In which of the following areas vascular changes will most probably be registered?

*+anterior inferior part of nasal septum

*superior part of nasal septum

*mucous tunic of inferior turbinated bone

*mucous tunic of middle turbinated bone

*anterior superior part of nasal septum

#1150

*!A70-year-old male was admitted to the receiving room with nosebleed. Mucous tunic of nasal cavity hyperemic, Kiesselbach area vessels enlarged, nasal airflow unobstructed.

Which of the following medications is the MOST reasonable to use to soak the drain sponge during nasal packing?

*+liquid paraffin

*adrenaline

*ephedrine solution

*Levomekol

*chloromycetin alcohol

#1151

*!A 60-year-old female was admitted to the receiving room with nosebleed. She is registered with a physician concerning hypertension. Anamnesis: admits periodic nosebleeds along with hypertension. Physical examination: nose shape regular, nasal airflow unobstructed.

Which examination of the following is THE MOST reasonable to conduct to establish a specific diagnosis?

*+rhinoscopy

*endoscopy

*skull X-ray

*computer tomography

*digital investigation

#1152

*!A 20-year-old male was admitted to the receiving room with nosebleed and pain in nasal area. He has got a nose injury in a fight 2 hours ago. Physical examination: nasal soft tissue hyperemic, abrasions, external nose displaced to the left, mucous tunic of the nasal cavity swollen. Nasal breathing difficulties.

Which of the following nasal X-ray views is the MOST reasonable to use in this case?

*anterior and posterior

*frontonasal

*mentonasal

*+antero-posterior and lateral

*axial

#1153

*!A 64-year-old male delivered to the clinic with profuse nosebleed along with a hypertensive crisis. Physical examination: nose shape regular. Nosebleed persists in spite of blood-soaked packing in nasal passages. Eventually, the nosebleed has been stopped with external carotid ligation.

Which of the following nasal parts was the MOST probable source of the profuse bleeding?

*superior part of the nose

*anterior part of the nose

*anterior inferior part of nasal septum

*+posterior inferior part of the nose

*nasal vestibule

#1154

*!A man 46 years old complains about weakness, difficulties of nasal breathing, dry nose, purulent bloody crusts, deformation of the external nose. Desease lasts 3 years, when after the flu the difficulty in nasal breathing and dryness in the noseappeared. On examination the nasal wall retraction is determined. The mucosa is thinned, cyanotic red color, thick brown crust with a smell, extensive perforation of the nasal septum with necrotic edges.

Which of the following preliminary syndromes is most likely to be in this case?

*+Wegener's granulomatosis

*Kartagener syndrome

*Barre syndrome

*Vaquez disease

*Glaser syndrome

#1155

*!A woman 38 years old came with complaints of difficulty in nasal breathing through the right half of the nose, bloody-purulent discharge from this half of the nose, a headache in the right half of the frontal region. Disease lasts 3 months. On examination it is determined that the right half of the nose is blocked by macro tuberous formation of purple-cyanotic color, anterior areas are ulcerated, bleeding when touched by the probe. On the X-ray picture there is a shadow occupying the right half of the nose, right ethmoidal labyrinth cells are destroyed.

Which of the following studies is the most expedient to be appointed?

*+A biopsy of the tumor

*Blood for tumor markers

*Bordet - Zhang reaction

*Wasserman reaction

*Abdominal ultrasound

#1156

*!A woman 38 years old came with complaints of difficulty in nasal breathing through the right half of the nose, bloody-purulent discharge from this half of the nose, a headache in the right half of the frontal area. Disease lasts 3 months. On examination it is determined that the right half of the nose is blocked macro tuberous  formation of purple-cyanotic  color, anterior areas are ulcerated, bleeding when touched by the probe. The nasal septum is displaced to the left.

Which of the following preliminary diagnoses is most likely to be in this case?

*+New formation of the right half of the nose

*Kartagener syndrome

*Louis - Bar Syndrome

*throat new formation

*Glaser syndrome

#1157

*!A man 62 years old came with complaints of headache, weakness, watery eyes,  nose breathing absence, bleeding from the right side of the nose. Disease lasts 2 years. The asymmetry of the face due to exophthalmos on the right area and right cheek deformations. The right half of the nose is occupied by purple-blue formation, displacing the nasal septum to the left. The back of the formation hangs from the right side of the nose to the nasopharynx.

Which of the following preliminary syndromes is most likely to be in this case?

*+New formation of the right half of the nose and nasopharynx, with invasion into orbit

*Marfan syndrome

*Kartagener syndrome

*Job syndrome

*Kallmann syndrome

#1158

*!A baby born full term after normal pregnancy immediately after birth screamed and began choking. It has been established that the baby's nasal breathing is completely absent. When probing the nasal cavity a catheter fails to pass into the nasopharynx.

Which of the following preliminary diagnoses is most likely to be in this case?

*+Full choanal atresia

*tracheoesophageal fistula

*Malformations of the hard palate

*Wegener's syndrome

*Kartagener syndrome

#1159

*!A newborn has a dense mucous secretion from the nose and salivation (up to 1 liter per day).

Whichofthefollowing syndromes is themostprobable?

*+Crey-Levy syndrome

*Loui-Bar syndrome

*Cundradt syndrome

*Wegenr syndrome

*Kartangener syndrome

#1160

*!A baby, 6 months old, is unquiet, he has bad appetite, bloody rhinitis, hematuria. Examination shows extremities edema. X-ray shows enlighten centers in metaphysis.

