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\#1 \*! The continuation of the pharyngeal space is \* posterior mediastinum +++++++++++++ \* anterior mediastinum \* paravertebral space \* parapharyngeal space \* near-medial space \# 2 \*! Near the lower pole of the palatine tonsil is located: \* ascending pharyngeal artery \* internal carotid artery ++++++++++++++ \* external carotid artery \* common carotid artery \* thyroid artery \# 3 \*! Dense, dirty gray plaque on the tonsils, spreading to the palatine arches, are observed with: \* infectious mononucleosis \* chronic pharyngitis \* follicular sore throat \* acute pharyngitis \* diphtheria ++++++++++ \#4 \*! Examination of swabs from the nose and throat for Leffler\'s bacillus is carried out with \* infectious mononucleosis \* chronic pharyngitis \* follicular sore throat \* acute pharyngitis \* diphtheria +++++++++++ \#5 \*! Adenoids are observed in children aged \* from 1 to 3 years \* from 3 years to 5 years +++++++ \* from 5 to 7 years old \* from 7 to 10 years old \* over 10 years old \# 6 \*! Paratonsillar abscess is inflammation \* palatine tonsils \* lingual tonsil \* arches of palatine tonsils \* nasopharyngeal tonsil \* near-monthly fiber ++++++++++ \# 7 \*! The retropharyngeal abscess is an inflammation \* palatine tonsils \* lingual tonsil \* posterior pharyngeal wall \* nasopharyngeal tonsil \* lymph node of the pharyngeal space +++++++++ \#eight \*! Ulcerative membranous tonsillitis is caused by: \* viruses \* streptococcus \* staphylococcus \* fusiform stick and buccal spirochete +++++++++ \* symbiosis of fusiform bacillus and clostridium \#nine \*! What is the content of the parathonsillar space? \* interstitial fluid \* lymphoid tissue \* loose fiber ++++++++++++ \*muscle \*air \#ten \*! The mouths of the auditory tubes are in \* vault of the nasopharynx \* hypopharynx \* nasopharynx ++++++++++++ \* oropharynx \* throat \#eleven \*! The lacunae of the tonsils are - \* accumulations of lymphocytes, plasma cells, histiocytes \* connective tissue cords extending from the capsule \* muscle fibers / smooth muscles / \* narrow, branching canals in the amygdala ++++++++++++ \* glomeruli of capillaries \#12 \*! Stroma of the palatine tonsil is - \* accumulations of lymphocytes, plasma cells, histiocytes \* connective tissue strands coming from the capsule ++++++++++++ \* muscle fibers / smooth muscles / \* narrow, branching canals in the amygdala \* glomeruli of capillaries **\* diseases of the nose and paranasal sinuses \* 1 \* 11 \*** \#13 \*! How is the upper wall of the nasal cavity formed? \* sieve plate of ethmoid bone ++++++++++ \* perpendicular plate of the palatine bone \* ethmoid bone \* main bone \* lacrimal bone \#fourteen \*! Where is the cortical end of the olfactory analyzer located? \* in the frontal lobe \* in the parietal lobe \* in the temporal lobe ++++++++++ \* in the gyrus Geshle \* in the occipital lobe \#15 \*! What device determines the acuity of smell? \* audiometer \* strobe \* olfactometer +++++++++++ \* nasal mirror \* rhinopneumometer \#16 \*! Which teeth have the closest proximity to the floor of the maxillary sinus? \* first and second large molars \* front incisors \* posterior incisors \* 4 and 5 teeth \* 3rd and 4th teeth +++++++++++++ \# 17 \*! How is the ethmoid labyrinth delimited from the anterior cranial fossa? \* the upper wall of the main sinus \* the posterior wall of the frontal sinus \* the upper wall of the nasal cavity \* sieve plate ++++++++++++ \* paper plate \#eighteen \*! When does the development of the main sinus begin? \*after birth \* after 3 years ++++++++++ \* after 5 years \* after 6 years \* after 17 years \#19 \*! With the disease of which paranasal sinuses are intracranial complications more common in the anterior cranial fossa? \* frontal ++++++++ \* lattice \* maxillary \* main \* wedge-shaped \#twenty \*! The peculiarity of the lymphatic system of the ethmoid labyrinth and the nasal cavity is the connection with: \* with lymph nodes in the pharyngeal space \* parotid lymph nodes \* lymphatic vessels of the subarachnoid space +++++++++++++++ \* submandibular lymph nodes ???????????? \* deep cervical lymph nodes \# 21 \*! What explains the ability of the nasal concha to change its volume under the influence of various factors? \* the presence of muscle tissue in the shells \* the presence of a pronounced arterial network \* the presence of the Kisselbach zone \* the presence of cavernous venous plexuses ++++++++++++ \* the presence of a large number of mucous glands in the nasal concha \# 22 \*! Where is the Kisselbach Plexus located? \* in the area of the lateral wall of the vestibule \* in the antero-lower part of the nasal septum ++++++++++ \* in the posterior part of the nasal septum \* in the area of the middle turbinate \* in the area of the inferior turbinate \# 23 \*! The symptom of glasses, bloody nasal discharge and leakage of cerebrospinal fluid are MOST characteristic of a fracture \* mastoid \* pyramids of the temporal bone \* base of the skull in the region of the middle cranial fossa \* the base of the skull in the region of the posterior cranial fossa \* base of the skull in the region of the anterior cranial fossa +++++++++ **\* diseases of the larynx \* 1 \* 10 \*** \# 24 \*! There is a process at the base of the arytenoid cartilage \* rear \*additional \* lateral +++++++++++ \* medial \*intermediate \# 25 \*! Larynx mobility is provided by \* pharynx \* muscles +++++++++++++ \* processes \* adventitia \* hyoid bone \# 26 \*! Mobility of the larynx is provided \* cricoid joint ++++++++++++ \* cricoid joint \* signet-supraglottic joint \* cricoid joint \* signet ring joint \# 27 \*! The vocal cords are attached to \* hyoid bone \* supraglottic cartilage \* wedge-shaped cartilage \* cricoid cartilage \* arytenoid cartilage. ++++++++++++ \# 28 \*! Functions of the larynx \* heat regulating \* resonator \* secretory \* protective +++++++++ \* exchange \# 29 \*! The larynx is a hollow organ, the basis of which is \* ligaments ?????????? \* tendons \* elastic cone \* bone structures \* fibrous membrane \#thirty \*! The paired cartilages of the larynx include \* arytenoid +++++++++ \* cricoid \* epiglottis \* cricoid \*thyroid \# 31 \*! Unpaired laryngeal cartilages are \* arytenoid \* cricoid +++++++++ \* wedge-shaped \* horn-shaped \*additional \# 32 \*! Methods of research of the larynx ∗ palpation +++++++++++ ∗ posterior rhinoscopy ∗ posterior laryngoscopy ∗ direct pharyngoscopy ∗ indirect pharyngoscopy \# 33 \*! Diagnosis of chronic