Din republica moldova

+Edema of over- and subzygomatic region (Sandglass symptom);

+Edema of neighboring regions;

+Trismus;

+Edema in the mouth cavity in the region of the maxilla knot;

+Functional violations (mastication, deglutition, speech).

68. M.A. Typically, suppuration of the jugal region is caused by a pathological process starting from the:

A. – incisors, canines, upper jaw premolars and molars;

B. - upper jaw premolars and molars;

C. - lower jaw premolars and molars;

D. + premolars of upper and lower jaw;

E. + molars of upper and lower jaw.

69. M.A. Infratemporal space is limited:

A. + in front – the maxillary tuber and lower part of zygomatic bone temporal surface;

B. + from below - buccopharyngeal fascia;

C. + behind - styloid process of temporal bone with coming from its muscles and the anterior surface mandible condylar process;

D.+inside - outside pterygoid plate of the sphenoid bone;

E.+ interior – outer table of sphenoid bone pterygoid process.

70. M.A. Indicate clinical signs of submandibular abscess:

A. – a high body temperature after frigorism (supercooling);

B. – hard limiting of mouth opening;

C. + the presence of destroyed molar on a mandible;

D. + redness, soft tissue edema of submaxillary region;

E. + painfulness and the soft-tissue swelling of submaxillary region.

71. M.A. Establish clinical signs of oral floor phlegmon:

A. + pain in deglutition, high temperature;

B. + acute disease beginning, inflammatory contracture of lower jaw;

C. + bulge and tenderness of submaxillary regions;

D. – subfebrile temperature, slow disease beginning;

E. – edema in lower parts of temporal region.

72. M.A. Specify what access it enters the purulent collection in the submandibular lodge suppuration:

A. – medial (in submental region);

B. + extraoral;

C. – collared;

D. + in the submaxillary region, parallel to the body of lower jaw;

E. – in the submaxillary region, perpendicular to the body of jaw.

73. S.A.What contributes to the exceptional water depletion in the case of soft tissue phlegmon of mouth floor:

A. - diuresis rise;

B. – renal failure;

C. – electrolytic imbalance;

D. + fluid intake impossibility because of severe edema and pains in the tongue region and mouth floor;

E. – hepatism.

74. M.A. Specify clinical signs of tongue abscess:

A. + violent pains, acute beginning, the mouth is semi-opened;

B. + high temperature, tongue enlargement;

C. + limitation of tongue motion, deglutition and breathing difficulties;

D. – limitation of mouth opening;

E. – domed bulge of throat later wall.

75. M.A. Specify what access it enters the purulent collection in suppuration tongue:

A. – intraoral;

B. + medial incision;

C. – collared section;

D. – submaxillary section;

E. + exobucal.

76. M.A. The typical cause for orbital abscess is pus spreading process of:

A. – phlegmon of mouth floor soft tissues;

B. – phlegmon of temporal region;

C. – phlegmon of parapharyngeal space;

D. + trombophlebitis of angular vein;

E. + acute purulent sinusitis or aggravation of chronic sinusitis.

77. M.A. Mark the clinical signs of orbital abcess:

A. + diplopia;

B. + ophthalmoptosis;

C. + eyelid swelling;

D. + tenderness to palpation on eye globe;

E. – the presence of purulent discharge from nose.

78. M.A. Specify access to the collection of orbital abscess:

A. – submaxillary section;

B. - at inner edge of eye socket;

C. + along the lower and upper edge of eye socket;

D. + maxillary antrum access;

E. – at external edge of eye socket.

79. M.A. Mark the clinical signs of the cheek abscess:

A. + diffuse edema of cheek soft tissues;

B. + flattering of nasolabial ruga;

C. + painfulness mouth opening;

D. – free mouth opening;

E. – nasal breathing difficulties.

80. M.A. Specify the symptoms of pterigo-maxillar space:

A. + tenderness limitation of mouth opening;

B. + edema and tenderness of mucosa membrane after the knot of upper jaw;

C. + bursting headache;

D. – dryness of the mouth;

E. – pains in the region of lower jaw body.

81. S.A.The main symptom of mediastinitis can be:

A. - tussis;

B. -deglutitive problem;

C. + dyspnea (labored breathing) with breathing frequency 45-50;

D. - nausea, vomit;

E. -body temperature, chills and fever.

82. S.A.Symphtoms of Gerke, Ivanov, Ravichi - Sherbo are characteristic for:

A. – mouth floor phlegmon;

B. – pneumonia;

C. + mediastinitis;

D. – meningitis;

E. – sepsis.

83. S.A.Compression syndrome is:

A. – a pain during bearing against the breast;

B. – a pain during the percussion on breast bone;

C. + an increased pain in the region of mediastinal during the percussion on heel of outstretched legs in the patient horizontal position;