Which of the preliminary syndromes is most probable?

*+Meller-Barlow syndrome

*Loui-Bar syndrome

*Cundradt syndrome

*Wegenr syndrome

*Kartangener syndrome

#1161

*!A patienthastelangiectasia, nasalbleeding, andstudyofthehemostaticsystemdoesnotdetectsignificantviolations.

Which of the preliminary syndromes below is most probable?

*hemophilia

*+Randew-Osler syndrome

*Wilebrand syndrome

*Werlgolf syndrome

*Loui-Bar syndrome

#1162

*!A boy, age 8. His parents are anxious about frequent otitis, angina, rhinitis, conjunctivitis, bronchitis, pneumonia, enterocolitis development at the child. Current hospitalization is due to endocarditis and sepsis development surmise. While examining it was found leukopenia due to lymphocyte number decreasing, mostly, of T-type and, at the rest, of B-type; IgА and IgЕ decreasing in the blood (correspondingly onto 40 and 50 % from the norm), IgGlevel is on the lower norm border; lymphocytes reaction on fitohemalutininis is reduced.

Which of the following syndromes is most probable?

*Marfan syndrome

*Wilebrand syndrome

*Werlgof syndrome

*+Loui-Bar syndrome

*Wegener syndrome

#1163

*!A woman, age 28, complains of the constant dryness in the nose, crust forming in nasal passages, frequent dense secretion from the nose, sometimes with blood, smelling violation. There is a specific unpleasant smell around the woman. Examination shows a dryness in the nasal mucosa, rapid thinned, dry yellow-green crust, dense pus in some places. Nasal turbinates are decreased in size, nasal passages are widened.

Which of the syndromes below is most probable?

*+dryness of the nasal mucosa

*Wegener syndrome

*Sluder syndrome

*early disorder of nasal breathing

*Yowa syndrome

#1164

*!A man, age 20, complains of the persistent nasal congestion, mucous secretion from the both sides of the nose, dryness in the mouth, bad dreaming. Rhinoscopy shows nasal passages thinning due to inferior nasal turbinates expanding, which do not contract under the adrenaline effect.

Which of the syndromes is most probable?

*+Hypertrophy of nasal turbinates

*Wegener syndrome

*Sluder syndrome

*Nasal breathing early disorder

*Yowa syndrome

#1165

*!A man, age 26, complains of all types sensitivity and sternutatory reflex loss. Suffers for 2 years.

Which of the syndromes below is most probable?

*+Nasal mucosa anesthesia syndrome

*Allergic facial grimaces syndrome

*Weile syndrome

*Gammershlag syndrome

*Yowa syndrome

#1166

*!What symptoms is most frequent at the infants during the acute rhinitis?

*eat refusal

*rhinorrea

*+nasal breathing difficulty

*high temperature

*nasal bleeding

#1167

*!A newborn, born in time an normal pregnancy development, began crying and choking soonafter bearing. It is observed that nasal breathing is absolutely absent. At the nasal cavity probing is noted that catheter does not permeate into the nasopharynx.

What investigation should be prescribed?

*+computer tomography of the nose and sinuses

*Odorimetry

*Diafanoscopy

*рН-metry of the nose

* Ultrasound diagnosis of the nose diseases and paranasal sinuses

#1168

*!A woman complains of the nasal breathing difficulty, mostly in the right, periodical dryness in the nose, low mucous secretion, which recently began bloody and pussy. Rhinoscopy shows that the nasal cavity is covered with purulent-bloody crust, which can be removed as the cast of the cavity. Nasal cavity is thinned, red-cyanotic color, partially with bleeding granulations. There is a perforation in nasal septum cartilaginous segment.

Which of the following is true?

*Ozena. A fetid rhinitis

*Subatrophic rhiniti

*Scleroma of the nasal cavity

*Nasal cavity lupus

*+Wegener granuloma

#1169

*!A man, age 18, complains of the nasal breathing difficulty, mostly in the right, periodical dryness in the nose, low mucous secretion, which recently began bloody and pussy. Rhinoscopy shows that the nasal cavity is covered with purulent-bloody crust, which can be removed as the cast of the cavity. Nasal cavity is thinned, red-cyanotic color, partially with bleeding granulations. There is a perforation in nasal septum cartilaginous segment.

Which of the following treatment strategy is true?

*+hormone therapy (prednisolone), cytostatics (delagil, azqathioprine), antibiotics, vitamins

* hormone therapy (prednisolone)*+compliment fixation test with scleroma antigen*+ antibiotics

*hyposencibilic therapy*+chemotherapy*+antibiotics

*chemotherapy

*radiation therapy

#1170

*! A woman 65 years old complains of tinnitus, hearing loss. She has been sick for 6 years, and associates disease with binds influenza. During the last year hearing has become progressively worse. At endoscopy of ear and upper respiratory tract no pathological changes have been identified. Hearing passport indicates a bilateral hearing loss by type of injury of sound perceiving apparatus.

Which of the following is MOST LIKELY preliminary syndromes?

* Stickler

* Trotter

*+ Tinnitus

* Sikar

* Thornwald

#1171

*! ENT doctor consulted a man, 30 years old, complaining of progressive hearing loss. Patient with asthenic constitution, funnel chest, hypoplasia of the lower jaw, severe degenerative arthropathy of the hip, knee and ankle joints, vitreous anomaly, Pierre Robin sequence.

Which of the following is MOST LIKELY preliminary syndromes?