laryngeal stenosis \* Stroboscopy ++++++++++++ \*auscultation \* pharyngoscopy \* direct pharyngoscopy \* indirect pharyngoscopy **\* ear diseases \* 1 \* 12 \*** \# 34 \*! What do the walls of the external auditory canal border with? \* with the mastoid process, the parotid gland, the posterior cranial fossa, with the articular bag of the lower jaw \* with the mastoid process, with the articular bursa of the lower jaw, with the middle cranial fossa, the parotid gland ++++++++ \* with mastoid process, with middle cranial fossa, with jugular vein and parotid gland \* with mastoid process, with anterior cranial fossa, with parotid gland and carotid artery. \* with mastoid process, with middle cranial, with jugular vein and carotid artery \# 35 \*! What epithelium is lined with the mucous membrane of the Eustachian tube? \* flat \* cubic \* cylindrical ++++++++++++ \* multilayer flat \* cylindrical and cubic \# 36 \*! What semicircular canals are there in the inner ear? \* horizontal, vertical, sagittal \* horizontal, vertical, frontal \* horizontal, frontal, sagittal \* two horizontal, one vertical \* two vertical, one horizontal +++++++++ \# 37 \*! Which of the following antibiotics has an ototoxic effect? \* ospomox \* cefazolin \* Gentomycin +++++++++ \*penicillin \* amoxicillin \# 38 \*! How many degrees of spontaneous labyrinth nystagmus are distinguished? \* two \* three +++++++ \*four \*five \*six \# 39 \*! Which of the following antibiotics has no ototoxic effect? \* neomycin \* monomycin \* gentomycin \* penicillin ++++++++++ \*streptomycin \# 40 \*! What anatomical departments belong to the sound-perceiving apparatus? \* organ of Corti \*auditory nerve \* Corti\'s organ and auditory nerve, perilymph and endolymph \* organ of Corti, endolymph and perilymph, auditory nerve, olives \* organ of Corti, the auditory part of the VIII pair and the auditory area of the cerebral cortex ++++++++++ \# 41 \*! Is hearing preserved during obturation of the ear canal? \* not saved \* remains, but hearing acuity decreases by 80 dB \* remains, but the sharpness decreases by 60db \* remains, but the sharpness decreases by 40db \* remains, but the sharpness decreases by 20 dB ++++++++++ \# 42 \*! What part of the tympanic membrane has a fibrous layer? \* lower part ++++++++ \*top part \* epitympanum \* not stretched part \* whole eardrum \# 43 \*! Into which quadrants is the area of the tympanic membrane divided? \* for lower and upper \* on front and back \* on the medial and lateral \* on the anterior-upper, posterior-upper, anterior-lower, posterior-lower quadrants ++++++++++ \* on the lower-medial, upper-medial, lower-lateral, upper-lateral quadrants \# 44 \*! What parts of the ossicles are visible on otoscopy? \*stapes \* hammer +++++++++ \* anvil and malleus \* hammer handle and stirrup \* hammer head and incus \# 45 \*! On the surface of which wall does the facial nerve pass in the tympanic cavity? \* on the back wall \* on the top wall \* on the bottom wall \* on the front wall \* along the medial wall +++++++++++ **\* diseases of the pharynx \* 2 \* 23 \*** \# 46 \*! A 19-year-old boy complains of a fever up to 37.5 ˚С., Weakness, malaise, sore throat. He fell ill acutely, two days ago, after a rain. Pharyngoscopy: the mucous membrane of the pharynx is pink, the palatine tonsils are hyperemic, edematous. In the UAC - L-9.6 10 ^9 ^, ESR - 28 mm / h. Which of the following preliminary diagnoses is MOST likely? \* Paratonsillar abscess \* Follicular tonsillitis \* Lacunar angina \* Catarrhal sore throat +++++++++++++++ \*Acute pharyngitis \# 47 \*! A 22-year-old girl complains of fever up to 38.5 ˚С., Weakness, malaise, sore throat. She fell ill two days ago, after hypothermia. Pharyngoscopy: the mucous membrane of the pharynx is pink, the tonsils are hyperemic, edematous. In the UAC - L-9.6 10 ^9 ^, ESR - 28 mm / h. Which of the following preliminary diagnoses is MOST likely? \* Paratonsillar abscess \* Follicular tonsillitis \* Lacunar angina \* Catarrhal sore throat ++++++++++++ \*Acute pharyngitis \# 48 \*! A 23-year-old girl complains of poor health, fever up to 39.2 ° C, weakness, muscle pain, sore throat, aggravated by swallowing. On examination, the submandibular lymph nodes are enlarged. Pharyngoscopy: palatine tonsils are hyperemic, edematous, covered with islets of yellowish plaque. In the UAC - L-12.6 10 ^9 ^, ESR - 34 mm / h. Which of the following preliminary diagnoses is MOST likely? \* Paratonsillar abscess \* Follicular tonsillitis \* Lacunar sore throat +++++++++++++ \* Catarrhal sore throat \*Acute pharyngitis \# 49 \*! A 34-year-old man complains of poor health, fever up to 38.5 ° C., Weakness, muscle pain, sore throat, aggravated by swallowing. On examination, the submandibular lymph nodes are enlarged. Pharyngoscopy: palatine tonsils are hyperemic, edematous, translucent whitish-yellowish formations with a pinhead are visible. In the UAC - L-10.6 10 ^9 ^, ESR - 34 mm / h. Which of the following preliminary diagnoses is MOST likely? \* Paratonsillar abscess \* Follicular tonsillitis ++++++++++++ \* Lacunar angina \* Catarrhal sore throat \*Acute pharyngitis \#50 \*! A 36-year-old man complains of sore throat, rawness, \"scratching\", cough. Ill for 4 days after eating ice cream. The general state of health does not suffer. Pharyngoscopy: bright hyperemia, swelling of the pharyngeal mucosa, no plaque. OAK, OAM without pathology. Which of the following preliminary diagnoses is MOST likely? \* Paratonsillar abscess \* Follicular tonsillitis \* Lacunar angina \* Catarrhal sore throat \* Acute pharyngitis +++++++++++++ \# 51 \*! A 24-year-old girl complains of sore throat on the left, aggravated by swallowing, inability to swallow, severe weakness, fever up to 38.8˚С. She fell ill acutely, 5 days ago. Worsening occurred 2 days ago, after a warming compress. Objectively: the submandibular lymph nodes are enlarged, painful, the movement of the lower jaw is limited. Asymmetry of the pharynx due to bulging of the left palatine tonsil, hyperemia and edema of the left palatine arch. In the UAC - L-12.6 10 ^9 ^, ESR - 34 mm / h. Which of the following preliminary diagnoses is MOST likely? \* Paratonsillar abscess ++++++++++++ \* Follicular tonsillitis \* Lacunar angina \* Catarrhal sore throat \*Acute pharyngitis \# 52 \*! A 4-year-old boy was brought to an appointment by his parents who noticed that it was difficult for him to swallow and breathe. Speech became slurred, nasal tone appeared. The child\'s condition is satisfactory. Pharyngoscopy: the mucous membrane of the pharynx