- •It is necessary:
- •In which of the following areas vascular changes will most probably be registered?
- •It is the most expedient to them of the listed below tools to use for further manipulations?
- •In terms of the treatment of this disease is not:
- •In terms of the survey of the disease is absent:
- •In the treatment of kidney cancer?
In terms of the treatment of this disease is not:
* Non-steroidal anti-inflammatory drugs
*+ Lubrication tonsils of the Lugol solution
* Wide range antibiotic
* Rinse the throat
* physiotherapy
#1259
*!Girl 24 years old complains of a sore throat on the left, worse on swallowing, inability to swallow, marked weakness, fever up to 38,8˚S. Nausea, vomiting. Acutely ill, 5 days ago. Deterioration occurred 2 days ago after a hot compress. Objective: enlarged, painful submandibular lymph nodes, mandibular movements are limited. The asymmetry of the throat due to bulging left palatine tonsils, redness and swelling of the left palatal arch.
In terms of the survey of the disease is absent:
*+ Probing and lavage of lacunas of tonsils
* Puncture paratonsillar space to the left
* Gipofaringoskopy
* Throat swab
* GBA
#1260
*!The man 10 days after toxic dizentery appeared noisy from mouth, nausea, vomiting, salivation, swollen lymph nodes in the neck. Objectively: in the throat, on the gums, tonsils - deep necrous painless ulcer covered-light grey films. Films leaves freely.
What is the MOST expedient examination you have to do for the patient?
*+ Bacterioscopical examination swab from the throat, infectionist’s consultation
* Bacterial examination swab from the throat, neurologist’s consultation
* Pevmatical tests, Bacterioscopical examination swab from the throat
* Swab from the throat, therapist’s consultation
* ECG, kapdiopevmatologist’s consultation
#1261
*!Male 29 years appealed to the clinic with complaints of raising the temperature to 39 C, pain in the forehead and the root of the nose, nausea, vomiting, suppuration from the nose, pain in the right orbit, eyelid swelling of the right eye. He was sick about 5 days. On examination: exophthalmos, chemosis, the immobility of the right eyeball, pain on pressure on the eyeball. Rhinoscopy: mucous membrane of the nasal cavity swelling, edema is more pronounced on the right, in the general course of the nose to the right - an abundance of pus.
What is most advisable tactics of treatment you have to do?
* Emergency opening frontoetmoidotomy with opening of the subperiosteal abscess of the orbit
* Emergency opening gaimorotomy with opening subperiosteal abscess of the orbit
* Emergency opening etmoidotomy with opening subperiosteal abscess of the orbit
* Emergency gaymoroetmoidotomy with the opening of the eye socket cellulitis
*+ Emergency frontoetmoidotomy with the opening of the eye socket cellulitis
#1262
*!38y.o. man complained of a feeling of heaviness in the right half of the face, periodic nasal congestion, nausea. From history: suffered for 6 months. When rhinoscopy: enlarged turbinates in the right amount, in the nasal passages no discharge. X-ray examination of the nose and paranasal sinuses: a rounded shadow on the right maxillary sinus.
What is most expedient additional inspection of the following to assign the patient to confirm the diagnosis?
* Cytology of nasal secretions
*+ Puncture of the maxillary sinus
* Sowing on the microflora
* olfactometer
* diaphanoscopy
#1263
*!Girl 17 y.o. complained of severe pain in the left ear after suffering acute respiratory viral infection, hearing loss in the left ear, pain in the left side of the head, nausea, vomiting. Was sick for 4 days, it was observed an increase in temperature. Otoscopy right - without a pathology, on the left - the tympanic membrane hyperemia, bulging, there has been a point of perforation.
What is the most advisable tactics in this case of the following?
* Expect spontaneous perforation of the tympanic membrane
* Washing of the external auditory meatus
* Drops with solutions of antibiotics in ear
* mastoidotomy
*+ Paracentesis
#1264
*!Female 48 y.o.complains of attacks accompanied by vertigo, nausea, hearing loss and tinnitus. Bouts last for about 15-20 minutes, occur once every 2-3 months.
Which of the following drugs is most advisable to include in the treatment plan?
* Non-steroidal anti-inflammatory
* Antibacterial
* Antihistamines
* Anticoagulants
*+ Vascular
#1265
*!A woman, age 33, complains of recurrent bouts of vertigo, fluctuating progressive hearing loss and noise in the right ear. What tactic should be done by doctor during the attack?
*+Prometosin and atropine solution injection
*Mexidol and piracetam injection
*E vitamin injection
*A vitamin injection
*Nicotinic acid injection
#1266
*!A woman, age 33, complains of periodic vertigo, fluctuating progressive hearing loss and noise in right ear. Which of the diagnostic methods is most probable?
*CТ
*MRT
*+Dehydrotation test
*Roentgenogram
*Diks-Holpyke test
#1267
*! A man, age 37, complains of vertigo, progressive hearing loss, noise in the ears (at first in one ear, then in both). Which of the variants below is not the sequel of the disease?
*Working capacity decline
*Hearing loss
*Deafness
*1st group invalid
*+Death
#1268
*!A man, age 37, complains of the vertigo, progressive hearing loss, noise in the ears (at first in one, the in both). Which of the variants below is not the inter-attack treatment method?
*Microcirculation improving drugs
*Antispamodics
*Retinol
*+Atropine
*Nicotinic acid
#1269
*!A woman, age 52, complains of the spontaneous vertigo and qualmishness, vertigo attacks occur during the head displacement. Suffers for 2 weeks. Which of the diagnostic method is most probable?
*the Fisher-Vodak test
*the fistula test
*+the Fix-Holpyke test
*the Walsalva test
*the Pulitzer test
#1270
*!A woman, age 52, complains of the spontaneous vertigo and qualmishness, vertigo attacks occur during the head displacement. Woman suffers for 2 weeks. Which of the treatment methods is most probable?
*Trigger position
*+the J.Aply method
*Drainage
*Destructive method
*Quantum chemotherapy
#1271
*! A man, age 32, complains of the hearing loss, autofonia stuffiness in the ears. He has illnes during the 1 month after virus infection. Otoscopy- MT grey color cloudy. -W- R- What diagnosis is most probable?
* Otosclerosis
*Meniere disease
*+Otitis media
*Cochlear neuritis
* Chronic suppurative mesotimpanitis
#1272
*!A man, age 38, complains of the hearing loss, vertigo, disequilibrium. Vertigo is an illusory feeling. Vertigo lasts from minutes to hours. The most effective method of treatment during these disorders?
*+antibacterial*+dehydrotational therapy
*antibacterial therapy
*dehydrotational therapy
*antibacterial *+ desintoxication therapy
*the J.Aply method
#1273
*!A man, age 38, complains of the hearing loss, vertigo, disequilibrium. Vertigo is an illusory feeling. Vertigo lasts from minutes to hours. Which of the diagnostic methods is most effective?
*Diks-Holpyke test
*+Fistula test
*Walsalva testПроба Вальсальвы
*Romberg test
*Toinbie test
#1274
*! A woman, age 40, complains of the tinnitus and hearing loss lasted for 5 years after virus infection, over the past year she feels the progression of hearing loss.What diagnosis is most probable?
*Osteochondrosis
* Meniere disease
*Otitis media
*+Both side Cochlear neuritis
*Chronic otitis
#1275
*! A woman, age 27 yers, complains of the hearing loss and tinnitus lasted for 3 yers. She ills after pregnant. She feels better in the noisy suroundig. Otoscopy- normaly grey color not wax blocking the ear canal; other terms have been used to describe, the ear canal is wide. Gelles test is negative. Rinner test is negative. What diagnosis is most probable?
*+Osteochondrosis
* Meniere disease
*Otitis media
*Both side Cochlear neuritis
*Chronic otitis
#1276
*! A man, age 40, complains of the sudden stuffiness in the ears tinnitus and after that dizzines. balance disorder, nausea, weakness. Objectively Arterial Pressure 90/60,Puls 60/min, spontaneus nistagmus to the right hearing loss on right side.
What diagnosis is most probable?
* Otosclerosis
*+Meniere disease
*Otitis media
*Cochlear neuritis
* Chronic suppurative mesotimpanitis
#1277
*! A woman, age 22 yers, complains of the hearing loss and tinnitus lasted for 4 yers. She ills after pregnant. She feels better in the noisy surounding. Otoscopy- normaly grey color not wax blocking the ear canal; other terms have been used to describe, the ear canal is wide. Gelles test is negative. Rinner test is negative What diagnosis is most probable?
*Labyrinthitis hydrops
* Damang of Mucouse membrane of midle ear
*Cochlear nervs infectious and toxic damang
*+ Stapes ancilosis
*There is no right answer
#1278
*! A man, age 38, complains of the hearing loss, vertigo, disequilibrium. Vertigo is an illusory feeling. Vertigo lasts from several minutes to hour. What structure is disordered?
*outer ear
*medium ear
*central nervous system
*cerebellum
*+vestibular and cochlear receptors
#1279
*!A man, age 38, complains of the hearing loss, vertigo, disequilibrium. Vertigo is an illusory feeling. Vertigo lasts from several minutes to hour. What drugs are used for local trophic disorders recovery during this disease?
*atropine, scopolamine
*dextron, mannitol
*hesperdin, diosmin
*+thiamin, pyridoxine
*penthoxiphilin, vinpocitin
#1280
*!A man, age 47, complains of the spontaneous vertigo, progressing during head displacement, qualmishness, puke. What the complaints correspond to?
*endolimph exchange violation
*+ migraines caused by neuro-circular dystonia
*infectious diseases
*vegetative dystonia
*endocrine disorders
#1281
*!A 40-year-old female complains of frequent minor nosebleeds from the left nostril, stopping without intervention. Rhinoscopy: a round purple-blue formation on a thin pedicle is located in the left cartilaginous part of nasal septum. The formation easily bleeds upon touching. Bleeding can be stopped by pressing left wing of the nose to nasal septum.
Which of the following is THE MOST reasonable treatment in this case?
*+polyp removal followed by a histological examination
*hematoma incision, antibiotic treatment
*wide abscess incision and draining
*oncotomy followed by histological examination
*adenotomy followed by histological examination
#1282
*!A 14-year-old male complains of impaired nasal airflow and periodical nosebleed without evident causes. Rhinoscopy results: mucous tunic congestive, with cyanotic tint, no pathologic discharges. A bluish red rough-surfaced formation is observed in the nasal pharynx vault.
Which examination of the following is THE MOST reasonable to conduct to establish a specific diagnosis?