*+ Stickler

* Trotter

* Tapy

* Sikar

* Thornwald

#1172

*! A man, 28 years old, with bilateral sensorineural hearing loss, high myopia, glaucoma, arthropathy hip and knee joints consulted the clinic.

Which of the following is MOST LIKELY preliminary syndromes?

*+ Stickler

* Wegener

* Osler

* Pyle

* Sjogren

#1173

*! 22 years old man consulted the doctor with complaints of progressive hearing loss. On examination: symmetrical symphalangy of proximal phalanges of fingers and toes, nail aplasia, aplasia of the styloid process of the radius. Notes myopia.

Which of the following is MOST LIKELY preliminary syndromes?

* Sjogren

* Pyle

* Fara-Khlupachkova-Khrapakova

*+ Strasburger-Hawkins-Eldridge

* Osler

#1174

*!8 month old girl consulted the clinic, according to mother child doesn’t hear. On examination: stenosis of the external auditory meatus, abnormal development of ears, small pointed nose. According to the mother has aplasia of the right kidney and ureter, vaginal atresia and hypoplastic uterus.

Which of the following is MOST LIKELY preliminary syndromes?

* Stickler

* Wegener

* Osler

*+ Winter

* Sjogren

#1175

*!Mother with 3 years old girl consulted ENT clinic with complaints of hearing loss. There is an anomaly of auricles. The examination revealed congenital malformation of the outer, middle and inner ear. In the game audiogram - reduction of air and bone conduction of sound.

Which of the following is MOST LIKELY preliminary syndromes?

* Sjogren

* Pyle

*+ Fara-Khlupachkova-Khrapakova

* Strasburger-Hawkins-Eldridge

* Osler

#1176

*!Parents of 3 months old girl consulted ENT clinic . According to the parents when the child is crying, she begins to choke. At the complex examination revealed: the anomaly of the outer and middle ear, the underdevelopment of the tear ducts, throat constriction, hypoplasia of the small bowel mesentery, hypoplasia of the right kidney, enlargement of the clitoris, uterus is two-humped.

Which of the following is MOST LIKELY preliminary syndromes?

* Sjogren

* Pyle

* Wegener

*+ Fraser

* Osler

#1177

*! At the pediatric department is called ENT doctor for consultation. Boy 3 years old, according to the mother, does not respond to sounds. From history: spinocerebellar ataxia, nystagmus, congenital heart disease, dementia, absence of tendon reflexes, optic atrophy on the left.

Which of the following is MOST LIKELY preliminary syndromes?

*+ Friedreich's ataxia

* Pyle

* Sjogren

* Strasburger-Hawkins-Eldridge

* Osler

#1178

*! Mother with 5 years old boy consulted ENT clinic with complaints of bilateral hearing loss. The examination revealed congenital pathology of the outer and middle ear, ear lobe hyperplasia. CT - ankylosis of the anvil stapes joint.

Which of the following is MOST LIKELY preliminary syndromes?

* Strasburger-Hawkins-Eldridge

* Pyle

* Wegener

*+ Escher-Hirt

* Osler

#1179

*!30 years old man consulted the center of auditory prosthesis. According to mother of the patient was kept in prison for 5 years, 2 years ago suffered some illness, after that doesn’t hear. Diagnosis on the audiogram bilateral sensorineural hearing loss of 2 degree. He has auditory prosthesis, but there is no effect. He can hear sounds good, but can’t understand the speech.

Which of the following is MOST LIKELY preliminary syndromes?

*+temporal lobe

* Pyle

* Wegener

* Escher-Hirt

* Osler

#1180

*!45 years old man approached the clinic with complaint of ear congestion, feeling his own voice inside the head, a feeling of pressure in the ear, a feeling of fluid transfusion in the ear.

Which of the following is MOST LIKELY preliminary syndromes?

* Strasburger-Hawkins-Eldridge

*+ gaping Eustachian tube

* Wegener

* Escher-Hirt

* Osler

#1181

*!3 years old boy consulted the ENT doctor , according to his mother there is a pain in the ear.In the anamnesis: frequent otitis, sinusitis, furunculosis, cold abscess of the gluteal region. In the blood: defect of neutrophilic leukocytes hemotaxis and a high level of immunoglobulin "E".

Which of the following is MOST LIKELY preliminary syndromes?

* temporal lobe

* Pyle

*+ Job

* Escher-Hirt

* Osler

#1182

*!35 years old man approached the clinic with complaints of noise and ringing in the ears, hearing loss, ear congestion. Yesterday there was dizziness, headache. From anamnesis revealed that there is a metallic taste in mouth, burning sensation in the throat, limited mouth opening, fatigue when chewing.

Which of the following is MOST LIKELY preliminary syndromes?

* temporal lobe

* Pyle

* Wegener

*+ Costen’s

* Osler

#1183

*!The Perinatology Center invited for consultation ENT doctor. According to mother a child does not respond to sound. On examination: choanal atresia, incomplete cleft palate, coloboma of the eye, heart disease combined.

Which of the following is MOST LIKELY preliminary syndromes?

*+Мондини

*Пайла

*Вегенера

*Эшера-Хирта

*Ослера

#1184

*!Audiologist consulted mother with a 3 years old child, with complaints of hearing loss. On examination: dysplasia of auricles, broad nasal bridge, small mouth, enlarged skull with prominent forehead and back of the head, hands and feet dysplasia, hypoplasia of nails toes expressed androtropizm, mental retardation.

Which of the following is MOST LIKELY preliminary syndromes?