is pink, the palatine tonsils close together, dislocate, there is no pathological content in the gaps. Which of the following preliminary diagnoses is MOST likely? \* Chronic tonsillitis, decompensated form \* Chronic hypertrophic pharyngitis \* Bilateral paratonsillar abscess \* Hypertrophy of the palatine tonsils ++++++++++++++ \* Adenoid growths \# 53 \*! A 28-year-old man complains of a foreign body feeling in his throat on the right, bad breath for a week. From the anamnesis: 3 weeks ago he had severe pneumonia, which was complicated by dysbiosis and diarrhea. On examination: the general condition does not suffer, the submandibular lymph nodes are enlarged. Pharyngoscopy - on the surface of the right palatine tonsil there is an extensive ulcer, covered with a gray-yellow coating. Which of the following is the MOST probable preliminary diagnosis? \* Angina Simanovsky-Vincent ++++++++++ \* Agranulocytic tonsillitis \* Follicular tonsillitis \* Monocytic tonsillitis \* Lacunar angina \# 54 \*! A 22-year-old boy fell ill suddenly, his general condition is serious, the temperature rises to 40 ° C., Weakness, enlarged liver and spleen, bad breath, enlarged submandibular, cervical, axillary and inguinal lymph nodes. Pharyngoscopy: hyperemia, swelling of the pharyngeal mucosa, necrotic ulcers on the tonsils, covered with a gray-dirty coating. In the KLA - leukocytosis, monocytes - 70%, neutrophils - 10%. Which of the following is the MOST probable preliminary diagnosis? \* Angina Simanovsky-Vincent \* Agranulocytic tonsillitis \* Follicular tonsillitis \* Monocytic tonsillitis +++++++++ \* Lacunar angina \# 55 \*! A 22-year-old boy fell ill suddenly, his general condition is serious, the temperature rises to 40 ° C., Chills, weakness, severe sore throat, salivation, bleeding gums, bad breath. From the anamnesis: he took analgin for a long time to relieve toothache. Pharyngoscopy: hyperemia, swelling of the pharyngeal mucosa, necrotic ulcers on the tonsils, soft palate, posterior pharyngeal wall, covered with a gray-dirty coating. In the KLA - leukocytes 2 · 10 ^9 ^/ l, neutrophils, basophils and eosinophils are absent. Which of the following is the MOST probable preliminary diagnosis? \* Angina Simanovsky-Vincent \* Agranulocytic tonsillitis +++++++++++++ \* Follicular tonsillitis \* Monocytic tonsillitis \* Lacunar angina \# 56 \*! A 6-month-old boy is restless, cries, chokes when eating, nasal breathing is difficult, his voice is nasal. Pharyngoscopy: hyperemia of the mucous membrane of the posterior pharyngeal wall, a spherical protrusion with fluctuation is determined on the posterior wall. Which of the following is the MOST probable preliminary diagnosis? \* Retropharyngeal abscess ++++++++++++ \* Parapharyngeal abscess \* Paratonsillar abscess \* Lacunar angina \* Adenoiditis \# 57 \*! A 2-year-old boy suffers from colds 1-2 times a year. On examination: the mucous membrane of the pharynx is pink, the palatine tonsils slightly protrude from the arches, the lacunae are poorly expressed, there is no content. Regional lymph nodes are single, displaced, up to 0.5 cm in diameter. Which of the following is the MOST probable preliminary diagnosis? \* Chronic decompensated tonsillitis \* Chronic compensated tonsillitis \* Chronic hypertrophic pharyngitis \* Chronic subatrophic pharyngitis \* Healthy ++++++++++ \# 58 \*! A 7-year-old boy was brought to the clinic by his parents. Complaints of fatigue, decreased attention at school, deterioration in academic performance. Parents noticed that the boy sleeps with his mouth open, snores in his sleep. Examination of ENT organs: in the fornix of the nasopharynx, a formation was found, pale pink in color, with longitudinal slits, covering 2/3 of the opener. Which of the following preliminary diagnoses is MOST likely? \* Chronic tonsillitis, decompensated form \* Chronic hypertrophic pharyngitis \* Bilateral paratonsillar abscess \* Hypertrophy of the palatine tonsils \* Adenoid enlargements ++++++++++++++++ \# 59 \*! A young woman of 25 years old complains of discomfort in the throat, fever up to 37.2 ° C., General weakness, sweating, poor sleep, joint pain. Outpatient treatment without effect. On examination: the tongue is coated with a whitish coating, the palatine tonsils are atrophic, welded to the arches, pus in the gaps, the submandibular lymph nodes are enlarged. Which of the following preliminary diagnoses is MOST probable (according to the classification of I.B. Soldatov)? \* Chronic tonsillitis, toxic-allergic form \* Chronic tonsillitis, decompensated form +++++++++ \* Chronic tonsillitis, compensated form \* Chronic tonsillitis, simple form \* Specific tonsillitis \# 60 \*! A 27-year-old man complains of frequent headaches, pain in the throat, in the region of the heart, in the joints. Sore throats 2-3 times a year. On examination: congestive hyperemia of the posterior pharyngeal wall, palatine tonsils atrophic, loose, welded to the arches, purulent plugs in the lacunae. The ECG shows a violation of interventricular conduction. UAC without pathology. Which of the following preliminary diagnoses is MOST probable (according to the classification of I.B. Soldatov)? \* Chronic tonsillitis, toxic-allergic form \* Chronic tonsillitis, decompensated form +++++++++ \* Chronic tonsillitis, compensated form \* Chronic tonsillitis, simple form \* Specific tonsillitis \# 61 \*! A 48-year-old man complains of dry throat, sore throat, \"scratching\" in the throat, desire to take a sip of water during a long conversation. Suffers for several months, sore throats are rare. Pharyngoscopy: the mucous membrane of the pharynx is pale, dry, there are crusts, areas of erosion. Which of the following preliminary diagnoses is MOST likely? \* Chronic tonsillitis, decompensated form \* Chronic tonsillitis, compensated form \* Chronic hypertrophic pharyngitis \* Chronic atrophic pharyngitis +++++++++++ = \* Pharyngomycosis \# 62 \*! A 52-year-old man complains of awkwardness, tingling in the throat, difficulty and slight soreness when swallowing, persistent cough. Suffering for about 2 months, tonsillitis is rare. Pharyngoscopy: moderate hyperemia of the pharyngeal mucosa with areas of dense, peaked grayish plaques of a cheesy character. Plaques are removed easily, without damaging the underlying mucosa. Which of the following preliminary diagnoses is MOST likely? \* Chronic tonsillitis, decompensated form \* Chronic tonsillitis, compensated form \* Chronic hypertrophic pharyngitis \* Chronic atrophic pharyngitis \* Pharyngomycosis +++++++++++ \# 63 \*! A 