is pink. No discharge.

Routinely primary treatment is:

* Washing the ear with antiseptic

*+ Surgical treatment in order - planned radical debridement surgery with antibiotics

* Physiotherapy

* Cleaning of the ear discharge, turundies with antiseptics

* Antibiotics

#1256

*!A woman, 34 y.o. was admitted urgently to the emergency room with a living foreign body left ear.

When you remove a foreign body from a live acoustic meatus initially recommended:

*Assign painkillers

*Disable the consciousness of the patient

*Remove alive foreign body hook

*+Living foreign body should be put to death with vaseline oil, then wash with warm water

*Living a foreign body to kill ether

#1257

*!Male 28 y.o. complains of feeling foreign body in the throat to the right, nausea, single vomiting ,bad breath for a week. From history: 3 weeks ago he suffered a severe pneumonia that was complicated dysbacteriosis and diarrhea. On examination: general condition is not suffering, enlarged submandibular lymph nodes. Pharyngoscopy - on the surface of the right palatine tonsil has an extensive ulcer, covered with grayish-yellow.

For a further study of the following is most expedient to make further diagnosis:

   

* Stepnal puncture, bone marrow examination

*+ Baktepioskopical study plaque

* Study of peripheral blood

* Study of sputum

* Opofapingoskopy

#1258

*!Girl 23 years old complained of feeling unwell, fever up 39,2˚C. Headache, nausea, vomiting, weakness, muscle pain, sore throat, worse when swallowing. On examination - enlarged submandibular lymph nodes. Pharyngoscopy: palatine tonsils bloodshot, swollen, covered with yellowish plaque islands. The GBA - L-12,6 *109, ESR - 34 mm / h.