* temporal lobe

* Pyle

* Wegener

* Escher-Hirt

*+ Taybi

#1185

*! The young man of 19 years shows complaints to temperature increase to 37,5 ˚С., weakness, indisposition, sore throat. Ached sharply, two days ago, after a rain. Faringoskopiya: mucous drinks pink, palatal almonds are hyperemic, edematous. In the general blood test – L-9,6 109, speed of subsidence of erythrocytes – 28 mm/h.

What of the listed below preliminary diagnoses is MOST probable?

* paratonzillyarny abscess

* follicular quinsy

* lacunary quinsy

*+ catarrhal quinsy

* sharp pharyngitis

#1186

*! The patient shows complaints to temperature increase to 38,5 ˚С., weakness, an indisposition, a sharp sore throat, especially when swallowing is more on the right. Ached sharply against the background of, the treated quinsy two days ago. Faringoskopiya: mucous drinks hyperemic, palatal almonds are hyperemic, edematous, on the right the forward palatal handle is smoothed because of hypostasis. In the general blood test – L-9,6 109, speed of subsidence of erythrocytes – 48 mm/h.

What of the listed below preliminary diagnoses is MOST probable?

*+ paratonzillyarny abscess

* follicular quinsy

* lacunary quinsy

* catarrhal quinsy

* sharp pharyngitis

#1187

*! The patient shows complaints on suddenly arising a sore throat, usually unilateral, recuring along with a headache and pain in a neck morbidity of a carotid lymph node feeling of a congestion of a throat

What of the listed below syndromes is MOST probable?

* shilopodjyazychny

* Eylenburga

*+ Hilgera

* Ensslin

* Erdgeyma

#1188

*! The patient has following symptoms against the background of slowly progressing kraniofaringeoma proceeding from a pharyngeal pocket. Growth delay, a headache, sight violations, adipozogenitalny dystrophy, on the roentgenogram expansion or late destruction of the Turkish saddle. The tumor can обызвествляться or regenerate kistozno. It is more often observed at children's or youthful age

What of the listed below syndromes is MOST probable?

* shilopodjyazychny

* Eylenburga

* Hilgera

* Ensslin

*+ Erdgeyma

#1189

*! The patient has following symptoms against the background of a hypertrophy of a pharyngeal almond (which is observed at a chronic disease the okolonosovykh of bosoms). Lag in intellectual development, decline in the ability to concentrate, an uneasy dream

What of the listed below syndromes is MOST probable?

* shilopodjyazychny

* Eylenburga

* Hilgera

*+ Chitelli

* Ensslin

#1190

*! The man of 33 years shows complaints to a constant congestion of a nose within several years. At a rinoskopiya: in the top nasal courses a set of small formations of a jellylike consistence.

What from below the listed preliminary diagnoses is MOST probable?

*+ Polipozny etmoidit

* Polipozny antritis

* Fibroma of a nasal cavity

* Holesteatomny rinosinusit

* The bleeding polyp of a nasal partition

#1191

*! The patient has a congenital myopathy which is shown under the influence of cold. Convulsive reductions of muscles of a throat, person, disteel departments of extremities are characteristic. At long impact of cold there can be sluggish paralysis

What of the listed below syndromes is MOST probable?

* shilopodjyazychny

*+ Eylenburga

* Hilgera

* Chitelli

* Ensslin

#1192

*! At a sick inflammation of a pharyngeal bag. It is shown by mucous, mucopurulent allocations which flow down on a back wall of a throat, headaches in occipital area, an unpleasant smell from a mouth

What of the listed below syndromes is MOST probable?

* shilopodjyazychny

*+ Tornvalda

* Hilgera

* Chitelli

* Ensslin

#1193

*! The patient has a congenital simptomo-complex connected with an atrophy of a cerebellum and absence. The disease is shown by often recidivous purulent processes in the okolonosovykh bosoms, a trachea, bronchial tubes and lungs, frequent purulent otitises, a hypoplasia palatal and a nasopharyngeal almond, the hypoplasia or lack of a thymus, a gipersalivation, change of gait and violation of balance symmetric in a body angiektaziya of skin and mucous membranes on face skin and trunks, vesnushkopodobny rashes of color of coffee with milk, a premature hair loss in school days, the low growth and the general dystrophy, predisposition to malignant processes in reticuloendothelial system, a delay of mental development.

What of the listed below syndromes is MOST probable?

* shilopodjyazychny

* Tornvalda

* Hilgera

* Chitelli

*+ Louis Bar

#1194

*! The patient has the following simptomatalogiya: a dysphagy, a dysphonia, paresis of a soft palate and a voice muscle, lack of a reflex from a soft palate and a pharyngeal reflex on the party a porazhniya

What of the listed below syndromes is MOST probable?

*+ the wandering nerve

* Tornvalda

* Hilgera

* Chitelli

* Louis Bar

#1195

*! The patient with defeat of lateral departments of a medulla has the following simptomatalogiya: vomiting, dizziness, нистагм, tendency to falling on the party of defeat, disorder of swallowing, paresis of a soft palate on the struck party, gomolateralny paralysis of voice folds

What of the listed below syndromes is MOST probable?

* the wandering nerve

*+ Wallenberg

* Tornvalda

* Chitelli

* Louis Bar

#1196

*! The patient has a malignant tumor developing from lymphoid fabric with involvement and limadenoidny tissue of a nasopharynx where the tumor has a structure of a macrofollicular lymphoma

What of the listed below syndromes is MOST probable?