37-year-old man complains of coughing, weakness, sweating, feeling of uneasiness in the throat. Suffering for several months, sore throats are rare. Pharyngoscopy: on the right palatine tonsil there is a shallow ulcer with uneven edges, the bottom is covered with pale granulations. Which of the following preliminary diagnoses is MOST likely? \* Chronic tonsillitis, decompensated form \* Chronic atrophic pharyngitis \* Angina Simanovsky-Vincent \* Tuberculosis of the pharynx +++++++++++++ \* Pharyngomycosis \# 64 \*! A 20-year-old girl complains of a feeling of uneasiness in her throat for about several months. Pharyngoscopy: on the mucous membrane of the oral cavity, pharynx there are papules covered with a grayish-whitish coating, when scraped off, erosion of the color of raw meat is exposed. Which of the following preliminary diagnoses is MOST likely? \* Chronic tonsillitis, decompensated form \* Chronic atrophic pharyngitis \* Angina Simanovsky-Vincent \* Tuberculosis of the pharynx \* Syphilis of the pharynx +++++++++++ \# 65 \*! A 20-year-old girl complains of a feeling of uneasiness in her throat for about several months. Pharyngoscopy: on the mucous membrane of the oral cavity, pharynx there are papules covered with a grayish-whitish coating, when scraped off, erosion of the color of raw meat is exposed. Consultation of which specialist from the following list is MOST advisable to clarify the diagnosis? \* Dermatovenereologist +++++++++++ \* Infectionist \* Dentist \* Hematologist \* Phthisiatrician \# 66 \*! A 20-year-old girl complains of a feeling of uneasiness in her throat for about several months. Pharyngoscopy: on the mucous membrane of the oral cavity, pharynx there are papules covered with a grayish-whitish coating, when scraped off, erosion of the color of raw meat is exposed. Which of the following is the MOST appropriate study to clarify the diagnosis? \* Examination of sputum \* Wasserman reaction +++++++++++ \* Rheumatic tests \* UAC \* OAM \# 67 \*! In a 33-year-old man, during a prophylactic examination, white thorn-like plugs were found in the lacunae of the tonsils, tightly adhered to the mucous membrane, no complaints. Which of the following is the MOST probable preliminary diagnosis? \* Chronic decompensated tonsillitis \* Chronic compensated tonsillitis \* Lacunar angina \* Papillomatosis \* Leptotrichosis +++++++++++ \# 68 \*! In a 33-year-old man, during a prophylactic examination, white thorn-like plugs were found in the lacunae of the tonsils, tightly adhered to the mucous membrane, no complaints. Which causative agent of this pathology of the following is the MOST probable? \* Symbiosis of the veritiform bacillus and the spirochete of the oral cavity \* B-hemolytic streptococcus \* Pseudomonas aeruginosa \* Staphylococcus \* Leptotrix +++++++++ **\* diseases of the nose and paranasal sinuses \* 2 \* 13 \*** \# 69 \*! A 19-year-old boy notes sharp pains in the nose, head, impaired nasal breathing, fever up to 39 ° C. The disease is associated with trauma. Rhinoscopic: narrowing of the nasal passages, infiltration and hyperemia of the tissues of the nasal septum in the anterior section. Which of the following is the MOST probable preliminary diagnosis? \* Abscess of the nasal septum ++++++++++++ = \* Contusion of the nasal septum \* Sycosis of the vestibule of the nose \* Fracture of the bones of the nose \* Furuncle of the nose \# 70 \*! A 37-year-old woman complains of pain in the nose, head, fever up to 38 ° C, chills. Rhinoscopic: infiltration of the skin of the vestibule of the nose, its hyperemia, edema of the upper lip. Which of the following is the MOST probable preliminary diagnosis? \* Sycosis of the vestibular part of the nose \* Hematoma of the nasal septum \* Abscess of the nasal septum \* Acute sinusitis \* Furuncle of nose +++++++++++ \# 71 \*! Male 45 years complained of a headache, fever do38 ° C., swelling of the eyelids, disturbance of nasal respiration, suppuration from the nose. He fell ill acutely. With rhinoscopy: swelling and congestion of the nasal concha, pus in the middle nasal passage. Which of the following is the MOST probable preliminary diagnosis? \* Hematoma of the nasal septum \* Abscess of the nasal septum \*Erysipelas \* Furuncle of the nose \* Sinusitis ++++++++++ \# 72 \*! A 37-year-old man complains of a runny nose, headache, more in the occipital region. Often spits out purulent sputum. Ill for several years. Rhinoscopy: moderate enlargement of the turbinates. There is no discharge in the upper nasal passage . Which of the following preliminary diagnoses is MOST likely? \* Chronic hemisinitis \* Chronic sphenoiditis +++++++++++ \* Chronic ethmoiditis \* Chronic sinusitis \* Chronic frontal sinusitis \# 73 \*! The young man 23 years complained of a headache, swelling of the upper eyelid of the right eye, purulent nasal discharge, fever up to 39.9C. Ill for 6 days after hypothermia. When rhinoscopy - hyperemia of the nasal mucosa, purulent discharge in the middle nasal passage on the right. Which of the following preliminary diagnoses is MOST likely?\ \* Odontogenic sinusitis \* Chronic sphenoiditis \* Acute ethmoiditis \* Acute sinusitis \* Acute frontalitis ++++++++++++ \# 74 \*! A 54-year-old man complains of pain in the nose, headache, chills. Ill for 2 days. Objectively: swelling of the soft tissues of the nose, more on the left. On the eve of the nose on the left, there is a reddening of the tissue, a sharp pain on palpation. Which of the following preliminary diagnoses is MOST likely? \* Erysipelas of the nose \* Perichondritis \* Furuncle +++++++++++++++ \*Eczema \*Sycosis \# 75 \*! The man of 54 years brought to the clinic with complaints of swelling of the soft tissues of the cheek on the left, headache, chills, intermittent fever to 39.9C, the decrease in temperature is accompanied by pouring sweat. When rhinoscopy: unopened furuncle of the vestibule of the nose on the left. Which of the following is the MOST likely complication? \* Rhinogenic thrombosis of the cavernous sinus \* Rhinogenic brain abscess \* Rhinogenic encephalitis \* Rhinogenic meningitis \* Rhinogenic sepsis ++++++++++ \# 76 \*! Male 29 years appealed to the clinic with complaints of fever to 39 C, pain in the forehead and root of the nose, suppuration from the nose, pain in the right eye socket, swelling of the eyelids of the right eye. Ill for 5 days. On examination: exophthalmos, chemosis, immobility of the right eyeball, soreness with pressure on the eyeball. Rhinoscopy: the mucous membrane of the nasal cavity is edematous, the