D. – increase of precordialgia in the case of pasive weasand displacement;

E. – dyspnea and dysphagia in the case of pasive weasand displacement.

84. S.A.Throbbing pain in the breast region which irradiate in the inter-scapular region, increase of pain during the effort to ingest food or during deep breathing occurs in case of:

A. – mouth cavity phlegmon;

B. – sepsis;

C. – frontal mediastinitis;

D. + posterior mediastinitis;

E. – pneumonia.

85. M.A. Surgical treatment of mediastinitis consists of incision in:

A. + cervical region along the anterior edge of sternocleidomastoid muscle;

B. - suprasternal;

C. +vertical incision through breast (A. Ivanov);

D. +Transdiaphragmatic mediastenitotomy (Savin-Rozinov);

E. +parasternal (acc. To Madelung).

86. S.A. The main symptom of mediastinitis can be:

1. 
   - tearing;
   
2. 
   -faintness;
   
3. 
   +defense patient attitude;
   
4. 
   -edema in temporal region;
   
5. 
   -edema in infraorbital region.
   

87. S.A. One of the important features during the mediastenitis is the rising of mediastinal, which can be defined:

1. 
   -Visually;
   
2. 
   -By palpation;
   
3. 
   -Auscultatory;
   
4. 
   +X-ray;
   
5. 
   -Spirometric.
   

88. М.A. Indicate which is appropriate therapy of septicemia installation:

1. 
   +Sanitation of septic focus (surgical intervention);
   
2. 
   +Antibiotic therapy in optimal doses with 2, 3 and more antibiotics;
   
3. 
   +Treatment with antibiotics will be extended till 14-16 days;
   
4. 
   +Immunotherapy (gammaglobulin, sera, anatoxin);
   
5. 
   +Treatment by corticosteroids, reactivation of hydroelectrolytic and acidic-alcaline balance, treatment of circulatory collapse, oxygen therapy and etc.
   

89. S.A. Specify which species of microorganism commonly involved in the etiology of acute lymphadenitis in OMF region:

A. + Staphylococcus aureus;

B. – streptococcus;

C. - Coli;

D. – Proteus;

E. – Actinomycetes.

90. М.A. Indicate the main clinical symptoms of phlegmonous adenitis:

1. 
   +Deterioration of general state.
   
2. 
   +Temperature till 38-39,5 C⁰.
   
3. 
   +Pains.
   
4. 
   +Intoxications features.
   
5. 
   +Blood change.
   

91. S.A. Establish the basic indication in the treatment of acute purulent adenitis:

1. 
   -Conservative treatment.
   
2. 
   -Antibiotic therapy.
   
3. 
   +Surgical intervention (opening of suppurate focus)
   
4. 
   -Compresses, bandage with unguent.
   
5. 
   -Physiotherapy.
   

92. S.A. Determine which clinical forms of adenitis are treated conservative:

A. -acute purulent adenitis;

B. -specific adenitis;

C. +acute serous adenitis (cellulitis);

D.-traumatic adenitis;

E. -All forms of adenitis.

93. S.A. Phlegmonous adenitis is:

A. – a serous inflammation of the lymph gland;

B. – a purulent inflammation of the lymph gland;

C. – a serous tissue infiltration which surrounds the inflammatory –changed lymph gland;

D. + a purulent tissue inflammation which surround the inflammatory –changed lymph gland;

E. – a purulent tissue inflammation which surround the serous – inflammatory lymph gland.

94. S.A. Mark characteristic signs of false parotiditis Herţenberg:

A. - lymphogenic parotitis;

B. - acute parotitis;

C. – contact parotitis;

D. – parotid gland actinomycosis;

E. + acute serous lymphadenitis of intraglandular lymph glands of parotid region.

95. M.A. The symptoms characteristic for the false parotitis of Hertenberg:

A. + solid algesic or less algesic limited infiltrate in parotic region;

B. + salivary discharge is not disturbed;

C. - hyperemia, the presence of induration;

D. – usually the skin color is unchanged, from the parotid duct effuses purulent discharge with the presence of solid ganglion;