*endoscopy
*X-ray
*+biopsy
*digital investigation
*angiography
#1283
*!A 6-year-old boy with nosebleed, delivered by an ambulance. Anamnesis: the boy had fever and nasal stuffiness, and was indisposed. His mother gave him an anti-febrile medicine containing aspirin. Nosebleed occurred on several occasions.
Which of the following examinations is THE MOST reasonable to include in the treatment plan?
*general blood analysis
*+complete blood count
*nasal bone X-ray
*nasal pharynx endoscopy
*coagulogram
#1284
*!A 16-year-old male complains of constant nasal stuffiness, periodical spontaneous nosebleed. Physical examination: nasal cavity mucous tunic moderately swollen, with cyanotic tint. No pathological discharges. A tuberous dark red formation covering the posterior naris is observed in the nasal pharynx.
Which of the following is THE MOST reasonable treatment in this case?
*polyp removal
*hematoma incision, antibiotic treatment
*wide abscess incision and draining
*+juvenile angiofibroma removal
*adenotomy
#1285
*!An 18-year-old female complains of nosebleed. Such nosebleeds, more or less profuse, often occur during her premenstrual periods. No nosebleed at the time of examination. Skin covers and visible mucous membranes are pale. Regular pulse, 88 beats per minute. Bloody clots in nasal passages. Strongly enlarged blood vessels in the anterior inferior nasal septum part on the left.
Which of the following is THE MOST reasonable treatment in this case?
*anterior nasal packing, admission to ENT department
*prescription of vitamins, physician consultation
*+cryotherapy, gynecologist consultation
*external carotid ligation
*posterior nasal packing, admission to ENT department
#1286
*!A 31-year-old male delivered to the clinic with profuse nosebleed after a hit on the nose with a blunt object. Physical examination: nasal dorsum regular, soft tissue infiltration is observed, sharp pain upon nasal dorsum area palpation. Nosebleed persists in spite of blood-soaked packing in nasal passages, and blood flows down the posterior pharyngeal wall on the left.
Which of the following is THE MOST reasonable treatment in this case?
*+posterior nasal packing
*reapply anterior nasal packing
*carry out nasal bone reposition
*ABP measurement, antihypertensive therapy
*external carotid ligation
#1287
*!A female had nasal cavity packing applied after polypotomy. After some time the patient started to complain of coughing and retching.
Which of the following is THE MOST probable cause for this condition?
*+packing fell out to the pharynx
*nosebleed
*intoxication
*lack of oxygen
*development of a surgical complication
#1288
*!A young male complains of nasal breathing difficulties, pain in nasal area and fever of 37,5 С. The symptoms have appeared 3 days ago, after an injury. Nasal passages on the left are strongly narrowed due to mucous tunic infiltration in the nasal septum area. The infiltrate is soft in the center, and fluctuation is observed upon touching the area with a probe. Nasal airflow is obstructed.
Which of the following is THE MOST reasonable treatment in this case?
*polyp removal
*hematoma incision, antibiotic treatment
*+wide abscess incision and draining
*juvenile angiofibroma removal
*adenotomy
#1289
*!A 30-year-old female was admitted to the receiving room with nosebleed. Anamnesis: has been suffering from nosebleed for 15 year, and nasal airflow on the left has become obstructed recently. Endoscopy: a round solitary tuberous formation of purplish red color is observed in the mid-superior part of nasal septum. The formation’s surface is covered with scabs and starts to bleed upon touching with a probe. The formation does not show any infiltrative growth; no growth in paranasal sinuses.
Which of the following is THE MOST reasonable treatment in this case?
*polyp removal
*hematoma incision, antibiotic treatment
*wide abscess incision and draining
*juvenile angiofibroma removal
*+hemangioma removal by radiowave surgery
#1290
*! A 60-year-old male was admitted to the receiving room with nosebleed along with hypertension. Physical examination: nose shape regular, nasal dorsum in midline. Mucous tunic of nasal cavity pasty, hyperemic, Kiesselbach area vessels enlarged, nasal airflow unobstructed.
Which of the following tools is THE MOST reasonable to pick for further examination?
*Voyachek’s hook
*scalpel
*+angular pincers
*paracentesis needle
*Janet’s syringe
#1291
*!A 3o-year-old male delivered to the clinic with profuse nosebleed from the left nostril after an accident. Physical examination: nasal dorsum regular, soft tissue infiltration is observed, sharp pain upon nasal dorsum area palpation. Nosebleed persists in spite of blood-soaked packing in nasal passages. Posterior nasal packing was applied in the receiving room, but nosebleed continued.
Which of the following is THE MOST reasonable treatment in this case?
*+ethmoidal labyrinth lancing
*external carotid ligation
*Voyachek’s method of loop nasal packing
*Likhachev’s method of nasal packing
*Mikulich’s method of nasal packing
#1292
*!A 23-year-old female was admitted to the clinic with complaints of nosebleed, faint condition and shortness of breath. Physical examination: sever condition, skin covers pale, heart rate 100 beats per minute, ABP 100/70. Nosebleed persists in spite of blood-soaked packing in nasal passages.
Which of the following tools is THE MOST reasonable to pick for further examination?
*Voyachek’s hook
*scalpel
*bayonet ear-pick
*+ear scoop
*Janet’s syringe
#1293
*!A 50-year-old male was admitted to an ENT clinic with nosebleed. Physical examination: medium severity condition, skin covers pale, heart rate 80 beats per minute, ABP 110/70. Blood-soaked packing in nasal passages. Pharyngoscopy: blood flows down the posterior pharyngeal wall. Posterior nasal packing was carried out in the receiving room.
Which of the following is THE MOST reasonable treatment in this case?
*+antibiotics
*hormonal drugs
*non-steroidal anti-inflammatory medicine
*ephedrine
*antimycotics
#1294
*!A 45-year-old female was admitted to the ENT clinic with nosebleed. Physical examination identified round bright red nodules 5-7 mm in diameter protruding above skin surface over the body. The nodules become pale when pressed. Anamnesis: the patient has been suffering from the pathology since she was 10; the nodules first appeared on the lips and nose alae, then spread over the entire body. Nosebleed occurs frequently, upon even minor injuries.
Which of the following nasal packing method is THE MOST reasonable to apply in this case?
*anterior nasal packing
*posterior nasal packing
*hemostatic sponge
*+silicone glove finger packing
*Merocel packing
#1295
*!A 53-year-old male admitted to the ENT clinic with profuse nosebleed. General condition severe, skin covers pale, heart rate 100 beats per minute, ABP 80/50, shortness of breath. Nosebleed is accompanied by coughing and discharge of scarlet frothy blood. Physical examination: nose shape regular. Nosebleed persists in spite of blood-soaked packing in nasal passages.
Which of the following examinations is THE MOST reasonable to include in the treatment plan?
*nasal pharynx endoscopy
*nasal bone X-ray
*posterior rhinoscopy
*pharyngoscopy
*+bronchoscopy
#1296
*!A 70-year-old male admitted to the ENT clinic with profuse nosebleed and scarlet frothy blood spitting. General condition extremely severe, skin covers pale, heart rate 105 beats per minute, ABP 70/50, shortness of breath. Nosebleed is accompanied by coughing and discharge of scarlet frothy blood. Physical examination: nose shape regular, nasal dorsum in midline. Anterior rhinoscopy failed.
Which of the following is THE MOST reasonable treatment in this case?
*anterior nasal packing
*posterior nasal packing
*+anticoagulation therapy
*external carotid ligation
*endonasal lancing of ethmoidal labyrinth
#1297
*!A woman, age 46, complains of the weakness, nasal breathing difficulty, dryness in the nose, purulent-bloody crust, external nose deformation. Suffers for 3 years; disease got started after cold with developing breathing difficulty, nasal dryness. Examination shows retraction of the back of the nose. Mucosa is thinned and has a red-cyanotic color and covered with thick brown crust with unpleasant smell; there is a large perforation in the nasal septum with necrotic edge. The punction of highmore sinuses does not give a pathological content.
What investigation should be done to make a diagnosis?
*+Aching mucosa biopsy
*Blood for oncomarkers
*Borde-Zhangu reaction
*Wasserman reaction
*Ultrasound of abdomen cavity
#1298
*!A woman, age 46, complains of the weakness, nasal breathing difficulty, dryness in the nose, purulent-bloody crust, external nose deformation. Suffers for 3 years; disease got started after cold with developing breathing difficulty, nasal dryness. Examination shows retraction of the back of the nose. Mucosa is thinned and has a red-cyanotic color and covered with thick brown crust with unpleasant smell; there is a large perforation in the nasal septum with necrotic edge. The punction of highmore sinuses does not give a pathological content.
Which of the following organs are most affected during this pathology?
*+lungs, reins
*eyes
*eyes and bones
*spleen and heart
*larynx
#1299
*! A woman, age 46, complains of the weakness, nasal breathing difficulty, dryness in the nose, purulent-bloody crust, and external nose deformation. Suffers for 3 years; disease got started after cold with developing breathing difficulty, nasal dryness. Examination shows retraction of the back of the nose. Mucosa is thinned and has a red-cyanotic color and covered with thick brown crust with unpleasant smell; there is a large perforation in the nasal septum with necrotic edge.
Which of the following must be included into the treatment scheme?
*+hormone therapy (prednisolone), cytostatics (delagil, azathioprine), antibiotics, vitamins
*Complement fixing reaction with sclerosis antigen
*hyposensibilic therapy
*chemotherapy
*radiation therapy
#1300
*!A woman, age 38, complains of the breathing difficulty through the right side of the nose, bloody-purulent secretion from the side of nose, headache in the right side of forehead. She suffers for 3 months. There is a large red-cyanotic hilly formation in the right side of the nose, forward parts of the side are ulcerated and probing caused bleeding. X-ray picture shows right side occultation, right ethmoidal labyrinth cells are distructed.
Which of the following is most suitable to prescribe?
*+Tumor biopsy
*Blood for onkomarkers
*Borde-Zhangu reaction
*Wasserman reaction
*Ultrasound of abdomen cavity
#1301
*! A woman, age 38, complains of the breathing difficulty through the right side of the nose, bloody-purulent secretion from the side of nose, headache in the right side of forehead. She suffers for 3 months. There is a large red-cyanotic hilly formation in the right side of the nose, forward parts of the side are ulcerated and probing caused bleeding. Nasal septum is displaced to the left.
Which of the syndromes is most probable?