edema is more pronounced on the right, in the general nasal passage on the right - an abundance of pus. Which of the following preliminary diagnoses is MOST likely? \* Acute purulent frontal sinusitis, ethmoiditis, complicated by phlebitis of the longitudinal sinus \* Acute purulent frontal sinusitis, ethmoiditis, complicated by thrombosis of the cavernous sinus \* Acute purulent frontal sinusitis, ethmoiditis, complicated by reactive edema of the eyelids \* Acute purulent frontal sinusitis, ethmoiditis, complicated by phlebitis of the veins of the face \* Acute purulent frontal sinusitis, ethmoiditis, complicated by phlegmon of the orbit ++++++++++++ \# 77 \*! A 15-year-old boy complains of constant nasal congestion on 2 sides, mucopurulent nasal discharge, poor sleep, and recurrent headaches. Ill for 3 years. With anterior rhinoscopy: the inferior turbinates are sharply increased in volume, hyperemic, the introduction of a 3% solution of ephedrine does not lead to a reduction in the turbinates. Which of the following preliminary diagnoses is MOST likely? \* True hypertrophic rhinitis ++++++++++++ \* Pseudo-hypertrophic rhinitis \* Chronic atrophic rhinitis \* Allergic rhinitis \* Vasomotor rhinitis \# 78 \*! A 15-year-old boy complains of nasal congestion on 2 sides, profuse mucous nasal discharge, sneezing attacks, poor sleep, recurrent headaches. Ill for 3 years, notes the seasonality of the disease, which usually begins at the end of August. With anterior rhinoscopy: the turbinates are sharply edematous, cyanotic, there are Voyachek spots. Which of the following preliminary diagnoses is MOST likely? \* Vasomotor rhinitis, neuro-vegetative form \* Chronic hypertrophic rhinitis \* True hypertrophic rhinitis \* Chronic atrophic rhinitis \* Allergic rhinitis ++++++++++++ \# 79 \*! Male 29 years appealed to the clinic with complaints of fever to 39 C, pain in the forehead and root of the nose, suppuration from the nose, pain in the right eye socket, swelling of the eyelids of the right eye. Ill for 5 days. On examination: exophthalmos, chemosis, immobility of the right eyeball, soreness with pressure on the eyeball. Rhinoscopy: the mucous membrane of the nasal cavity is edematous, the edema is more pronounced on the right, in the general nasal passage on the right - an abundance of pus. Which of the following preliminary diagnoses is MOST likely? \* Acute purulent frontal sinusitis, ethmoiditis, complicated by phlebitis of the longitudinal sinus \* Acute purulent frontal sinusitis, ethmoiditis, complicated by thrombosis of the cavernous sinus \* Acute purulent frontal sinusitis, ethmoiditis, complicated by reactive edema of the eyelids \* Acute purulent frontal sinusitis, ethmoiditis, complicated by phlebitis of the veins of the face \* Acute purulent frontal sinusitis, ethmoiditis, complicated by phlegmon of the orbit +++++++++++ \# 80 \*! A 29-year-old man was admitted to the clinic with a diagnosis of acute purulent frontal sinusitis on the right, ethmoiditis, complicated by phlegmon of the orbit. On the first day of hospitalization, a tremendous chill appeared, exophthalmos on the left, chemosis, immobility of the left eyeball, no pain when pressing on the eyeballs. Which of the following is the MOST likely complication? \* Subperiosteal abscess of the orbit \* Cavernous sinus thrombosis ++++++++++++ \* Phlebitis of longitudinal sinus \* Reactive eyelid edema \* Phlegmon of the orbit \# 81 \*! Male 44 years hospitalized in the clinic with complaints of fever to 39 C, pain in the forehead and root of the nose, suppuration from the nose. On the second day of hospitalization, a tremendous chill appeared, the temperature rose to 40 ْC, yellowness of the mucous membranes. The patient\'s consciousness is confused, clonic convulsions periodically occur. The change in peripheral blood is septic in nature. Which of the following is the MOST likely complication? \* Subperiosteal abscess of the orbit \* Thrombophlebitis of the cavernous sinus \* Longitudinal sinus thrombophlebitis ++++++++++++ \* Meningoencephalitis \* Phlegmon of the orbit **\* diseases of the larynx \* 2 \* 24 \*** \# 82 \*! A 2-year-old boy was admitted with complaints of barking cough, shortness of breath. Got sick Suddenly, t-38 ° C. There is a retraction of the sub-sternal and supraclavicular fossae, The pulse is quickened, the skin is pale, the lips are bluish. With rhinoscopy and pharyngoscopy: Hyperemia of the mucous membrane. Laryngoscopic narrowing of the glottis is noted Due to infiltration and edema of the subglottic space. Which of the following is the MOST probable preliminary diagnosis? \* Acute phlegmonous laryngitis \* Acute catarrhal laryngitis \* Chondroperichondritis of the larynx \* Acute laryngotracheitis ++++++++++ \* Diphtheria of the larynx \# 83 \*! A 3-year-old boy woke up at night from a suffocating cough, turned blue, became Breathe hard, then calmed down. The attack was repeated a day later. Objectively: the mucous membrane of the nasal cavity, pharynx is hyperemic. Which of the following is the MOST probable preliminary diagnosis? \* Acute phlegmonous laryngitis \* Acute catarrhal laryngitis \* Chondroperichondritis of the larynx \* Acute laryngotracheitis +++++++++++++ \* Diphtheria of the larynx \# 84 \*! A 17-year-old boy complains of a sore throat, soundless cough, hoarseness, weakness. Objectively: fever up to 39.8 C, shortness of breath, pallor of the skin. Laryngoscopic: the true vocal cords are hyperemic, the mucous membrane of the larynx is covered with a dirty gray plaque that is difficult to separate. Which of the following is the MOST probable preliminary diagnosis? \* Acute phlegmonous laryngitis \* Acute catarrhal laryngitis \* Chondroperichondritis of the larynx \* Acute laryngotracheitis \* Diphtheria of the larynx +++++++++++ \# 85 \*! A 15-year-old girl complains of cough, sore throat, hoarse voice. Ill 3 A day ago after drinking cold water at school. With laryngoscopy: the mucous membrane of the larynx and true vocal cords are hyperemic, infiltrated. There is a lack of contact during phonation. Which of the following is the MOST probable preliminary diagnosis? \* Acute phlegmonous laryngitis \* Acute catarrhal laryngitis ++++++++++ \* Chondroperichondritis of the larynx \* Acute laryngotracheitis \* Diphtheria of the larynx \# 86 \*! A 36-year-old man complains of shortness of breath on exertion. The patient\'s condition udovletvopitelnoe, dyspnea VARIATIONS physical nagpuzke, deep breathing - 13 in a minute, the skin and mucous membranes conventional color calm