E. + from the parotid duct effuses transparent saliva.

96. M.A. Establish peculiarities of syphilitic  lymphadenitis:

A. + significant firmness of lymph gland, Wassermann positive reaction;

B. + during palpation are obvious Treponema Pallidum;

C. – lymph nodes are soldered against each other and with surrounding tissues, RW – negative;

D. – lymph nodes are accompanied by suppuration always;

E. – during the palpation there are no Treponema Pallidum and Wassermann negative reaction.

97. S.A. Boil is:

A. + an acute purulent-necrotic inflammation of hair follicle and surrounding tissues;

B. – an acute purulent-necrotic inflammation of some neighboring hair follicles;

C. – an inflammation of oil gland;

D. – an inflammation of lacrimal gland;

E. – an inflammation of respiratory glands.

98. M.A. More frequently is complicated by phlebitis of angular vein, boils located in the region:

A. + upper lip;

B. – periorbital region;

C. – lower lip, chin;

D. – cheek, parotid – masticatory region;

E. + mouth angle, infraorbital region.

99. М.A. Location of boils on the face is very dangerous, especially if it is located:

1. 
   +On the upper lip;
   
2. 
   +In the nose region;
   
3. 
   +On the lower lip;
   
4. 
   -In the region of eyebrow;
   
5. 
   -In the region of front.
   

100. М.A. Boils localized on the upper lip, nasolabial angle, nasal and suborbital region, often determine

complications such as:

1. 
   +Thrombophlebitis of face veins;
   
2. 
   +Meningitis;
   
3. 
   +Thrombosis of brain sinus;
   
4. 
   +Sepsis;
   
5. 
   +Brain abscess.
   

101. S.A. Eyelids shows an inflammatory infiltrate endured in case of:

A. + facial veins thrombophlebitis;

B. - rubella;

C. – furunculous;

D. – carbuncle;

E. -anthrax.

102. S.A. The emergence of cords of tissue infiltrations often painful path angular facial veins are characteristic for:

A. –boils;

B. – carbuncle;

C. + angular vine thrombophlebitis;

D. - rubella;

E. – noma (corrosive ulcer).

103. S.A. Please indicate which group of lymph nodes is frequently affected in OMF region:

A. -Submental ;

B. -Genian ;

C. -Parotid;

D + submandibular;

E. -Cervical.

104. M.A. In the case of facial veins thrombophlebitis take place such changes in blood as:

A. +leukocytosis;

B. +ESR rise;

C. +rises the quality of fibrinogen;

D. +rises factor XIII in blood;

E. +blood hypercoagulability.

105. M.A Specify which remedies contains intensive treatment of facial thrombophlebitis:

A. + prescription of broad-spectrum antibiotics;

B. +immunotherapy (gamy-globulins, antistaphylococcus serum);

C. +desintoxication (hemodez, Ringer sol., glucoze solution of 5%);

D. +Heparin 2.500-5000 un. In every 4-6 hours;

E. +antisensitizer means (diphenhydramine hydrochloride, calcium gluconate, Tavegil, Suprastin)

106. М.A. The treatment of actinomycosis is complex, lasting (30 – 40 days) and includes:

1. 
   +Usage of medications consisting iodine (Lughole solution).
   
2. 
   +Antibiotics and sulfonamides in big doses.
   
3. 
   +Immunotherapy by the actinolysate.
   
4. 
   +Surgical opening of the abscess.
   
5. 
   -X-ray therapy in doses 1000 – 2000 Rg.
   