*+Right nasal side tumor formation
*Cartangener syndrome
*Loui-Bar syndrome
*larynx tumor formation
*Orbit tumor formation
#1302
*!A man, age 62, complains of the headache, weakness, lacrimation, nasal breathing absence, bleeding of the right side of the nose. There is a red-cyanotic formation in the right side of the nose during the examination. Backward part of the formation is hangs over the pharynx. X-Ray picture shows the soft matter formation shade which occurs in the right side of the nose. There is a bone destruction of right highmore sinus medial and orbital walls.
Which of the following is most suitable to prescribe?
*+surgery with further radiation therapy
*sulfonamides*+hormone therapy
*hyposensibilic therapy
*immunostimulants
*antibiotics*+chemotherapy
#1303
*! A newborn, born in time an normal pregnancy development, began crying and choking soonafter bearing. It is observed that nasal breathing is absolutely absent.
What tool is most suitable to be used?
*+probe
*Voyachek hook
*Janet syringe
*scalpel
*otoscope
#1304
*!A man, age 26, complains of all types sensitivity and sternutatory reflex loss.
Which of the nerves disorder caused the anosmia?
*+olfactory nerve
*facial nerve
*recurrent nerve
*1st term of the trigeminal nerve
*pneumogastric nerve
#1305
*!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 meds below is likely to be prescribed?
*+Ascorbic acid at doses 5-10 times higher than the daily requirement for this vitamin in healthy individuals
*В 12 vitamin at doses 5-10 times higher than the daily requirement for this vitamin in healthy
*В 6 vitamin at doses 5-10 times higher than the daily requirement for this vitamin in healthy individuals
*А vitamin (retinol) at doses 5-10 times higher than the daily requirement for this vitamin in healthy
*Е vitamin at doses 5-10 times higher than the daily requirement for this vitamin in healthy individuals
#1306
*!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 meds below is likely to be prescribed?
*+immunocorrecting therapy with timuse drags (T-activin) *+ gamma-globuline
*hormone therapy *+ cytostatics
*complement fixing reaction with sclerosis antigen
*chemotherapy
*radiation therapy
#1307
*! 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 treatment must be prescribed?
*+ palliative care
* surgery
*chemotherapy
*radiation therapy
*Ultra-violet therapy
#1308
*! 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 treatment must be prescribed?
*+turbinotomy
*septoplastic
*nose washing by the displacement method
*laser therapy
*nasal cavity lubrication with iodine solution
#1309
*! 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 tool is most suitable to be used?
*+probe
*Voyachek hook
*Janet syringe
*scalpel
*otoscope
#1310
*!What does the nasal computer tomography picture describe?
*Whole bilateral bone choanas atresia
*+Partial left bone choanas atresia
*Tumor in the left side of the nose
*Norm
* Tumor in the right side of the nose
#1311
*! Male, 35 years old, complains about muco-purulent discharge from the nose, difficulty of nasal breathing. From anamnesis revealed chronic rhinosinusitis. In front rhinoscopy - swollen nasal mucosa. Inferior turbinate bloodshot, swollen. The nasal passages are narrowed, in the lumen of muco-purulent discharge. When pressed on the base of the nose there is a feeling dull pain in his depths.
What methods of research of the following are the most informative to confirm the diagnosis?
*+ X-Ray examination of sinuses
* rinotsitogramma
*swab from the nasopharynx
* maxillary frontotomiya
* maxillary sinusotomy
#1312
*! At the emergency room was delivered a 35 years old man, unconscious. At the neurosurgery department a fracture of the skull base diagnosed. ENT doctor was summoned for consultation due to the release of the colorless and odorless fluid from the ear of the patient.
Which of the following is MOST LIKELY preliminary syndromes?
*+ liquorrhea
* Pyle
* Wegener
* Escher-Hirt
* Osler
#1313
*!23 years old man consulted the ENT doctor with complaints of purulent discharge from the ear. In the anamnesis: frequent otitis, sinusitis, furunculosis, cold abscesses with no signs of inflammation. Father, uncle and grandmother from the father's side, too, suffer from otitis, cold abscesses.
Which of the following surveys is most expedient to conduct to make a diagnosis?
*+ biochemical analysis to determine the Ig E
* biochemical analysis for potassium determination
* biochemical analysis to determine the A lg
* biochemical analysis on magnesium definition
* biochemical analysis to determine the bilirubin
#1314
*! At the maternity hospital ENT doctor was called in for consultation. According to mother a child does not respond to sound. On examination: choanal atresia, incomplete cleft palate, cleft lip, eye coloboma, combined mitral and aortic valve of the heart, the lack of sense of smell.
Which of the following surveys is most expedient to conduct to make a diagnosis?
*+otomicroscopic examination
* CBC
* abdominal ultrasound
* biochemical analysis to determine the bilirubin
* urinalysis
#1315
*! A patient consulted the ENT doctor with complaints of hearing loss, dizziness, headache. During collection of the anamnesis it was revealed that for a long time patient suffered aching pain in the temporomandibular joint, burning tongue and throat, taste perversion. At the endoscopy of ear and upper respiratory tract no pathological changes have been identified.
Which of the following surveys is most expedient to conduct to make a diagnosis?
* otomicroscopic examination
* biochemical analysis to determine the lg E
*+ X-ray
* biochemical analysis to determine the bilirubin
* urinalysis
#1316
*!Mother with 3 years old boy consulted ENT doctor with complaints of 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 surveys is most expedient to conduct to make a diagnosis?
* otomicroscopic examination
* biochemical analysis to determine the Ig E
* X-rays
*+ CBP gene analysis for mutations
* urinalysis
#1317
*!Mother with 10 years old boy consulted ENT doctor with complaints of with complaints of bilateral hearing loss. The examination revealed congenital pathology of the outer and middle ear, ear lobe hyperplasia.
Which of the following surveys is most expedient to conduct to make a diagnosis?
* CBC
* biochemical analysis to determine the Ig E
*+ computed tomography of the temporal bone
* CBP gene analysis for mutations
* urinalysis
#1318
*! Mother with 2 years old boy consulted ENT doctor. According to mother child began to underreact to sounds. When he falls can’t get up for a long time, starts crying. Child is endocrinological observation due to the goiter.
Which of the following surveys is most expedient to conduct to make a diagnosis?
* CBC
* Biochemical analysis to determine the Ig E
* Computed tomography of the temporal bone
* CBP gene analysis for mutations
*+ Test with potassium perchloride
#1319
*!10 years old boy consulted ENT doctor with complaints of hearing loss, vertigo at insignificant injuries. Hearing loss by sound-type. Child is endocrinological observation.
The level of following hormone is most likely to be changed?
* decrease the level thyroid-stimulating hormone
* increase the level of triiodothyronine
*+ increase the level thyroid stimulating hormone
* increase of thyroxine
* decrease of triiodothyronine
#1320
*!35 years old man consulted ENT doctor with complaints 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 surveys is most expedient to conduct to make a diagnosis?
*+ impedancemetry
* X-ray of the temporal bone
* CBP gene analysis for mutations
* CBC
* urinalysis
#1321
*!50 years old woman consulted ENT doctor with complaints of ear congestion, ringing, feeling fluid transfusion in the ears, a feeling of pressure in the ear. On the audiogram hearing loss by sound-conducting type.
Which of the following surveys is most expedient to conduct to make a diagnosis?
*+ tympanograms
* X-ray of the temporal bone
* nasal endoscopy
* CBC
* urinalysis
#1322
*!50 years old woman consulted ENT doctor with complaints of ear congestion, ringing, feeling fluid transfusion in the ears, a feeling of pressure in the ear. On the tympanogram “C” type is registered.
Which of the following surveys is most expedient to conduct to make a diagnosis?
*+ tone threshold audiogram
* suprathreshold tests
* computed tomography of the temporal bone
*a complete blood count (CBC)
*urinalysis
#1323
*!50 years old woman consulted ENT doctor with complaints of ear congestion, ringing, feeling fluid transfusion in the ears, a feeling of pressure in the ear. On the tympanogram “C” type is registered.
Which of the following is most expedient to include in the treatment plan?
* drum nerve dissection
* tympanoplasty
*+ blowing of auditory tube
* hormonal therapy
* detoxification therapy
#1324
*!75yearsoldmancomplaintsoftinnitus, progressive hearing loss. Tinnitus notes about 2 years. During the last year hearing began to deteriorate rapidly. At endoscopy of ear and upper respiratory tract no pathological changes have been identified.
Which of the following surveys is most expedient to conduct to make a diagnosis?
*+ tone threshold audiogram
* impedancemetry
* computed tomography of the temporal bone
* tympanograms
*general urine analysis
#1325
*!35yearsoldmancomplaintsoftinnitus, progressive hearing loss. Tinnitus appeared after receiving antituberculosis drugs. During the last year hearing began to deteriorate rapidly. At endoscopy of ear and upper respiratory tract no pathological changes have been identified.
Which of the following is most expedient to include in the treatment plan?
*+ hearing Aid
* antibiotic therapy
* tympanoplasty
* blowing of auditory tube
* hormonal therapy
#1326
*!35 years old woman approached the clinic with complaints of hearing loss and noise in the ear. Hearing decreased gradually, but hearing loss after childbirth has become more noticeable. Patient notes strange phenomenon – can hear better in a noisy environment. At otoscopy ear canals broad, no sulfur masses were found, eardrums on both sides are pale as if thinned. The auditory function is impaired on both sides.
Which of the following is most expedient to include in the treatment plan?
* hearing aid
* antibiotic therapy
* tympanoplasty
* blowing of auditory tube
*+stapedoplasty
#1327
*!35 years old woman approached the clinic with complaints of hearing loss and noise in the ear. Hearing decreased gradually, but hearing loss after childbirth has become more noticeable. Patient notes strange phenomenon – can hear better in a noisy environment.
Which of the following is most expedient to include in the examination plan?
*+computed tomography of the temporal bone
* biochemical analysis to determine the lg e
* CBP gene analysis for mutations
* test with potassium perсhloride
* X-ray of the skull bones
#1328
*! Male 42 years old complained of a feeling of fullness of the right ear, ringing in the ear, hearing loss. Symptoms first appeared a year ago, but after purging itself of the auditory tube obstruction of the ear has disappeared. Recently this method has stopped to help, a feeling of transfusion of water in the ear joined. At otoscopy: eardrum gray, muddy, identification items are not visible.
Which of the following is most expedient to include in the treatment plan?
* drum nerve dissection
* tympanoplasty
*+ blowing of auditory tube
* hormonal therapy
* detoxification therapy
#1329
*! Female 30 years old, complained of a feeling of fullness of the left ear, ringing in the ear, hearing loss. Symptoms first appeared a year ago, but after blowing of Eustachian tube ear obstruction has disappeared. Recently suffers from continuous nasal congestion, a feeling of transfusion of water in the ear joined. At otoscopy: eardrum gray, muddy, identification items are not visible. At rhinoscopy: deviated septum, in bone - cartilage section to the right.