behavior. Which of the following is the MOST probable preliminary diagnosis? \* Laryngeal stenosis, stage 1 +++++++++ \* Stenosis of the larynx, stage 2 \* Laryngeal stenosis, stage 3 \* Laryngeal stenosis, stage 4 \* Healthy \# 87 \*! A 38-year-old man complains of shortness of breath. The patient\'s condition is of moderate severity, anxiety, inspiratory dyspnea (25 per minute), pale skin, acrocyanosis, stridor, retraction of the subclavian fossae, surface breathing, pulse - 90 beats / min. Which of the following is the MOST probable preliminary diagnosis? \* Stenosis of the larynx, stage 1 \* Laryngeal stenosis, stage 2 ++++++++++ \* Laryngeal stenosis, stage 3 \* Laryngeal stenosis, stage 4 \* Stenosis of the larynx, stage 5 \# 88 \*! A 56-year-old man complains of shortness of breath. The patient\'s condition is severe, the position is forced, breathing is noisy, superficial, frequent (up to 40 per minute), pallor of the skin and mucous membranes, acrocyanosis, retraction of the pliable parts of the chest. Pulse - 110 beats per minute. Which of the following is the MOST probable preliminary diagnosis? \* Stenosis of the larynx, stage 1 \* Stenosis of the larynx, stage 2 \* Laryngeal stenosis, stage 3 ++++++++++++ \* Laryngeal stenosis, stage 4 \* Stenosis of the larynx, stage 5 \# 89 ! \* Status men 43h years kpayne heavy, not peagipuet on external pazdpazhiteli, pitm breathing napushen, skin and mucous membranes with sepovatym shade zpachki passhipeny, thready pulse. Which of the following is the MOST probable preliminary diagnosis? \* Stenosis of the larynx, stage 1 \* Stenosis of the larynx, stage 2 \* Laryngeal stenosis, stage 3 \* Laryngeal stenosis, stage 4 +++++++++++++++ \* Stenosis of the larynx, stage 5 \# 90 \*! A man, 34 years old, complains of difficulty breathing, hoarseness. Laryngoscopy: vypazhenny swelling of mucosal vestibulyapnogo card goptani, mucosa pale glassy edema pposvet goptani drastically narrowed, Contains mucus. Which of the following is the MOST probable preliminary diagnosis? \* Allergic laryngeal edema +++++++++++ \* Phlegmonous laryngitis \* Catarrhal laryngitis \* Diphtheria of the larynx \* Burn of the larynx \# 91 \*! A 35-year-old man complains of sore throat, aggravated by swallowing, fever. From the anamnesis: a few days ago a foreign body, a fish bone, was removed from the larynx. Laryngoscopy: the epiglottis is hyperemic, infiltrated, there is an area of fluctuation with a yellow dot. Which of the following is the MOST probable preliminary diagnosis? \* Chondroperichondritis of the larynx \* Phlegmonous laryngitis \* Mycotic laryngitis \* Epiglottis abscess +++++++++ \* Diphtheria of the larynx \# 92 \*! A 45-year-old woman complains of shortness of breath, hoarseness of voice after strumectomy. Laryngoscopy: the mobility of the left half of the larynx is sharply limited. Which of the following is the MOST probable preliminary diagnosis? \* Myopathic paralysis of the larynx \* Paresis of the lower laryngeal nerve ++++++++++ \* Sublining laryngitis \* Chronic laryngitis \* Acute laryngitis \# 93 \*! A 25-year-old man complains of a cough, a sore throat when swallowing, a change in the sonority of his voice that appeared during lunch. Laryngoscopy: in the laryngopharynx, on the scoops and in the inter-scallop space, there are continuous crimson formations. Which of the following is the MOST probable preliminary diagnosis? \* Burn of the larynx with cicatricial changes \* Laryngeal hematoma ++++++++++++ \* Tumor of the larynx \* Foreign body \* Laryngeal polyp \# 94 \*! A 18-year-old boy complains of hoarseness after a blow to the front of the neck. Breathing is free, the skin is not changed. The condition is satisfactory. Laryngoscopy - in the anterior larynx, a purple-red swelling descending to the vocal folds. Which of the following is the MOST probable preliminary diagnosis? \* Burn of the larynx with cicatricial changes \* Laryngeal hematoma ++++++++++++ \* Tumor of the larynx \* Foreign body \* Laryngeal polyp \# 95 \*! Man, 56 years old, complains of sore throat, fever up to 40 ^0 ^C. Sick for 3 days. Then the voice became indistinct, shortness of breath, fear appeared. Objectively: the patient is pale, pronounced acrocyanosis, breathing is noisy, stridorous, parts of the chest are involved in breathing. In the larynx: the mucous membrane is hyperemic, edematous, the glottis is sharply narrowed, there is a purulent secret in the lumen. Which of the following is the MOST probable preliminary diagnosis? \* Acute catarrhal laryngitis \* Phlegmonous laryngitis ++++++++++++ \* Abscess of the epiglottis \* Chondroperichondritis \* Epiglotitis \# 96 \*! A 7-year-old boy was admitted to the clinic with shortness of breath and hoarseness. When crying in high tones, the voice is clear, the cough is resonant. Which of the following is the MOST probable preliminary diagnosis? \* Acute catarrhal laryngitis \* Chondroperichondritis of the larynx \* Phlegmonous laryngitis \* True croup \* False Croup ++++++++++ \# 97 \*! A 17-year-old boy complains of hemoptysis, pain in the area of the thyroid cartilage, difficulty breathing after a fight. Examination: the volume of the neck is increased, the contours are smoothed, tenderness and crepitus on palpation. Laryngoscopy: narrowing of the lumen of the larynx, mucous membrane pale, swollen. Which of the following is the MOST probable preliminary diagnosis? \* Separation of the larynx from the hyoid bone \* Contusion of soft tissues of the larynx \* Fracture of the hyoid bone \* Laryngeal cartilage fracture ++++++++++ \* Detachment of the trachea \# 98 \*! A man, 40 years old, complains of shortness of breath for 8 hours. The condition is serious, half-sitting with his head thrown back, breathing is frequent, shallow, with the participation of the entire muscles of the chest in the act of breathing. Acrocyanosis. Which of the following is the MOST probable preliminary diagnosis? \* Stenosis of the larynx, stage 1 \* Stenosis of the larynx, stage 2 \* Laryngeal stenosis, stage 3 +++++++++ \* Laryngeal stenosis, stage 4 \* Stenosis of the larynx, stage 5 \# 99 \*! An ambulance brigade delivered a 3-year-old boy with a choking attack at night. The child\'s mother notes that at home there was an attack of a painful cough before vomiting. Which of the following laryngoscopic findings is MOST likely? \* Narrowed glottis, hyperemic true vocal folds \* Reddish rolls protruding from under the true vocal folds +++++++++ \* Pale, edematous mucous membrane of the lining space \* Hyperemic, swollen false vocal folds \* Thickened, infiltrated epiglottis \#100 \*! Girl, 15 years old, complains of cough, sore throat, hoarse voice. Ill 3 Days ago. With laryngoscopy: the mucous membrane of the larynx and true vocal cords are hyperemic, infiltrated, there is a lack of closure during phonation. Which of the following can be the MOST probable cause of this condition? \* Inflammation of the trachea, bronchi \* Inflammation of the liver, spleen \* Inflammation of the broncho-pulmonary apparatus \* Infectious diseases when inflammation is localized in the pharynx ++++++++++ \* Inflammation of the nose, sinuses, auditory tube, tympanic cavity \# 101 \*! Male L, 55 years old, choked while eating barbecue. He turned blue abruptly, breathing stopped. What is the MOST probable localization of a foreign body from those listed below in the development of this stenosis? \* Gloss gap ++++++++++ \* Vestibule of the larynx \* Piriform sinuses \* Subglottic space \* Localization does not matter \# 102 \*! A 35-year-old man, against the background of general intoxication, suddenly lost his voice. Which of the following are the MOST probable diagnoses? \* Laryngeal cancer \* False croup \* True croup +++++++++ \*Acute pharyngitis \* Wegener\'s granulomatosis \# 103 \*! A 47-year-old woman complains of loss of sonority of speech, speaks quietly and willingly talks about her illness in a wordy manner. Laryngoscopy - the larynx without inflammatory changes, lack of closure of the vocal folds along the midline. Other ENT are organs without pathology. Which of the following is the MOST probable preliminary diagnosis? \* Paresis of the lower laryngeal nerve \* Functional dysphonia +++++++++ \* Subglottic laryngitis \* Myopathic paralysis \* Laryngeal polyp \# 104 \*! A 48-year-old man complains of hoarseness in the morning, cough with difficult sputum, dry throat, foreign body sensation in the throat, perspiration. The general condition does not suffer. Ill for several months. On examination: the mucous membrane of the larynx is varnish, dry, thinned, in places covered with purulent crusts. The vocal cords are thin, flaccid. Which of the following is the MOST probable preliminary diagnosis? \* Chronic hypertrophic laryngitis \* Chronic atrophic laryngitis +++++++++++++ \* Papillomatosis \* Leukeplakia \* Pachydermia \# 105 \*! A 38-year-old woman complains of constant hoarseness for six months. The general condition does not suffer. Laryngoscopy: in the anterior third of the vocal cords on the free edge there are \"kissing\" formations with millet grain. Which of the following is the MOST probable preliminary diagnosis? \* Singing knots ++++++++++++ \* Papillomatosis \* Hyperkeratosis \* Leukeplakia \* Pachyderma **\* ear diseases \* 2 \* 21 \*** \# 106 \*! A 17-year-old girl complained of severe pain in the left ear after suffering from acute respiratory infections, hearing loss in the left ear, pain in the left side of the head. She has been ill for 4 days, there was an increase in temperature. Otoscopy on the right - no pathology, on the left - the eardrum is hyperemic, bulging, a perforation point is outlined. Which of the following is the MOST probable preliminary diagnosis? \* Acute purulent otitis media +++++++++++ \* External diffuse otitis media \* Exudative otitis media \* Adhesive otitis media \* Tubootitis \# 107 \*! A 1 year old boy is restless, refuses to eat, loose stools. When otoscopy on the left: the auricle is located anteriorly, in the external auditory canal there is abundant purulent discharge, the external auditory canal is narrowed, the posterior-superior wall hangs. On the right, the identification contours are clear. Which of the following preliminary diagnoses is MOST likely? \* Acute suppurative otitis media \* Chronic mesotympanitis \* Chronic epitympanitis \* Exudative otitis media \* Othoanthritis ++++++++++ \# 108 \*! A 4-year-old boy fell and hit the threshold with his right half of his head. After 2 days, the parents turned to the ENT doctor with a complaint of swelling of the right auricle. On examination: in the upper region of the right auricle there is hyperemia, swelling, moderate pain on palpation. Which of the following preliminary diagnoses is MOST likely? \* Erysipelas of the auricle \* Chondroperichondritis of the auricle \* Otitis externa \* Othematoma +++++++ \* Antritis \# 109 \*! A 3-year-old boy scratched the skin of his auricle with a sharp toy. A week later, his mother brought him to the ENT doctor with complaints of enlargement and soreness of the auricle, anxiety of the child. On examination: the left auricle is edematous, bright hyperemia with clear boundaries, sharp pain on palpation. Which of the following preliminary diagnoses is MOST likely? \* Erysipelas of the auricle +++++++++++++ \* Chondroperichondritis of the auricle \* Otitis externa \* Othematoma \* Antritis \# 110 \*! The parents of an 8-month-old child turned to the admission department of the children\'s hospital. They complain that the boy is worried, crying. There was a single vomiting, not associated with food. 3 days ago, a runny nose appeared, a cough and a high temperature were noted. The pediatrician made an appointment with an ENT doctor. On examination by an otorhinolaryngologist, there is a positive tragus symptom. Which of the following are the MOST probable diagnoses? \* Tubootitis \* Othoanthritis \* Mastoiditis \* Acute otitis media ++++++++++ \* Chronic otitis media \# 111 \*! Man, 43 years old, complains of pain in the right ear 3rd day. On examination by an otorhinolaryngologist, there is a positive tragus symptom. Which of the following are the MOST probable diagnoses? \* Tubootitis \* Mastoiditis \* Acute otitis media \* Chronic otitis media \* Furuncle of the external auditory canal ++++++++++++ \# 112 \*! Man, 43 years old, complains of congestion in the right ear 3rd day, hearing loss that appeared after swimming in the pool. Which of the following are the MOST probable diagnoses? \* Tubootitis \* Mastoiditis \* Sulfur plug +++++++++++ \* Acute otitis media \* Furuncle of the external auditory canal \# 113 \*! A man, 45 years old, complains of congestion in the right ear 3rd day, hearing loss. He also notes that he hears his voice like in a barrel. Before that, I was worried about a runny nose, a cough for about a week. Which of the following are the MOST probable diagnoses? \* Tubo-otitis ++++++++++ \* Mastoiditis \* Sulfur plug \* Acute otitis media \* Furuncle of the external auditory canal \# 114 \*! A man, 45 years old, complains of pain in the behind-the-ear region on the right 3rd