*+ Brilla-Simmersa

* Wallenberg

* Tornvalda

* Hilgera

* Louis Bar

#1197

*! At the patient at unilateral damage of a medulla at the level of kernels of a hypoglossal nerve the following simptoiatalogiya: paresis of a hypoglossal nerve with the subsequent atrophy of language, paralysis of extremities on the potivopolozhny party, violation of feeling of situation, disorder of swallowing, a dizartriya and paralysis of guttural muscles

What of the listed below syndromes is MOST probable?

* Brilla-Simmersa

* Wallenberg

* Tornvalda

*+ Jackson

* Chitelli

#1198

*! The patient has high intermittiruyushchy temperature within 3-5 days, pains when swallowing, formation of bubbles on palatal almonds, handles and a soft palate which izjyazvlyatsya. The mucous membrane around bubbles is hyperemic. The disease proceeds without significant increase the regionarnykh of lymph nodes.

What of the listed below syndromes is MOST probable?

* Brilla-Simmersa

* Wallenberg

*+ Zakhorsky

* Jackson

* Chitelli

#1199

*! At the patient it is shown teleangioektaziya on a mucous membrane of a cavity of a nose and frequent nasal bleedings, teleangioektaziya on lips, a mucous membrane of a throat, a throat, a gullet and a trachea in this connection the blood spitting, bloody vomiting and a gematuriya is observed.

What of the listed below syndromes is MOST probable?

* Brilla-Simmersa

* Wallenberg

* Zakhorsky

* Jackson

* Chitelli

*+ Oslera

#1200

*! At the patient against the background of insufficiency of a thymus, adrenal glands and a hypophysis, increased palatal and nasopharyngeal almonds, bleedings from a nose; fatigue, headaches, lowering of arterial pressure; a growth inhibition, insufficient pilosis of eyebrows, eyelashes, axillary hollows, predisposition to hemorrhages in skin, a delay by a teething, a hypoglycemia, cyanosis of extremities, an urine incontience. Radiological - reduction of volume of the Turkish saddle. Later genital infantility develops, acidity of gastric juice increases, symptoms of an akromegoliya appear and slowly weak-mindedness develops

What of the listed below syndromes is MOST probable?

* Brilla-Simmersa

* Wallenberg

* Zakhorsky

* Jackson

*+ To Timma

#1201

*! The young man of 19 years shows complaints to constant painful cough, plentiful selection of a purulent sputum, short wind at an exercise stress. He is sick since the childhood

On the roentgenogram bottle-shaped expansion of a trachea

What of the listed below preliminary diagnoses is MOST probable?

* le Jeune's syndrome

*+ syndrome of the munye-kuna

* pseudo-marphan syndrome

* pulmonary tuberculosis

* scleroma

#1202

*! After the postponed influenza, child of 5 years notes a pharyngalgia. Objectively the child widely opens a mouth, flicks out tongue language, adopts the compelled high provision, throwing back the head. At a laryngoscope the epiglottis is hyperemic, hydropic, инфильтрирован.

What of the listed below preliminary diagnoses is MOST probable?

* le Jeune's syndrome

* stridor is a congenital

* a throat stenosis

* a pulmonary tuberculosis

*+ epiglottiditises

#1203

*! The child3 months came to the accident ward in the emergency order. The head of the child is thrown back, the noisy long-lived breath replaced by faltering, surface respiration, tension of muscles of a neck is noted. At a direct laryngoscope the epiglottis curtailed, wrinkled.

What of the listed below preliminary diagnoses is MOST probable?

* foreign body of a throat

* stridor is a congenital

* throat stenosis

*+ laryngospasms

* epiglottiditis

#1204

*! The girl at the birth has "a cat's shout" owing to a throat hypoplasia, a nanocephalia, a round face, a nose flatness, a short neck, a slanting arrangement of palpebral fissures

What of the listed below preliminary diagnoses is MOST probable?

*+ le Jeune's syndrome

* stridor is a congenital

* a Munye-Kuhn syndrome

* a heterophonia

* an epiglottiditis

#1205

*! At the child 4kh years it is noted motive frustration of language, paralysis of the soft palate, dizartrichesky frustration, hoarseness, difficulties when swallowing, cough, motive frustration of an epiglottis, paralysis of a mimic musculation.

What of the listed below preliminary diagnoses is MOST probable?

* le Jeune's syndrome

* Meynburga syndrome

* Munye-Kuhn syndrome

* Altkherra syndrome

*+ Dyushena syndromes

#1206

*! The girl of 15 years of the complaint to painless nodular rashes of brownish-pink coloring in skin of cheeks, a nose, a lip. At an endoscopic research in situ of an epiglottis the cicatricial roller, an entrance to a throat it is narrowed at the expense of infiltrates and seams

What of the listed below preliminary diagnoses is MOST probable?

*+ Lupus of the top respiratory tracts

* a congenital lues

* a Munye-Kuhn syndrome

* a throat scleroma

* a Dyushena syndrome

#1207

*! The man of 40 years shows complaints to nasal bleedings, a rhinitis, the complicated nasal respiration, ear pain, cough, a pneumorrhagia. Destruction of a nasal partition, a saddle-like nose, infiltrates in a throat, a trachea is objective noted.

What of the listed below preliminary diagnoses is MOST probable?