What type of tympanogram of the following is most likely to be determined?
*typeА
*typeВ
*+typeС
*typeАd
*typeАs
#1330
*! The man of 28 years complains of feeling of a foreign matter in a throat on the right, an unpleasant smell from a mouth within a week. From the anamnesis: Had 3 weeks ago heavy pneumonia which was complicated by dysbacteriosis and diarrhea. At survey: the general state does not suffer, submaxillary lymph nodes are increased. Faringoskopiya – on a surface of the right palatal almond is available the extensive ulcer covered with a gray-yellow raid.
What from below listed it is the MOST expedient to include in the plan of treatment?
* washing of lacunas of almonds of 3% hydrogen peroxide solution
* washing of lacunas of almonds solutions of antibiotics
*+ greasing of almonds solution of a novarsenol
* irrigation of a throat isotonic solution
* greasing of almonds Lugol solution
#1331
*! 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 from below listed it is the MOST expedient to include in the plan of treatment?
* washing of lacunas of almonds of 3% hydrogen peroxide solution
* washing of lacunas of almonds solutions of antibiotics
*+ puncture of a paratonzillyarny klechatka on the right
* irrigation of a throat isotonic solution
* greasing of almonds Lugol solution
#1332
*! Parents of the child show complaints to the complicated nasal breath, snore in a dream, on temperature increase to 37,5 ˚С., weakness, indisposition, periodic podkashlivaniye, especially at night. Ached sharply against the background of, treated with a SARS. Faringoskopiya: mucous drinks hyperemic, palatal almonds moderately hyperemic, friable, on a back wall running off of a mucopurulent secret. In the general blood test – L-9,6 109, speed of subsidence of erythrocytes – 8 mm/h.
What from below listed it is the MOST expedient to include in the plan of treatment?
* washing of lacunas of almonds solutions of antibiotics
*+ washing of a nasopharynx by a movement method
* puncture of a paratonzillyarny klechatka on the right
* irrigation of a throat isotonic solution
* greasing of almonds Lugol solution
#1333
*! Parents of the child show complaints to the complicated nasal breath, snore in a dream, on a dream with an open mouth, frequent diseases from a nasopharynx, the complaints stated above disturb within one and a half years with minor improvement for treatment. For the last 2-3 months frequent diseases of average departments of an ear were noted. Faringoskopiya: mucous drinks it is moderated hyperemic, palatal almonds moderately hyperemic, friable, to the 2nd size.
What from below listed it is the MOST expedient to include in the plan of treatment?
*+ endoscopic research of a nasopharynx, additional research of hearing and preparation for according to plan operation.
* endoscopic research of a nasopharynx, additional research of hearing, washing of a nasopharynx by a movement method
* endoscopic research of a nasopharynx, additional research of hearing, antibacterial therapy
* irrigation of a throat isotonic solution
* emergency hospitalization
#1334
*! The patient with complaints to frequent diseases of a throat in the last half of year. At the same time in the period of an aggravation the following symptoms disturb: the sore throat amplifying when swallowing, headaches, weakness, slackness, bystry fatigue, rise in body temperature from 38 to 39 S. Faringoskopiya: mucous drinks it is moderated hyperemic, palatal almonds moderated are hyperemic with a tsianotichny shade, edematous, friable, a forward palatal handle at the top pole in the place of contact with an almond with stagnant hyperaemia. In the general blood test – without features.
What from below listed it is the MOST expedient to include in the plan of treatment?
*+ to take the patient on the dispensary account, to investigate dab from a pharynx and a nose and complex treatment
* washing of lacunas of almonds of 3% hydrogen peroxide solution
* washing of lacunas of almonds solutions of antibiotics
* puncture of a paratonzillyarny klechatka on the right
* greasing of almonds Lugol solution
#1335
*! The young man of 15 years with the complaint to temperature increase to 39,5 ˚С., weakness, indisposition, head and sore throat. Ached sharply, two days ago, after the use of cold drinks. Faringoskopiya: mucous drinks hyperemic, palatal almonds are hyperemic, edematous on a surface there are multiple leykotsitarny infiltrates. In the general blood test – L-11,6 109, speed of subsidence of erythrocytes – 40 mm/h.
What from below listed it is the MOST expedient to include in the plan of treatment?
*+ irrigation of a surface of almonds of 3% rum of peroxide of hydrogen and active atibiotikoterapiya
* irrigation of a throat isotonic solution and active atibiotikoterapiya
* to take the patient on the dispensary account and sposleduyushchy complex treatment
* washing of lacunas of almonds solutions of antibiotics
* greasing of almonds Lugol solution
#1336
*! The young man of 15 years with complaints to temperature increase to 39,5 ˚С., weakness, indisposition, headaches and sore throat. Ached sharply, two days ago, after the use of cold drinks. Faringoskopiya: mucous drinks hyperemic, palatal almonds are hyperemic, edematous on a surface pleated are available is purulent-kazeoznye masses. In the general blood test – L-11,6 109, speed of subsidence of erythrocytes – 40 mm/h.
What from below listed it is the MOST expedient to include in the plan of treatment?
*+ washing of lacunas of almonds of 3% rum of peroxide of hydrogen and active atibiotikoterapiya
* irrigation of a throat isotonic solution and active atibiotikoterapiya
* greasing of almonds Lugol solution
* greasing of almonds soda solution
* complex treatment
#1337
*! The young man of 20 years with complaints to temperature increase to 39,5 ˚С., weakness, indisposition, headaches and sore throat, loss of appetite, pallor, tachycardia. Ached sharply, two days ago, after the use of cold drinks. Faringoskopiya: mucous drinks with the stagnant poured hyperaemia, palatal almonds, a soft palate and handles are edematous, on a surface of almonds there are raids in the form of films - dense, smooth, grayish color. Raids hardly are removed the pallet, and under a raid mucous bleeds. In the general blood test – L-11,6 109, speed of subsidence of erythrocytes – 40 mm/h.
What from below listed it is the MOST expedient to include in the plan of treatment?
*+ urgent hospitalization and active atibakterialny and detoksikatsionny therapy
* irrigation of a throat isotonic solution and active atibiotikoterapiya
* greasing of almonds Lugol solution
* greasing of almonds soda solution
* complex treatment
#1338
*! The patient with complaints to feeling of dryness in a drink and feeling of an incomplete proglatyvaniye of saliva and food, and also a periodic unpleasant smell from a throat. The above-stated complaints disturb the last half of year. Faringoskopiya: mucous drinks it is thinned, its lymphoid fabric and a submucous layer are partially replaced with soyedinitelnotkanny fibers, mucous pale, dry, the number of vessels is reduced, palatal almonds is moderated are hyperemic with a tsianotichny shade, are edematous, friable, a forward palatal handle at the top pole in the place of contact with an almond with stagnant hyperaemia. In OAK – without features.
What from below listed it is the MOST expedient to include in the plan of treatment?
*+ to take the patient on the dispensary account, to investigate dab from a pharynx. Dispensary treatment
* to take the patient on the dispensary account and expeditious treatment
* to take the patient on the dispensary account, to investigate dab from a pharynx
* frequent irrigation of a throat isotonic solution
* greasing of a throat Lugol solution
#1339
*! The patient has complaints: a sadneniye, tickling in a throat, the increased salivation, a frequent podkashlivaniye, an otkharkivaniye and a proglatyvaniye of the saving contents, especially in the mornings, and also a mortgaging of ears. The above-stated complaints disturb the last half of year. Faringoskopiya: mucous drinks it is thinned, its lymphoid fabric and a submucous layer are partially replaced with soyedinitelnotkanny fibers, mucous pale, dry, the number of vessels is reduced, palatal almonds is moderated are hyperemic with a tsianotichny shade, are edematous, friable, a forward palatal handle at the top pole in the place of contact with an almond with stagnant hyperaemia. In OAK – without features.
What from below listed it is the MOST expedient to include in the plan of treatment?
*+ to take the patient on the dispensary account and dispensary treatment
* to take the patient on the dispensary account and expeditious treatment
* to take the patient on the dispensary account, physiotreatment
* frequent irrigation of a throat isotonic solution
* greasing of a throat Lugol solution
#1340
*! Parents of the child show complaints: on refusal of meal, a bespokoynost, tearfulness, a sleep disorder, difficulty nasal breath, on temperature increase to 38,5 ˚С., twang of a voice. Ached sharply against the background of, treated with a SARS. Faringoskopiya: mucous drinks hyperemic, on a back wall roundish protrusion, of the size of haricot on border of average and top departments of a throat, to the right of the average line, palatal almonds moderately hyperemic, friable, to the 1st size. The palpation of protrusion is defined an elastic, flyuktuiruyushchy consistence. In the general blood test – L-10,6 109, speed of subsidence of erythrocytes – 50 mm/h.
What from below listed it is the MOST expedient to include in the plan of treatment?
*+ emergency hospitalization, opening of abscess, active antibacterial therapy
* opening of abscess to take the patient on the dispensary account and dispensary treatment
* to take the patient on the dispensary account and expeditious treatment
* to take the patient on the dispensary account, physiotreatment
* frequent irrigation of a throat isotonic solution
#1341
*! The child's parents with complaints: on a bespokoynost, tearfulness, a sleep disorder, the complicated nasal breath, on temperature increase from 38 to 39 ˚С., slackness, increase in lymph nodes cervical, axillary, inguinal. Body temperature keeps the 2nd week, rising, being released. Ached sharply against the background of, treated with a SARS. Faringoskopiya: mucous drinks hyperemic, palatal almonds hyperemic, friable, to the 2-3rd size. The L palpation / At cervical, axillary, inguinal - dense, painless, increased to 2-3 sizes. At the child the adenogepatosplenomegaliya is noted. In OAK – L-15,6 109, speed of subsidence of erythrocytes – 30 mm/h.
What from below listed it is the MOST expedient to include in the plan of treatment?
* endoscopic research of a nasopharynx, washing of a nasopharynx by a movement method
* endoscopic research of a nasopharynx, planned operation.