107. S.A. Specify the type of epithelium lining of the maxillary sinus in adults:

A. – plain non-keratinizing squamous;

B. – plain keratinized;

C. + multilayer ciliary;

D. – cylindrical;

E. – cubic.

108. M.A. Mark the clinical symptoms of exacerbated chronic odontogenic sinusitis:

A. + purulent discharge from the correspondent nose part;

B. + sensation of heaviness in a part of head;

C. + the rise of body temperature;

D. + sleep disturbance;

E. + asthenia.

109. M.A. Mark the treatment of the acute purulent odontogenic sinusitis:

A. – only a conservative treatment;

B. + the extraction of a causative tooth, an expected treatment;

C. – maxillary sinusotomy;

D. - the extraction of a causative tooth and the prescription of vasoconstrictor and physiotherapeutic means;

E. + puncture (if there is no any communication after tooth extraction) and irrigation of a maxillary antrum.

110. М.A. Perforation of maxillary sinus appears more often during tooth extraction of:

1. 
   -Third upper molar;
   
2. 
   +First upper molar;
   
3. 
   +Second upper molar;
   
4. 
   -Second upper premolar;
   
5. 
   –Upper canine.
   

111. M.A. Indicate which of the following maneuvers helps to diagnose oral- sinus communication:

A. + penetration with instrument in a cavity by overcoming normal alveolar space;

B. –punction of the sinus positive;

C. +Valsalva maneuver positive;

D. –Anterior rinoscopy ;

E. –Pressure on the anterior wall of the maxillary sinus.

112. М.A. Mark etiological factors of odontogenic sinusitis:

1. 
   -Apical periodontitis of upper frontal teeth.
   

В. +Low body resistance.

С. + Deep parodontium excavations in the region of upper premolars and molars.

D. +Acute apical periodontitis and chronic periodontitis in the stage of aggravation of upper molars.

Е. +Suppuration of root cysts at upper premolars and molars.

113.М.A. Indicate the local clinical symptoms of the acute sinusitis:

1. 
   -Pains with muscle spasm;
   
2. 
   +Irradiating pains in the infraorbital region from the affection side;
   
3. 
   +Disorder of smell increasing during the movement or change of the head;
   
4. 
   +Hyperemia and edema of the mucosa membrane of the nose from the affection side;
   
5. 
   +Purulent secretions from the nose from the affection side.
   

114. М.A. Select clinical signs of chronic oro-sinusale communication:

1. 
   +In the antrum it is possible to get in through socket by the help of blunt instrument;
   
2. 
   -Valsalva symptom is negative;
   
3. 
   -According to X-ray examination the upper maxilla antrum is in norm.
   
4. 
   -Can be defined by the X-ray examination the fenestration of the antrum with the mouth cavity.
   
5. 
   +Liquid gets from the mouth through nasal cavity.
   

115. М.A. Select diseases that make differential diagnosis of acute maxillary odontogenic sinusitis:

A. + genian cellulitis;

B. - superstructure epithelioma;

C + jaw osteomyelitis;

D. - infrastructure epitheloma;

E. -Pericoronaritis of upper third molar.

116. M.A. Select diseases that make differential diagnosis of chronic maxillary odontogenic sinusitis:

A. + mesostructured epithelioma;

B + rynogenic chronic sinus;

C + intrasinusal mucous cyst;

D + specific maxillary sinusitis;

E. - jaw osteomyelitis.

117. М.A. Indicate which of the following complications are more frequently in odontogenic sinusitis:

1. 
   +Osteomyelitis of the maxilla.
   
2. 
   +Eye socket abscess.
   
3. 
   +Abscesses and phlegmons of the buccal region.
   
4. 
   - Septicemia.
   
5. 
   -Brain abscess.
   

118. М.A. Indicate which of the following symptoms are characteristic of suppurated parotiditis:

1. 
   +Edema in the front of the ear hircus.
   
2. 
   +Edema of the stoma of the parotid gland excretory duct, during the pressure on the gland appears purulence.
   
3. 
   +Skin integuments in the region of parotid gland are hyperemic
   
4. 
   +Mouth opening limitation(Trismus).
   
5. 
   -Morbidity during the movement of the mandibular.
   

119. М.A. The differential diagnosis of purulent parotiditis we do with:

1. 
   +Epidemic parotiditis.
   