* le Jeune's syndrome

* syndrome of a munye-kuna

* pseudo-marphan's syndrome

*+ vegeneer syndromes

* a Villar syndrome

#1208

*! The child 3 years played in the designer suddenly there was paroxysmal cough, there was short wind inspiratory, cold sweat

What of the listed below preliminary diagnoses is MOST probable?

*+ foreign body of the throat

* laryngospasm

* Quincke's edema

* throat stenosis

* epiglottiditis

#1209

*! The young man of 18 years shows complaints to temperature increase to 37,7 ˚С., weakness, indisposition, pharyngalgias, voice osiplost. The disease connects after overcooling. At not a direct laryngoscope: hypostasis of a mucosa of voice folds and a throat is noted. In bulk analysis of blood – L-8,6 109, a blood sedimentation rate – 23 mm/h.

What of the listed below preliminary diagnoses is MOST probable?

* catarral angina

* angina follicularis

* lacunar angina

*+ laryngitis of the sharply type

* sharp pharyngitis

#1210

*! The woman of 40 years shows complaints to violation of a voice, hoarseness of a voice, feeling of presence of a foreign body at a throat. At a direct laryngoscope spherical formation of gray color is visualized on the middle to a voice sheaf

What of the listed below preliminary diagnoses is MOST probable?

* Chronic laryngitis

* Sharp laryngitis

*+ Throat polyps

* Throat cancer

* Throat lues

#1211

*! The child has 2 years the complicated respiration, violation of a phonation at a laryngoscope is noted a melkotochechny infiltration passing into the dense tyazh and seams. Borde_zhangu's reaction positive

What of the listed below preliminary diagnoses is MOST probable?

*+ Throat scleromas

* Sharp laryngitis

* throat diphtheria

* Throat cancer

* Throat lues

#1212

*! The child of 5 years got sick sharply, the fervescence to 38.8C, an indisposition, a loss of appetite, paleness of skin, tachycardia, the rough barking cough is noted. Submaxillary limfatiyesky clusters are increased. A direct laryngoscope hyperaemia and hypostasis of a throat, fibrinous films in the field of vocal chords hardly are removed, bleed.

What of the listed below preliminary diagnoses is MOST probable?

* Throat scleroma

* Sharp laryngitis

*+ diphtheria of the throat

* Throat cancer

* Throat lues

#1213

*! At the boy during the birth during respiration the vibrating sound amplifying at nervousness, crying, cough is noted. Noise has inspiratory character reminds a cooing of pigeons. The common state does not suffer, the voice is not changed.

What of the listed below preliminary diagnoses is MOST probable?

* munye-kuna syndrome

*+ the stridor is congenital

* le Jeune's syndrome

* heterophonia

* epiglottiditis

#1214

*! At the child of 10 years pain when swallowing is noted, the reinforced sialosis, a dysphonia, cough with a sputum, meal is broken. At a laryngoscope unilateral localization of infiltrates of light pink coloring in back departments of a throat, an ulceration. Reaction of the Tuberculine test positive

What of the listed below preliminary diagnoses is MOST probable?

*+ Tuberculosis of the throat

* Throat scleroma

* throat diphtheria

* Throat cancer

* Throat lues

#1215

*! The child 2kh woke up years night because of suffocation attacks, noisy respiration, the cyanosis barking cough, selection of a viscid sputum, inspiratory short wind with retraction of intercostal spaces, a throat mucosa hyperemia is noted. Under voice folds rollers of red color are defined

What of the listed below preliminary diagnoses is MOST probable?

*+ subdepository laryngitis of the acute type

* Hondroperikhondrit of a throat

* Phlegmonous laryngitis

* diphtheria throat

* Epiglottiditis

#1216

*! The patient of Zh.23 of year is brought with clinic of a bad attack of an allergiko-Quincke's disease. At survey hypostasis of the weak facial tissues, a mucosa of an oral cavity, language, a throat is observed.

Of what syndrome this picture is characteristic?

* Lezhyena

*+ Quinckes

* "G"

* Dyushena

* Gilchrist

*HEADACHE and Violation nasal respiration and Dyspeptic disordersat a pathology of ENT organs and Vertigo at a pathology of ENT organs and Nasalbleeding Rhinology syndromes and Syndromes in otology and Syndromes at pharynx pathology and Syndromes at pathology of a throat and traсhea *3*144 *1*

#1217

*!A man, age 45, complains of progressive pain in the forehead which does not stop after nonsteroidal anti-inflamatory drugs taking, body temperature about 39⁰С, nasalcongestion, pus flowing from the nose. Suffers for 4-5 days, takes analgin and kethonal without relief. Palpation of the frontal sinuses gives sharp pain. Rhinoscopy shows breathing is difficult, septum is curved, nasal turbinates are hydropic on both sides, pus strips on average nasal passages.

Which treatment strategy is most suitable?

*washing of the nasal cavity with antiseptic solution

*continue to take nonsteroidal anti-inflamatory drugs

*take antibiotics in ambulatory case

*+ frontal sinus trephination

*physiotherapy

#1218

*!A man, age 22, complains of the pain in left ear, body temperature till 39⁰С, examination shows left external auditory canal swelling, infiltration with pus rod, hurt while palpation of the tragus.

Which treatment strategy is most suitable?

*+abscess opening, antibiotics

*physiotherapy

*nonsteroidal anti-inflamatory drugs

*diuretics, antibiotics

*glucocorticosteroids

#1219

*!A man, age 18, complains of the pulsating pain in right ear, nasal congestion, headache, muco-purulent secretion in the nose, difficulty while blowing his nose due to the pain in ear, temperature increasing to 39,5⁰С. Suffers for a week, takes nafasolin and kethonal without relief. Otoscopy shows that right eardrum is hyperemic, hydropic, swelling out. Rhinoscopy shows that nasal mucosa is hyperemic, hydropic, pus strips on average nasal passages, breathing is difficult.