* emergency hospitalization active antibacterial therapy
*+ serological blood test (Bunnel's reaction)
* massive antibacterial therapy
#1342
*! The child's parents with complaints: on the complicated nasal breath, vyrazhenny at the left, on change of a voice, irritation in a throat, on periodic nasal bleedings from the left half of a nose. Faringoskopiya: mucous drinks it is moderated hyperemic, palatal almonds, friable, to the 2-3rd size. Rinoskopiya: in the left half of a nose, on average the nasal course education about haricot, smooth, bright red color, dense is had at palpation by the probe. The L palpation / At cervical, axillary, inguinal, painless, to 2-3 sizes. At the child the adenoidny person is noted. In OAK – L-8,6 109, speed of subsidence of erythrocytes – 7 mm/h.
What from below listed it is the MOST expedient to include in the plan of treatment?
* endoscopic research of a nasopharynx and puncture of a gaymorovy bosom at the left.
* endoscopic research of a nasopharynx, washing of a nasopharynx by a movement method
*+ The KT-research, planned hospitalization for surgical treatment
* endoscopic research of a nasopharynx, antibacterial therapy
* serological blood test (Bunnel's reaction)
#1343
*! The young man of 20 years with the complaint to periodic temperature increase to 37,5 ˚С., on existence of a painless sore on an almond at the left. The above-stated complaints disturb within 2 months. Faringoskopiya: mucous drinks with the stagnant poured hyperaemia of copper-colored color, palatal almonds, on the right without features with friability and hyperaemia, at the left on a surface of an almond of an oval form an ulceration, of the size of peas, towering over a surface, surrounded with a red border, the soft palate and handles are edematous. At the patient it is noted unilateral limadenit-occipital, submaxillary and cervical l / at. In OAK – L-9,6x109, speed of subsidence of erythrocytes – 12 mm/h.
What from below listed it is the MOST expedient to include in the plan of treatment?
* to take the patient on the dispensary account, to investigate dab from a pharynx and a nose. Sposleduyushchy complex treatment
*+ blood test on Wasserman's reaction, hospitalization in infectious diseases hospital
* urgent hospitalization and active atibakterialny and detoksikatsionny therapy
* irrigation of a throat isotonic solution and active atibiotikoterapiya
* washing of lacunas of almonds solutions of antibiotics
#1344
*! The patient is 50 years old with complaints to feelings of awkwardness and a foreign matter in a throat, unusual flavoring feeling, a raspiraniye, irritations in a throat, and also abundance of slime in a nasopharynx with blood impurity. The above-stated complaints disturb within 2 months. Faringoskopiya: mucous drinks with the stagnant poured moderate hyperaemia, palatal almonds friable to 2-3 sizes. Regional l / at without features. In OAK – L-9,6x109, SOE – 12 mm/h.
What from below listed it is the MOST expedient to include in the plan of treatment?
* endoscopic and the KT-research, planned hospitalization for surgical treatment
*+ endoscopic and the KT-research, consultation and observation at the oncologist
* urgent hospitalization and active atibakterialny and detoksikatsionny therapy
* irrigation of a throat isotonic solution and active atibiotikoterapiya
* to take the patient on the dispensary account and dispensary treatment
#1345
*! The man of 28 years is exposed simple chronic tonsillitis. At survey: the general state does not suffer, submaxillary lymph nodes to the 3rd size, dense are increased, it is moderated painful. Faringoskopiya – almonds to the 3rd size, in lacunas existence the kazeoznykh of traffic jams, Zac's signs, Giza and Preobrazhensky are positive. Out-patient treatment without effect.
What from below listed it is the MOST expedient to include in the plan of treatment?
* washing of lacunas of almonds solutions of antibiotics
* to direct the patient to sanatorium treatment
* greasing of almonds solution of a novarsenol
* complex physiotreatment
*+ tnzillektomiya
#1346
*! The man of 30 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 from below listed it is the MOST expedient to include in a treatment planning?
* washing of lacunas of tonsils of 3% penozone
* washing of lacunas of tonsils solutions of antibiotics
*+ endolaryngeal injection of the emulsion Hidrocortizonum
* pharynx irrigation by isoosmotic solution
* greasing of tonsils by Lugol solution
#1347
*! 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 method of treatment from below listed is the MOST expedient?
* Antibacterial therapy
*+ Treatment by the surgical type
* Autogematoterapiya
* Vitamin therapy
* Physiotreatment
#1348
*! The child 3kh played years in the designer suddenly there was paroxysmal cough, there was short wind inspiratory, cold sweat
What of the listed below research techniques is MOST expedient for specification of the diagnosis?
* Not a direct laryngoscope
*+ direct laryngoscopes
* roentgenography
* olfaktometriya
* pharyngoscope
#1349
*! 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.
What of the listed below research techniques is MOST expedient for specification of the diagnosis?
*+ Bordet-Gengou tests
* agglutination test
* Mantoux reaction
* Reaction to a Brace bit
* roentgenography
#1350
*! 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 is noted
What of the listed below research techniques is MOST expedient for specification of the diagnosis?
* Not a direct laryngoscope
*+ direct laryngoscopes
* roentgenography
* olfaktometriy
* pharyngoscope
#1351
*! 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
What choice of the tool from listed below for further actions is MOST expedient?
* paracentesis needle
* Voyachek's hook
* Janet's syringe
* scalpel
*+ spatulas
#1352
*! The child 3 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.
What of the listed below research techniques is MOST expedient for specification of the diagnosis?
*+ Not the direct laryngoscope
* Direct laryngoscope
* mesopharyngoscopy
* roentgenography
* pharyngoscope
#1353
*! After the postponed flu the child of 5 years notes a pharyngalgia. Objective 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 method of treatment from below listed is the MOST expedient?
*+ Antibacterial therapies
* Surgical treatment
* Autogematoterapiy
* Vitamin therapy
* Physiotreatment
#1354
*! The man of 20 years shows complaints to constant painful cough, plentiful selection of a purulent sputum, short wind at an exercise stress. It is sick since the childhood.
What of the listed below research techniques is MOST expedient for specification of the diagnosis?
* Rinopnevomometriya
*+ Roentgenographies
* Olfaktometriya
* EGD
* Ultrasonography
#1355
*! The victim in a serious condition by a corrosive burn of a throat is brought to office.
What method of treatment from below listed is the MOST expedient?
* Antibiotikoteraiya, a dezintoksikatsinny therapy
*+ reopolyglucin, glucoses, Haemodesums
* Cold drink, rinsing by a soda
* Fibrinogen, Calcium chloratum
* Hemotransfusion, a plasma exchange
#1356
*! The woman of 25 years after a sting of a wasp had 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
The most efficient action when rendering the first pre-medical aid,
*+ To call crew of the emergency medical service, to give antihistamine medicine
* To call crew of emergency medical service, to give an antibiotic
* To give cold water, to air a room
* To apply a cold bandage area of a sting
* To apply a cold bandage a neck
#1357
*! 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 research techniques is MOST expedient for specification of the diagnosis,
*+ cytogenetic researchs
* Serological research
* ultrasonography of a fontanel
* roentgenography
* biopsy
#1358
*! A child of 4 years complains to the tongue motor disorders, paralysis of the soft palate, disartritic disorder, hoarseness, difficult swallowing, coughing, epiglottis movement disorders, paralysis of facial muscles.
Which of the following drugs is most expedient for the treatment:
*+ Prednisolone, deflazacorts
* Fenkarol, Zodak
* Ceftriaxone
* Glucose 5%
* Choludexan
#1359
*! 15 years girl complaints to the painless nodular lesions of brownish-pink color in the cheeks, nose and lips. On endoscopic examination found scar roller in place of the epiglottis, the entrance to the larynx is narrowed due to infiltration and scarring.
Which of the following research methods is best suited for diagnosis?
* cytogenetic study
* serology
*+ histological examinations
* radiography
*biopsy
#1360
*! Male 40 years complained of epistaxis, runny nose, shortness of nasal breathing, ear pain, cough, hemoptysis. Objectively marked the destruction of the nasal septum, saddle nose, infiltrates in the larynx, trachea.
What is the most appropriate treatment?
*Surgery
*+ Immunodepressants
* antibiotic
* autogemato-therapy
* vitamin therapy
#1361
*! 20 years old patient complains to the constant teasing cough, copious purulent sputum, shortness of breath on exertion. Sick since childhood.
What radiograph picture is MOST suitable for diagnosis?