2. 
   +Osteomyelitis of the mandibular branch.
   
3. 
   +Abscess of parotid region.
   
4. 
   +Sialoliteasis disease of parotid gland.
   
5. 
   +Tumor of parotid gland.
   

120. М.A. In parenchymal parotiditis sialograma shows:

1. 
   +Parenchyma of the gland is seen obviously.
   
2. 
   +Absence of ducts image of IV-V.
   
3. 
   +In the end sections of of the ducts are situated cavities of different sizes.
   
4. 
   +Outlines of the main duct become abrupt.
   
5. 
   – All gland ducts are dilated.
   

121. S.A. The main point in the treatment of acute serous sialoadenitis is:

1. 
   -Section (opening anyhow).
   
2. 
   -Gland massage and physiotherapy.
   

С. +Antibiotic therapy, desensibilizant, disintoxication therapy, medications stimulating saliva flow.

D. -Immunotherapy.

Е. -Extraction of the affected gland.

122. М.A. Mark signs appearing on palpation and massage of gland in acute purulent sialoadenitis:

1. 
   +Pain in the gland.
   
2. 
   +Infiltrate without expressed contours.
   
3. 
   +From the duct effuses purulence.
   
4. 
   -Increased, indurated, but painless gland.
   
5. 
   -From the duct effuses clean saliva.
   

123. М.A. During the complex treatment of the acute sialoadenitis in the excretory duct administer:

1. 
   -Hydric dioxide 3%.
   
2. 
   -Lipoidoli 1-2 мл.
   
3. 
   +Antibiotics and ferments.
   
4. 
   +Warm Furacilini solution.
   

Е. -Artificial saliva.

124. S.A. To stimulate secretion of the salivary gland in case of sialadenitis is recommended sialogoge for 10 days following:

1. 
   - 3-4 times per day 20-30 drippings of 1% solution of pilocarpin.
   
2. 
   - 5-6 drippings of 1% pilocarpi solution.
   
3. 
   - 8-10 times per day 10-15 drippings of 1% pilocarpin solution.
   
4. 
   - Before meat is indicated 0,5 ml of 1% pilocarpin solution.
   
5. 
   +2-3 times per day 4-6 drippings of 1% pilocarpin solutions (less than 10 days).
   

125. S.A. Sialodochitis is an inflammatory process localized in the region of:

A. + Wharton`s canal;

B. + Stenon duct;

C. - major salivary gland;

D. - minor salivary gland;

E. – submandibular salivary gland.

126. S.A. Sialolithiasis occurs the most frequently in:

A. - minor salivary gland;

B. -Stenon duct;

C. - parotid salivary gland;

D. - sublingual gland:

E. +Wharton`s canal, submandibular gland.

127. М.A. Indicate the specific symptoms of Sjogren's syndrome:

A. + xerostomia;

B. + xerophthalmia;

C. +rheumatoid arthritis;

D. +conjuctivitis;

E. +dermatomyositis.

128. S.A. Indicate the basic method in the treatment of congenital cervical cysts:

A. -sclerotherapy;

B. -cryolysis;

C. -laser coagulation;

D. - bandage;

E. + excision (cyst removing).

129. М.A In the case of nasal bleeding hemostasis is performed by:

A. +anterior nasal packing;

B. +posterior nasal packing;

C. +inflated rubber plug;

D. -suture of affected vessels;

E. -all mentioned above actions.

130. М.A. Classification of soft tissue wounds of the OMF region is based on:

A. +time after accident (acute, chronic, maturated);

B. + traumatic agent (aggression, traffic accident, labor);

C. + topographic region (submental and other);

D. + affected tissues;

E. + anatomic–pathological form.

131. М.A. Select which tissues can be affected in case of soft tissue wounds from OMF region:

A. +superficial (skin, muscles);

B. +deep (skin, muscles, glands, mucosa);

C. +cerebral nerves (trifacial, facial, sublingual and other);

D. +ramus of external carotid artery;

E. + with or without the tissues defect.

132. М.A. General signs of wounds from OMF region can be:

A. +pain;

B. +hemorrhage;

C. +respiration disturbance;

D. +deglutition and mastication problem;

E. +phonetics disturbance.