Which treatment strategy is most suitable?

*+eardrum paracentesis, antibiotics

*nonsteroidal anti-inflamatory drugs

*physiotherapy

*glucocorticosteroids

*diuretics, antihistamines

#1220

*!A man, age 23, complains of the pain in left ear, headache, bulging of the left concha, suppuration of the left ear. Suffers for 4-5 days, associates disease with hypothermia. Otoscopy shows the left external auditory canal rear wall overhanging, eardrum is hyperemic, hydropic, and eardrum perforation is subtotal, presence of dense, muco-purulent secretion. A sharp pain during palpation of mastoid area is observed.

Which treatment strategy is most suitable?

*antibiotics

*nonsteroidal anti-inflamatory drugs

*physiotherapy

*+mastoidotomy

*eardrum paracentesis

#1221

*!A woman, age 27, complains of the headache, expressing at the head titing down forward, nasal congestion, muco-purulent secretion from the nose. Suffers for 3-4 days, takes pinosol without relief. Confident that vasoconstrictorsandantibioticsare harmful for the health. Temperature is 37,4⁰С. Rhinoscopy shows nasal mucosa is hyperemic, hydropic, pus strips on average nasal passages, breathing is difficult.

Which treatment strategy is most suitable?

*+antibiotics, vasoconstrictors

*continue pinosol taking

*nonsteroidal anti-inflamatory drugs

*physiotherapy

*glucocorticosteroids

#1222

*!A woman, complains of in right side of face, unpleasant smell mucus runoff the nasopharynx, weakness. Suffers for 2 weeks. Rhinoscopy shows that right nasal mucosa is hyperemic, hydropic, secretion over common nasal passage is mucous, low, breathing is difficult. While examining oral cavity is noted that 5^th tooth is struck by caries and painful when tapped.

Which treatment strategy is most suitable?

*antibiotics, nonsteroidal anti-inflamatory drugs, glucocorticosteroids

*+paranasal sinuses roentgenography, dentist consultation

*vasoconstrictors, sinus catheter

*paranasal sinuses roentgenography, antibiotics

*paranasal sinuses roentgenography, physiotherapy

#1223

*!A boy, age 3, complains of weakness, breathing difficulty, snoring, body temperature 39,5⁰С, crying, lack of appetite. Suffers for 2 days. While examining the child is crying, breathing through the mouth. Otoscopy: external auditory canals are open, left and right eardrums are hyperemic, hydropic, swollen. Which treatment strategy is most suitable?

*+antibiotics, paracentesis

*physiotherapy

*antibiotics

*diuretics, vasoconstrictors

*antrotomy

#1224

*!A man, age 30, complains of the headache, expressed in the hindhead, heaviness in the head nasal congestion, weakness. Rhinoscopy: nasal mucosa is hyperemic, hydropic, muco-purulent secretion over common nasal passage. X-ray: wedge-shapedsinuses occultation.

Which treatment strategy is most suitable?

*diuretic, physiotherapy

*both genyantrumpuncture

*highmorotomy

*submucosal resection of the nasal septum by Killian

*+antibiotics, vasoconstrictors

#1225

*! Male 30 years old complains of headaches in the frontal region. Sick for about 5 days. The disease associates with hypothermia. When rhinoscopy marked swelling of the mucous membrane of the nasal cavity, purulent discharge in the middle and upper nasal passages appeared. Pharyngoscope marked thinning of the posterior pharyngeal wall. On the radiograph indicated a total blackout in the frontal and maxillary sinuses from 2 sides.

Which of the following is most advisable to include in the treatment plan?

* Lavage of lacunas of tonsils 3% hydrogen peroxide solution

* Lavage of lacunas of tonsils solutions of antibiotics

*+ Puncture of the maxillary sinuses with 2 sides

* Irrigation of pharynx isotonic solution

* Lubrication tonsils Lugol solution

# 1226

*! 25 years old woman complained of a headache, pain in the right parotid region. Sick for about 5 days. She treated by the patient self-warming zone. At otoscopy marked redness of the eardrum, traced exudate behind the eardrum. When rhinoscopy marked edematous mucosa of the nasal cavity, no discharge observed.

 Which of the following is most advisable to include in the treatment plan?

*+ Anemisation mucous mouth of the Eustachian tubes complex drops

* Lavage of lacunas of tonsils solutions of antibiotics

* Puncture of maxillary sinuses with 2 sides

* Irrigation of pharynx isotonic solution

* Lubrication tonsils by Lugol solution

# 1227

*! The man 50 years old complained of headache, pain in the nose. I got a domestic injury, the door slap in the face for about an hour ago. I turned to the emergency room. On radiographs observed displacement of the nasal bones. Rhinoscopy: nasal mucous swelling, hemorrhagic discharge. Pharyngoscope: on the rear wall drains mucosal-hemorrhagic discharge.

Which of the following is most advisable to include in the treatment plan?

*+ repositioning of the nasal bones

* septoplasty

* rhinoplasty

* otoplasty

* tympanoplasty

#1228

*! 18 years old girl complains to the pain in the left ear after taking swimming pool. Notes also hearing loss and noise on the left. Otoscopy: AD et AS- wide availability. Mt AD- gray, marking the outlines foreseeable. Mt AS-gray, whole, retracted. Pharyngoscope: mucosa pink, pure. Rhinoscopy: nasal mucous pale pink, edematous. Nasal breathing is difficult.