*+ Bottle-expansion of the trachea
* Bottle-narrowing of trachea
* Narrowing of trachea lumen
* Bronhomegaliya
* Bronchiectasis
*diseases ofthe pharynx and diseases ofthe noseand paranasal sinuses and diseases ofthe larynx and diseases of theear*4*90*1*
#1362
*!SURGICAL TREATMENT OF ADENOID VEGETATIONS IT IS NECESSARY WHEN
*+adenoid vegetations of article 3, are not fed to conservative treatment
*+frequent adenoiditis, complicated acute otitis media
*adenoid vegetations 1-2 tbsp., often recurrent
*frequent colds nasopharynx
*frequent identity
*frequent legiti
*frequent sore throats
#1363
*!SURVEY ANGINA SIMANOVSKIY-VINCENT
*+bac.smear from the pharynx
*consultation of rheumatologists
*+consult infectious disease specialist
*consult a neurologist
*consult a therapist
*rheumatology test
*ECG
#1364
*!THE MOST LIKELY COMPLICATIONS OF PERITONSILLAR ABSCESS
*acute laryngitis
*acute bronchitis
*acute tracheitis
*+parapharyngeal
*+mediastinic
*pneumonia
*hepatitis
#1365
*!THE MOST LIKELY COMPLICATIONS OF PERITONSILLAR ABSCESS
*acute laryngitis
*acute bronchitis
*acute tracheitis
*+parapharyngeal
*+mediastinic
*pneumonia
*hepatitis
#1366
*!TREATMENT IN YOUTH ANGIOFIBROMA OF THE NASOPHARYNX
*moxibustion trichloroacetic acid
*adjustable hypocoagulation
*+haemostatic therapy
*+operative treatment
*radiation therapy
*chemotherapy
*laser therapy
#1367
*!EARLY SYMPTOM IN CANCER OF LATERAL WALL OF NASOPHARYNX:
*+neuralgia in the innervation area of the third branch of the trigeminal nerve
*anesthesia in the distribution area of the third branch of the trigeminal nerve
*the hearing loss on the affected side
*frequent nosebleeds
*+the feeling of fullness of the ear
*trouble swallowing
*shortness of breath
*sore throat
*pain in the ear
*+ noise in the ear
#1368
*!EARLY DIAGNOSTICUMS AND GIVES THE BEST FIVE-YEAR RESULTS OF HISTOLOGICAL FORM OF CANCER OF THE NASOPHARYNX
*lowdifferentiated form of cancer
*+limfoepitelioma Shminke
*adenomectomy cancer
*adenocarcinoma
*melanosarcoma
*+lymphosarcoma
*teratoma
*sarcoma
#1369
*!MORE COMMON IN YOUNG CHILDREN THAN IN ADULTS TUMOR OF THE NASOPHARYNX
*lowtemperature form of cancer
*limfoepitelioma Shminke
*adenomectomy cancer
*+rhabdomyosarcoma
*adenocarcinoma
*melanosarcoma
*+lymphosarcoma
*+sarcoma
#1370
*!THE EXTERNAL NOSE PRESENTS THE FOLLOWING ANATOMICAL STRUCTURES
*coulter
*+triangular cartilage
*+alar cartilage
*quadrangular cartilage
*perforated plate of the ethmoid bone
*perpendicular plate of the ethmoid bone
#1371
*!THE EXTERNAL NOSE IS SUPPLIED BY
*+ the branches of the internal carotid arteries and external carotid arteries
*+the branches of the maxillary and ophthalmic arteries
*branches of the superior thyroid artery
*branches of internal carotid artery
*+the branches of the external carotid artery
*branches of the occipital artery
*branches of the auricular artery
#1372
*!LYMPH FLOW FROM THE EXTERNAL NOSE IS PRIMARILY
*in the thoracic lymphatic duct
*+in front of the cervical lymph nodes
*+deep cervical lymph nodes
*intrathoracic lymph nodes
*+submandibular lymph nodes
*occipital lymph nodes
*in the parotid lymph nodes
#1373
*!THE SMALL SPACE BETWEEN THE UPPER CONCH OF THE NOSE AND ROOF OF THE NOSE CALLED
*the dome of the nasal cavity
*the nasal middle course
*+sphenoethmoidal
*the upper nasal passage
*osteomeatal
*+olfactory area
*the threshold of the nose
#1374
*!LANDMARK SEPARATING FRONT AND REAR GROUPS OF CELLS OF THE ETHMOID LABYRINTH IS AN ANATOMICAL FORMATION
*perpendicular plate of the ethmoid bone
*hamate bone
*+basal lamina
*semilunar slit
*funnel
*+bulla
#1375
*!FROM THE MOMENT OF BIRTH BEGINS TO PNEUMATIZATION GROUP OF SINUSES
*all paranasal sinuses
*bone cells Radicati
*wedge
*+maxillary
*+ethmoid
*frontal
#1376
*!MUCOCILLIARY CLEARANCE IS A SYSTEM OF NASAL CAVITY
*+moisturising system of the mucosa of the nasal cavity and PPN
*+cleaning system of the nasal mucosa and PPN
*resonatory system the nasal cavity and PPN
*derivatory system of the nasal cavity
*excretory system the nasal cavity
*exchange system in the nasal cavity
#1377
*!THE MAIN COMPLAINTS OF PARENTS OF CHILDREN WITH LONG-TERM FOREIGN BODY IN THE NOSE
*periodic catarrhal phenomena from the upper respiratory tract
*+periodic nosebleeds from one half of nose
*shortness of nasal breathing
*+bad smell from the nose
*headaches
*snoring during sleep
*cough
#1378
*!IF THE DIAGNOSIS OF ALLERGIC RHINITIS THE BASIC MEANING PAY
* subjective data
*of heredity
*age of the patient
*+blood tests
*sex of the patient
*+history
#1379
*!DIFFERENTIAL DIAGNOSTIC MANIPULATION HEMATOMA FROM ABSCESS OF THE NASAL SEPTUM
*x-ray examination
*endoscopic examination
*posterior rhinoscopy
*CT study
*the swab
*+rhinoscopy
*+puncture
#1380
*!KISSELBACH PLEXUS IS LOCATED IN
*+in the anterior-lower department of nasal septum
* in front - the upper part of the nasal septum
*in the rear-the lower division of the nasal septum
*throughout the nasal septum
*+in the anterior nasal cavity
*in posterior nasal cavity
#1381
*!THE MOST TYPICAL SYMPTOMS FOR MUCOCELE OF THE PARANASAL SINUSES
*+runoff discharge from the nose via the back of the throat that causes the cough
*+copious watery discharge from nasal passages
*sukrovichnoe discharge from the nose
*+impaired nasal breathing
*purulent discharge from the nose
*displacement of the eyeball
*paroxysmal sneezing
*local pain in the neck
*violation of smell
*headache
#1382
*!A FEATURE OF THE MIDDLE TURBINATE MUCOCELE IN THE ETHMOID LABYRINTH
*covered with a fibrous coating turbinate
*changed a little the middle turbinate
*close fit to the side wall of the nose
*ulceration of the middle turbinate
*+the offset of the middle turbinate
*crusty nasal Concha
*polypoid damage
*+bullous thickening
#1383
*!FRONT LARYNX IS COVERED BY MUSCLES
*+mm. sternohyoidei
*mm.prominentia
*+mm.omohyoidei
*mm.thyroidea
*mm.cricoidea
#1384
*!THE LARYNX HAS PAIRED AND UNPAIRED HYALINE CARTILAGE
*1 pair
*2 pair
*+3 pair
* 2 unpaired
*+3 unpaired
*4 pair.
#1385
*!UNPAIRED CARTILAGE OF THE LARYNX
*cricoid
*arytenoid
*corniculatus
* wedge
*+epiglottis
*+thyroid.
#1386
*!PAIRED CARTILAGE OF THE LARYNX
*+wedge
*cricoid
*+corniculatus
*epiglottis
*thyroid
*incremental
#1387
*!ON THE BASIS OF THE ARYTENOID CARTILAGE HAS 2 OF THE APPENDIX
* posterior
*+ front
*incremental
*+lateral
*medial
*intermediate
#1388
*!THE MOBILITY OF THE LARYNX IS PROVIDED BY
*+ligaments
*the pharynx
*+muscle
*+joints
*processes
*adventitia
*the hyoid bone
#1389
*!THE MOBILITY OF THE LARYNX PROVIDE
*+ cricoarytenoid
*+ cricothyroid
* cricocorniculatus joint
*cricoepiglottis joint
*cricowedg-shaped joint
*cricohyoideus joint
#1390
*!THE VOCAL CORDS ARE ATTACHED TO
*the hyoid bone
*+thyroid cartilage
*epiglottis cartilage
*cuneiform cartilage
*cricoid cartilage
*+arytenoid cartilage.
*the tibial bone
#1391
*!THE FUNCTION OF THE LARYNX
*teploreguliruyuschih
*resonator
*+respiratory
*secretory
*+protective
*exchange
#1392
*!THE FUNCTION OF THE LARYNX
*thermoregulatory
*resonator
*secretory
*+voice
*exchange
*+speech
#1393
*!THE LARYNX IS A HOLLOW ORGAN, WHICH IS BASED ON
*+cartilage
*+chords
*tendon
*elastic cone
*bone structure
*fibrous membrane
#1394
*!TO PAIRED CARTILAGE OF THE LARYNX IS
*+arytenoid
*cricoid
*epiglottis
*+corniculatus
*crimeny
*thyroid
#1395
*!UNPAIRED CARTILAGES OF THE LARYNX ARE
*arytenoid
*+signet ring
*wedge
*corniculatus
*+thyroid
*extension
#1396
*!METHODS OF RESEARCH OF LARYNX
*+biopsy
*+palpation
*+stroboscopy
*posterior rhinoscopy
*rear laryngoscopy
*direct pharyngoscope
*indirect pharyngoscope
#1397
*!DIAGNOSIS OF CHRONIC STENOSIS OF THE LARYNX
*+R-graphy
*+Palpation
*+Stroboscopy
*auscultation
*pharyngoscope
*direct pharyngoscope
*indirect pharyngoscope
#1398
*!IN THE EVALUATION OF INJURIES OF THE LARYNX AND CERVICAL TRACHEA IMPORTANT ARE THE FOLLOWING CRITERIA
*constitution type of the patient
*+hardness of damage
*+degree of damage
*disease duration
*subjective data
*ossification of cartilage
#1399
*!STAGE INCOMPLETE COMPENSATION OF STENOSIS OF THE LARYNX CHARACTERIZED BY
*slowing of heart rate
*+frequent breathing
*the slowing of the breathing
*atypical forms of breathing
*common cyanosis
*+the participation of auxiliary muscles in the act of respiration
#1400
*!IN ALLERGIC EDEMA OF THE LARYNX, STENOSIS II APPROPRIATE TO THE CARRYING OUT
*tracheotomy
*conicotomy
*+distraction therapy
*emergency throatsection
*+medical destinazione
*introduction antidiphteric serum
#1401
*!AT STAGE IV STENOSIS OF THE LARYNX SHOWS
*+tracheostomy
*+conicotomy
*uteropexy
*extirpation of the larynx
*distraction therapy
*an autopsy abscess of epiglottis
#1402
*!WHEN THE HEMATOMA OF THE LARYNX, CAUSING STENOSIS OF III DEGREE, IT IS RECOMMENDED
*+tracheostomy
*chordectomy
*+conicotomy
*autopsy hematoma of the larynx
*anti-inflammatory therapy
*use destinazione
#1403
*!ACUTE LARYNGITIS IN THE DYNAMICS OF THREATENED
*+stenosis of the larynx
*+tracheobronchitis
*persistent dysphonia
*persistent dysphagia
*asthmatic bronchitis
*the development of pulmonary tuberculosis
#1404
*! SUBGLOTTIC LARYNGITIS IS SYNONYMOUS
*diphtheria of the larynx
*+ laryngotracheitis
*true croup
*+ false croup
*falastine
*dysphonia
#1405
*!THE MOST UNFAVORABLE LOCALIZATION OF CANCER OF THE LARYNX
*vocal folds
*the body of the epiglottis
*vestibular sweet
*arytenoid cartilage
*podgoloski space
*+area of base of epiglottis
*+area morgane ventricles
#1406
*!THE TOOLS NEEDED FOR A TRACHEOSTOMY
*spatula
*conchata
* needle Deschamps
*tongs, Blakslee
*+dissecting forceps
*+tweezers surgical
#1407
*!NECESSARY TOOLS WITH A TRACHEOSTOMY
*spatula
*conchata
*needle Deschamps
*+blunt hook
*forceps of Blakslee
*+single-toothed sharp hook of Sassinak
#1408
*!THE POSITION OF THE PATIENT WITH A TRACHEOSTOMY
* on back with cushion under the neck
*on back with a cushion under his head
*+on back with a cushion under his shoulders
*+on the back aside to the maximum posterior head
*on the back with a slightly reserved posterior head
*on the back as the front head
*on back with his head anteriorly neznachitelno
#1409
*!ACCESS IN THE TACTICS OF TREATMENT OF STENOSIS OF THE LARYNX STAGE 3
*the incision from the level of the cricoid cartilage to the jugular notch of the sternum
*the cutting distance corniculatus cartilage to the jugular notch of the sternum
*the incision from the level of the thyroid cartilage to the jugular notch of the sternum
*rates from level 3 tracheal ring to the jugular notch of the sternum
*+midline incision of skin and subcutaneous tissue of the neck
*+incision at the level of 4-5 rings of the trachea
#1410
*!THE EVENT HELD ON 2-3 DAY HOSPITALIZATION OF THE PATIENT WITH STENOSIS OF THE LARYNX STAGE 3
*tracheostomy
* tracheal intubation
*to change the outer tube
* to wipe the mucus and phlegm from the tube
*+cleaning and disinfection of the insertion tube
*+gauze bandage to change it 2-3 times a day
#1411
*!TACTICS OF THE PHYSICIAN IN LARYNGEAL STENOSIS OF 3 DEGREES IN EXTREME CONDITIONS
*+cross-sectional incision in the midline below the thyroid cartilage, thyroid-cricoid ligaments
*in the lumen of the trachea to enter the tracheostomy tube of appropriate diameter
*the incision from the level of the thyroid cartilage to the sternum Armey clippings
*rates from tier 3 ring of the trachea to the sternum Armey clippings
*stupid by layer-by-layer to isolate the anterior wall of the trachea
*+after the disappearance of the asphyxia to perform a tracheostomy
*+enter to cut the clip and push the jaws
*dissecting the trachea at the level of 2-4 cups
#1412
*!ON THE TRUE VOCAL FOLD PINK NODULAR FORMATION, THE MOBILITY OF FOLDS IS LIMITED
*a benign tumor of the larynx
*+malignant tumor of the larynx
*infectious granuloma of the larynx
*papilloma of the larynx
*tuberculosis of the larynx
*scleroma of the larynx
*+ cancer of larynx
*lupus
#1413
*!TREATMENT FOR CANCER OF THE LARYNX
*moxibustion trichloroacetic acid
*adjustable hypocoagulation
*hemostatic therapy
*bismuth preparations
*+remove the tumor
*+radiation therapy
*laser therapy
#1414
*!IN THE ANTERIOR COMMISSURE IS DEFINED BY FORMATION ON A BROAD BASED, RESEMBLING CAULIFLOWER
*+benign tumor of the larynx
*a malignant tumor of the larynx
*infectious granuloma of the larynx
*+papilloma of the larynx
*scleroma of the larynx
*syphilis of the larynx
*cancer of the larynx
*lupus
#1415
*!TACTICS OF TREATMENT IN CASES OF PAPILLOMA OF THE LARYNX
*+moxibustion trichloroacetic acid
*adjustable hypocoagulation
*hemostatic therapy
*+ remove the papilloma
*bismuth preparations
*radiation therapy
*laser therapy
#1416
*!FEATURES OF LARYNGOSCOPE PICTURE, WHICH ARE CHARACTERISTIC OF CANCER OF THE LARYNX
*formation that is filled with fluid
*+rigidity of the damaged part of the larynx
*+uneven surface formation
*+ulceration of the tumor surface
*neomycine vocal cords
*smooth the surface of the tumor
*base - slim leg
*wide base
* vitreous swelling
#1417
*!THE MOST UNFAVORABLE LOCALIZATION OF CANCER OF THE LARYNX
*vocal folds
*the body of the epiglottis
*vestibular sweet
*arytenoid cartilage
*subvocal space
*+area of base of epiglottis
*+area morgane ventricles
#1418
*!FEATURES OF THE COMPLAINTS OF PATIENTS WITH ADVANCED CANCER OF THE LARYNX
*hemoptysis
*breach of taste
*+pain when swallowing
*voice disturbances
*violation of smell
*shortness of breath
*+pains on the side of defeat
#1419
*!TREATMENT TACTICS FOR FIBROMA OF THE VOCAL FOLDS
*+moxibustion place of growth after removal
*adjustable hypocoagulation
*hemostatic therapy
*removal of papillomas
*bismuth preparations
*+removal of fibromas
*radiation therapy
*laser therapy
#1420
*!WHEN TUMORS OF THE MIDDLE DEPARTMENT OF THE LARYNX EXTENDS IN THE DIRECTION
*posterior
*anterior
*+through comissary
*cerebralcortex
*+laryngeal ventricle
*through a conical ligament
#1421
*!FOR TUMORS OF THE EPIGLOTTIS, THE PROCESS EXTENDS IN THE DIRECTION
*posterior
*+upper
*+anterior
*through comissary
*cerebralcortex
*laryngeal ventricle
*through a conical ligament
#1422
*!TUMORS OF THE LOWER SECTION OF THE LARYNX EXTENDS IN THE DIRECTION
*posterior
*+down
*upper
*+anterior
*through komisaru
*the epiglottis
*thyroid cartilage
*laryngeal ventricle
*+via a conical ligament
#1423
*!PRECANCEROUS DISEASES OF THE LARYNX
*+chronic hypertrophic laryngitis
*chronic atrophic laryngitis
*edematous-infiltrative laryngitis
*chondrophora of the larynx
*phlegmonous laryngitis
*+pachydermia of the larynx
#1424
*!FORMATION, LOCALIZED ON THE MEDIAL WALL OF THE TYMPANIC CAVITY
*antrum
*+promontorium
*drum string
*pyramidal process
*the downward knee of the facial nerve
*+horizontal knee of the facial nerve
#1425
*!FURTHER RESEARCH IS REQUIRED TO CLARIFY THE DIAGNOSIS OF OTOANTRITIS
*+radiography of the temporal bones
*chest x-ray
*Ultrasound examination of abdominal cavity
*electroencephalography
*examination of sputum
*the study of cerebrospinal fluid
*+general blood test
*+urinalysis
*glycerol test
*coprogram
#1426
*!TACTICS OF TREATMENT OF OTOANTRITIS
*emergency extended radical operation on the ear
*emergency radical operation on the ear
*adjustable hypocoagulation
*+emergency puncture of the antrum
*emergency tympanophonia
*+antibacterial therapy
*emergency mastoidotomy
*emergency paracentesis
*+antrotomy
#1427
*!THE MOST COMMON WAY OF DISTRIBUTION OF PURULENT PROCESS FROM THE MIDDLE EAR CAVITY
*preformed
*+to continue
*perineural
*lymphogenous
*hematogenous
*+contact
#1428
*!IN THE DEVELOPMENT OF ADHESIVE OTITIS MEDIA ARE IMPORTANT
*trauma
*hydrops of the labyrinth
*vascular disorders
*genetic predisposition
*the appointment of ototoxic drugs
*prolonged exposure to vibration and noise
*+frequent inflammation of the middle ear
*+frequent inflammatory processes of the nose and paranasal sinuses
#1429
*!TACTICS OF TREATMENT OF OTOGENOUS MENINGITIS
*+extended radical sanitizing operation on the ear
*opening and drainage of the endolymphatic SAC
*radical sanitizing operation on the ear
*+powerful antibacterial therapy
*+detoxification therapy
*atticoantral
*labyrinthectomy
*tympanoplasty
*mastoidotomy
*antrotomy
#1430
*!TACTICS OF TREATMENT OF OTOGENOUS ABSCESS OF THE TEMPORAL LOBE OF THE BRAIN
*exposure of the meninges without audit
*+extended radical operation
*+revision of middle cranial fossa
*revision of the posterior cranial fossa
*revision of the sigmoid sinus
*labyrinthectomy
#1431
*!X-RAY PICTURE OF THE TEMPORAL BONES AT THE OTOGENOUS ABSCESS OF THE BRAIN
*+cavity in the mastoid process on the background of sclerotic changes
*rounded shadow in the mastoid with fluid level
*+cavity in the mastoid processd with uneven edges
*+cavity in the mastoid process with sharp edges
*rounded dense shadow in the mastoid
*pneumatic type of mastoid process
*sclerotic type of mastoid process
*diplomaticheskii type of the mastoid process
*the mystery of the mastoid process
*the cavity in the mastoid
#1432
*!X-RAY PICTURE OF THE TEMPORAL BONES AT THE OTOGENOUS MENINGITIS
*+cavity in the mastoid process on the background of sharp edges
*rounded dense shadow in the mastoid
*+cavity in the mastoid process with uneven edges
*+cavity in the mastoid process with sharp edges
*hard rounded type of the mastoid proces
*pneumatic type of mastoid process
*sclerotic type of the mastoid process
*diploetic type of the mastoid process
*the mystery of the mastoid process
*the cavity in the mastoid
#1433
*!TREATMENT IN OTOGENOUS ABSCESS OF THE CEREBELLUM
*opening and drainage of the endolymphatic sac
*exposure of the meninges without audit
*+extended radical operation
*revision of the middle cranial fossa
*+revision posterior cranial fossa
*revision of the sigmoid sinus
*+ revision of the cerebellum
*tympanoplastics
*labyrinthectomy
*paracentesis
#1434
*!X-RAY PICTURE OF THE TEMPORAL BONES WITH OTOGENOUS ABSCESS OF THE CEREBELLUM
*+ cavity in the mastoid on the background of sclerotic changes
*rounded shadow in the mastoid with fluid level
*+cavity in the mastoid process with uneven edges
*+cavity in the mastoid process with sharp edges
*rounded dense shadow in the mastoid
*pneumatic type of mastoid process
*sclerotic type of mastoid process
*diploetic type of the mastoid process
*the mystery of the mastoid process
*the cavity in the mastoid
#1435
*!X-RAY PICTURE OF THE TEMPORAL BONES WITH OTOGENOUS THROMBOSIS OF THE SIGMOID SINUS
*+cavity in the mastoid on the background of sclerotic changes
*rounded shadow in the mastoid with fluid level
*+cavity in the mastoid process with uneven edges
*+cavity in the mastoid process with sharp edges
*rounded dense shadow in the mastoid
*pneumatic type of mastoid process
*sclerotic type of mastoid process
*diploetic type of the mastoid process
*the mystery of the mastoid process
*the cavity in the mastoid
#1436
*!HECTIC FEVER WITH CHILLS AND HEAVY PERSPIRATION CHARACTERISTIC COMPLICATIONS OF THE DISEASE
*acute purulent middle otitis
*+thrombosis sigmoid sinus
*cavernous sinus thrombosis
*chronic mezotimpanit
*+chronic epitympanit
*abscess of the frontal lobe of the brain
*abscess of cerebellum
*meningitis
#1437
*!DURING EXACERBATION OF EPITYMPANITIS APPEARED LIMITATION OF UP , ANISOCORIA, THE DAMAGING OF RHYTHM OF BREATHING
*+otogenous intracranial complications
*+abscess of the temporal lobe of the brain
*sinus thrombosis showing
*perisinus abscess
*+terminal-stage
*latent stage
*initial stage
*abscess of cerebellum
*clear the stage
*meningitis
#1438
*!TREATMENT OF THROMBOSIS OF SIGMOID SINUS
*opening and drainage of the endolymphatic sac
*exposure of the meninges without audit
*+extended radical operation
*revision of the middle cranial fossa
*revision of the posterior cranial fossa
*+revision sigmoid sinus
*+drainage of the sinus
*revision of the cerebellum
*tympanoplasty
*labyrinthectomy
#1439
*!TACTICS OF THE PHYSICIAN IN THE DEVELOPMENT OF OTOGENOUS THROMBOSIS OF THE SIGMOID SINUS
*+extra extended radical operation on the ear
*+addition of the antibiotic treatment of another group
*+enhancing detoxification therapy
*emergency radical operation on the ear
*adjustable hypocoagulation
*emergency puncture of the antrum
*emergency tympanophonia
*emergency mastoidotomy
*emergency paracentesis
#1440
*!TACTICS OF THE PHYSICIAN IN THE DEVELOPMENT OF OTOGENOUS ABSCESS OF THE CEREBELLUM
*+extra extended radical operation on the ear
*+addition of the antibiotic treatment of another group
*+enhancing detoxification therapy
*emergency radical operation on the ear
*emergency puncture of the antrum
*emergency tympanophonia
*emergency mastoidotomy.