 Which of the following is most advisable to include in the treatment plan?

*+ Anemisation mucosa of the nasal cavity, the mouth of Eustachian tubes

* Sinus puncture

* Washing ears

* Washing sinuses by moving solutions

* Lubrication tonsils by Lugol solution

#1229

*! Female 45 years old suffering from allergic rhinitis 15 years. Notes headaches periodically. Rhinoscopy: Mucous nasal pale pink, edematous. Hypertrophied inferior turbinate. Pharyngoscope: on the rear wall drains mucous discharge. On KTPPN cystic formation of the maxillary sinus.

Which of the following is most advisable to include in the treatment plan?

*+ the maxillary sinusotomy

* septoplasty

* polipotomy

* polypectomy

* tonsillectomy

# 1230

*! A woman 65 years old marks a constant headache, difficulty of nasal breathing more than in left. Rhinoscopy: nasal mucous pale pink, the formation of the left nasal passage. Pharyngoscope: On the rear wall drains mucous discharge. Otoscopy: AD et AS- wide availability. Mt AD- gray, marking the outlines foreseeable. Mt AS-gray, whole, retracted.

Which of the following is most advisable to include in the treatment plan?

* a maxillary sinusotomy

* a septoplasty

* an adenotomy

*+ the polypectomy

* a tonsillectomy

#1231

*! Male 40 years old complains of periodically occurring headaches, ear pain with 2 sides, hearing loss. Sick for about 25 years. Not examined, did not apply to the experts. Rhinoscopy: nasal mucous pale pink, no discharge. Pharyngoscope: follicles on the back wall of the pharynx are hypertrophied. Otoscopy: AD- wide, purulent discharge, AS-free, wide. Mt AD- total perforation. Mt AS-gray, dry perforation.

Which of the following is most advisable to include in the treatment plan?

* Removal of cerumen

*+ WC of the ear

* Sinus puncture

* Washing of sinuses by moving solutions

* Lubrication of tonsils by Lugol solution

#1232

*! Male 35 years old complains to the headache. Sick for about a week. The pain is worse when bending forward of the head, notes a sense of transfusion liquid in his face. The disease associates with hypothermia. When rhinoscopy marked swelling of the mucous membrane of the nasal cavity, purulent discharge in the nasal passages. When pharyngoscope marked hyperemia of the posterior pharyngeal wall, the front arches. On radiographs observed horizontal level liquid maxillary sinuses from 2 sides.

Which of the following is most advisable to include in the treatment plan?

* Anemisation mucous mouth of Eustachian tubes with complex drops

* Lavage of tonsils lacunas by solutions of antibiotics

*+ Puncture of the maxillary sinuses from 2 sides

* Irrigation of pharynx by isotonic solution

* Lubrication of tonsils by Lugol solution

#1233

*! The boy, 8 years, breathes through the mouth, snores during sleep. In the anamnesis – frequent catarrhal diseases, the attention worsened.

What research technique from below listed is MOST informative?

* Anterior rinoskopy

* Hypopharyngoscopy

*+ Posterior rinoscopies

* Pharyngoscope

* Laryngoscope

#1234

*! The man of 29 years addressed to clinic with complaints to temperature increase to 39 ъ With, pain in a forehead and a root of a nose, a flow of pus from a nose, the right eye-socket pains, a swelling a century of the right eye. It is sick 5 days. At survey: an exophthalmos, хемоз, an immovability of the right eyeglobe, morbidity with a pressure upon an eyeglobe. Rinoskopiya: mucous a nasal cavity it is hydropic, hypostasis is more expressed on the right, in the common nasal course on the right - abundance of pus.

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

* a frontoetmoidotomiya with opening of subperiosteal abscess of an eye-socket

* a maxillary sinusotomy with opening of subperiosteal abscess of an eye-socket

* an etmoidotomiya with opening of subperiosteal abscess of an eye-socket

* a gaymoroetmoidotomiya with opening of phlegmon of an eye-socket

*+ a frontoetmoidotomiya with opening of phlegmon of the eye-socket

#1235

*! The boy of 7 years is brought to policlinic by parents. Complaints to fatigue, decrease in an attention at school, deterioration in progress. Parents noticed that the boy sleeps with opened by a mouth, snores in a dream. At survey of ENT organs: in the arch of a nasopharynx education, light pink color, with longitudinal cracks, covering 2/3 vomers is revealed.

What of the listed below interventions MOST expediently?

* Puncture of a paratonsillar space

* Opening of a paratonsillar abscess

* Tonsilectomy

* Tonsillotomy

*+ Adenotomies

#1236

*! The boy 3 years suffers from frequent anginas and a rhinitis. According to parents a rhinitis at it does not pass, he sleeps with an open mouth, snores, became worse to hear.

What type of a research it is the MOST expedient to make to the child for specification of the diagnosis?

*+ Digital research of the nasopharynx

* Rentgeneoggrafiya of a nose bosoms

* Anemization of a mucous nose

* Anterior rhinoscopy

* Back rhinoscopy

#1237

*! The boy of 4 years is brought to policlinic. At survey unilateral difficulty of respiration, purulent discharges from the left-hand half of a nose with a mephitic smell, a maceration of skin of a vestibule of the nose is revealed.