*emergency paracentesis
*a blood transfusion
#1441
*!NECESSARY CONSULTATIONS OF SPECIALISTS TO CLARIFY THE DIAGNOSIS OF TUBERCULOUS MENINGITIS
*oral and maxillofacial surgeon
*abdominal surgeon
*thoracic surgeon
*gastroenterologist
*+infectious disease specialist
*+nevropatologist
# 1442
*!IN THE TREATMENT OF TUBERCULOUS MENINGITIS SHOULD INCLUDE
*antibiotic penicillin
*+anticonvulsants
*sulfonamides
*+aminoglycosides
*cephalosporins
*fluoroquinolones
#1443
*!RESEARCH METHODS FOR DIAGNOSIS OF OTOANTRITIS
*+radiography of the temporal bones
*chest x-ray
*ultrasound examination of abdominal cavity
*electroencephalography
*examination of sputum
*the study of cerebrospinal fluid
*+general blood test
*+urinalysis
*glycerol test
*coprogram
#1444
*!TACTICS OF THE PHYSICIAN IN OTOANTRITIS
*extra extended radical operation on the ear
*emergency radical operation on the ear
*adjustable hypocoagulation
*+emergency puncture of the antrum
*emergency tympanophonia
*+antibacterial therapy
*emergency mastoidotomy
*emergency paracentesis
*+antrotomy
#1445
*!TYPICAL SYMPTOMS FOR OTOGENous MENINGITIS
*remittent fever
*+rigidity of muscles of nape
*quadrant hemianopsia
*+symptom Brudzinski
*amnesticescoe
*spontaneous nystagmus
*+symptom of Kernig's
*sensory aphasia
*motor aphasia
#1446
*!PATHOGNOMIC SYMPTOMS FOR ABSCESS OF THE LEFT TEMPORAL LOBE OF THE BRAIN IN RIGHT-HANDERS
*remittent fever
*rigidity of muscles of nape
*symptom Brudzinski
*+amnestic aphasia
*spontaneous nystagmus
*a symptom of spondylitis
*symptom of Kernig's
*+sensory aphasia
*+motor aphasia
#1447
*!PATHOGNOMIC THE SYMPTOMS FOR THROMBOSIS OF SIGMOID SINUS
*+relapsing fever
*rigidity of muscles of nape
*quadrant hemianopsia
*symptom Brudzinskogo
*amnesticescoe
*spontaneous nystagmus
*+symptom Griesinger
*symptom of Kernig's
*sensory aphasia
#1448
*!PATHOGNOMIC SYMPTOMS FOR ABSCESS OF THE CEREBELLUM
*deviation in Romberg to the healthy side
*+the deviation in Romberg to the affected side
*remittent fever
*rigidity of muscles of nape
*quadrant hemianopsia
*symptom Brudzinski
*+spontaneous nystagmus
*symptom Griesinger
*+adidochokinesis
*aphasia
#1449
*!A SMALL INCREASE IN THE NUMBER OF CELLS IN THE CEREBROSPINAL FLUID IS OBSERVED IN
*abscess of the temporal lobe communicating with the ventricle of the brain
*+encapsulated abscess of the temporal lobe of the brain
*+encapsulated abscess of the cerebellum
*tromosa sigmoid sinus
*otogenny sepsis
*meningitis
#1450
*!THE AIM OF RADICAL SURGERY ON THE EAR
*+prevention of intracranial complications
*achievement of stable remission
*relapse prevention
*cessation of suppuration
*improved hearing
*recovery
*+sanation of the ear
#1451
*!LOCAL SYMPTOMS OF THROMBOSIS OF THE SIGMOID SINUS
*upper symptom Brudzinski
*lower symptom Brudzinski
*+symptom of Griesinger
*a symptom of spondylitis
*+symptom of Waiting
*Kernig's sign
#1452
*!BOY WITH CHRONIC OTITIS MEDIA AND TUBERCULOUS MENINGITIS HOSPITALIZED
*gastroenterology department
*in the neurosurgery department
*neurological department
*+TB dispensary
*at the infectious diseases hospital
*+the children's department
*in the department of otolaryngology
*Organisation of the oncology service in the Republic of Kazakhstan. principle of work of the observational cabinet and oncologic watchfulness*1*29*1*
# 1453
*! Primary prevention of cancer is
*+ Identification of the carcinogens action
* Detection of the diseases of a precancerous
* Treatment of the diseases of a precancerous
* Treatment of a malignant neoplasm
* Health Education Work on a healthy lifestyle
# 1454
*! Secondary prevention of cancer is
* Identification of the effect of a carcinogenic
*+ Detection of the diseases of precancerous
* Elimination of the action of a carcinogens
* Treatment of a malignant neoplasm
* Early detection of a malignant neoplasm
# 1455
*! Primary prevention of cancer is carried out by
* Doctors oncologists
* Employees of a research institute
* Doctors of a multidisciplinary hospital
* Doctors of a primary health care
*+The sanitary and epidemiological doctor
#1456
*! Secondary prevention of cancer is carried out by
* Doctors oncologists
* Research Assistants
*+ Doctors of the primary health care
* District Oncologists
* Sanitary and Epidemiological doctors
#1457
*! The main goal of palliative care is
*+ Achieving quality of life of dying patient, as close to the quality of life of the healthy person;
* Psychological support for the patient and a relative caring for them
* Meeting the spiritual needs of a patient and his family
* The solution of social, legal and ethical issues that arise in a connection with a serious illness.
* The philosophical study of an oncology problem
#1458
*!In lymphogranulomatosis at I and II-A stage the most effective treatment is
* Surgery
*+Two or three cycles of chemotherapy followed by the radiotherapy for the radical program
* Polychemotherapy
* Chemo-radiotherapy
* Chemo-hormonal therapy
#1459
*! At a lymphogranulomatosis at 3-4 stage the most effective treatment is
* Palliative radiotherapy
* Radiation therapy for a radical program
*+ Polychemotherapy, at least 6 cycles followed by the radiotherapy of the chemoresistant nodes
* Surgery
* Symptomatic treatment
#1460
*! As the first signs of a lymphogranulomatosis most commonly observed increase
*+ Lymph nodes of the cervical-supraclavicular part
* Mediastinal lymph nodes
* Retroperitoneal lymph nodes
* Inguinal lymph nodes
* All groups with a same frequency
#1461
*! Specialized palliative care in oncology
* A special medical team of doctors Oncologists
*+ Brigades uniting workers in the various fields working on the basis of the hospital or the community
* A doctor - oncologist
* A doctor and a specialist in social work
* Servants of clergy
#1462
*! Specify histological variant, which is characteristic of kidney cancer
*+ Clear cell (hypernephroma)
* Slimy cancers
* Transitional of a cell carcinoma
* Small cells
* Carcinoma of a squamous cell
#1463
*!Specify histological variant that does not occur in the malignant tumors of kidney
* Clear cells (hypernefroid cancer)
* Glandular cancers
* Spindle cell cancers
* A granular cell carcinoma
*+ Carcinoma of the squamous cell
#1464
*! Specify histological variant that does not occur in renal cancer
* Clear cells (hypernefroid cancer)
* Glandular cancers
*+ Transitional cell carcinoma
* Spindle cell cancers
* A granular cell carcinoma
#1465
*! Which of the following signs refers to the classical triad in kidney cancer?
* An arterial hypertensions
*+ Hematuria
* Fever above a 380 C
* A secondary polycythemia
* Hypercalcemias
#1466
*! Which of the following signs consists the classical triad of the renal cancer?
* An arterial hypertension
* A hypercalcemia
* Varicocele
* Secondary erythrocytosis
*+ Tumor is palpable in touch
#1467
*!Which of the following signs refers to the classical triad with kidney cancer?
* An arterial hypertension
* A hypercalcemia
* Varicocele
* Secondary polycythemia
*+ Tumor is palpable in touch
#1468
*! Which of the following diagnostic methods are not used for kidney cancer?
* Ultrasound of a renal part
*+ Cystoscopy
* Excretory urographies
* CT of a retroperitoneal space
* Laboratory methods (FBC, CUA)
#1469
*!A patient with LGM is marked the defeat of the right cervical lymph nodes, mediastinal lymph nodes and the presence of profuse perspiration at night, increased body temperature - it means:
* I stage
* II stage
*+ II B stage
* III stage
* IV А stage
#1470
*! Choose the most informative method of diagnosis in kidney cancer?
*+ Renal ultrasound
* Laboratory methods (FBC, CUA)
* Excretory urographies
* A cystoscopy
* An angiography
#1471
*! Which of the following methods used for the diagnosis of renal functional capacity?
* Ultrasound of a renal part
* A cystoscopy
*+ Excretory urography
* CT of a retroperitoneal space
* Laboratory methods (a FBC, a CUA)
#1472
*! Which of the following treatments considered most appropriate