day, hearing loss. Before that, a week ago, I was worried about a runny nose, a cough for about a week, a slight pain in the ear. On examination, the auricle is spaced (protruding), soreness in the behind-the-ear region on palpation. When otoscopy - overhang and hyperemia of the posterior-superior corner of the external auditory canal on the right. Which of the following are the MOST probable diagnoses? \* Tubootitis \* Mastoiditis ++++++++++ \* Sulfur plug \* Acute otitis media \* Furuncle of the external auditory canal \# 115 \*! A woman, 33 years old, complains of suppuration from the left ear for the second day. Before that, there were pains in the ear for 3 days. Which of the following are the MOST probable diagnoses? \* Tubootitis \* Stage I acute otitis media \* II stage of acute otitis media ++++++++++ \* III stage of acute otitis media \* Furuncle of the external auditory canal \# 116 \*! A woman, 33 years old, complains of suppuration from the left ear for the second day. Before that, there were pains in the ear for 3 days. Which of the following are the MOST probable diagnoses? \* Tubootitis \* Otohematomas \* Acute otitis media ++++++++++ \* Eczema of the external auditory canal \* Furuncle of the external auditory canal \# 117 \*! A 19-year-old boy went to the ENT department immediately after the injury (fight). On examination, a transparent discharge from the right ear was found. Which pathology of the following is the MOST probable? \* Fracture of the zygomatic bone \* Parietal bone fracture \* Fracture of the occipital bone \* Transverse fracture of the temporal bone pyramid \* Longitudinal fracture of the temporal bone pyramid +++++++++ \# 118 \*! A 19-year-old boy went to the ENT department immediately after the injury (fight). Examination revealed bleeding from the right ear. Which pathology of the following is the MOST probable? \* Fracture of the zygomatic bone \* Parietal bone fracture \* Fracture of the occipital bone \* Transverse fracture of the temporal bone pyramid \* Longitudinal fracture of the temporal bone pyramid ++++++++++++ \# 119 \*! A 45-year-old man complained of pain in his left ear and hearing loss for 3 days. These complaints appeared after a runny nose within 5 days. Which of the following is the MOST probable diagnosis? \* Mastoiditis \* Othoanthritis \* Catarrhal otitis media \* Acute suppurative otitis media ++++++++++++ \* Furuncle of the external auditory canal \# 120 \*! Male T., 34 years old, was admitted to the hospital. After examining the patient, the doctor performed paracentesis. Which of the following is the MOST probable diagnosis? \* otoantrite \* adhesive otitis media \* catarrhal otitis media \* acute purulent otitis media ++++++++++ \* furuncle of the external auditory canal \# 121 \*! A woman, 28 years old, is undergoing inpatient treatment in the ENT department. On the first day of treatment, she underwent paracentesis. Which of the following is the MOST probable diagnosis? \* Othoanthritis \* Adhesive otitis media \* Catarrhal otitis media \* Acute suppurative otitis media ++++++++++ \* Furuncle of the external auditory canal \# 122 \*! A 28-year-old man consulted an ENT doctor with complaints of swelling, redness and pain in the right auricle. The second day after the blow to the ear is ill. On examination, hyperemia, swelling of the auricle in the upper third is determined. Blood was obtained during the puncture.\ Which of the following is the MOST likely complication?\ \* Tubootitis \* Mastoiditis \* Acute otitis media \* External diffuse otitis media \* Chondroperichondritis +++++++++++ \# 123 \*! A 48-year-old woman complains of seizures accompanied by systemic dizziness, nausea, hearing loss and tinnitus. Attacks last about 15-20 minutes and occur every 2-3 months. Which of the following is the MOST probable diagnosis? \* Chronic mesotympanitis \* Chronic epitympanitis \* Cochlear neuritis \* Meniere\'s disease ++++++++++++ \* Otosclerosis \# 124 \*! A 33-year-old woman has been complaining of hearing loss for several years. Notes that he hears better in a noisy environment. Which of the following is the MOST probable diagnosis? \* Chronic mesotympanitis \* Chronic epitympanitis \* Cochlear neuritis \* Meniere\'s disease \* Otosclerosis +++++++++ \# 125 \*! A 37-year-old woman has been complaining of hearing loss in her right ear for several years. Associates with the transferred otitis media in adolescence. On otoscopy on the right, the tympanic membrane is gray, stellate scar. Which of the following diagnoses is MOST likely? \* Chronic mesotympanitis \* Chronic epitympanitis \* Cochlear neuritis \* Adhesive otitis media ++++++++++ \* Meniere\'s disease \# 126 \*! A 46-year-old man was admitted to the clinic with complaints of severe headache, vomiting, which does not bring relief, and fever up to 39 ° C. The headache is worse with harsh sounds. I got sick acutely, 2 days ago. On examination: the patient is agitated, the stiffness of the occipital muscles by 3 transverse fingers, positive Kernig\'s symptoms and upper Brudzinsky\'s. On otoscopy: marginal perforation of the tympanic membrane on the right, purulent discharge with an unpleasant odor. X-ray of the temporal bones - the cavity in the mastoid process on the right. Which of the following is the MOST probable underlying disease? \* Acute suppurative otitis media \* Chronic epitympanitis ++++++++ ?????? \* Chronic mesotympanitis \* Exudative otitis media \* Bullous otitis media **\* diseases of the pharynx \* 3 \* 14 \*** \# 127 \*! A 28-year-old man complains of a foreign body feeling in his throat on the right, bad breath for a week. From the anamnesis: 3 weeks ago he had severe pneumonia, which was complicated by dysbiosis and diarrhea. On examination: the general condition does not suffer, the submandibular lymph nodes are enlarged. Pharyngoscopy - on the surface of the right palatine tonsil there is an extensive ulcer, covered with a gray-yellow coating. What additional research from the following is MOST advisable to perform to clarify the diagnosis? \* Sternal puncture, bone marrow examination \* Bacterioscopic examination of plaque +++++++++++ \* Research of peripheral blood \* Examination of sputum \* Oropharyngoscopy \# 128 \*! A 23-year-old girl complains of poor health, fever up to 39.2 ° C, weakness, muscle pain, sore throat, aggravated by swallowing. On examination, the submandibular lymph nodes are enlarged. Pharyngoscopy: palatine tonsils are hyperemic, edematous, covered with islets of yellowish plaque. In the UAC - l-12.6 10 ^9 ^, ESR - 34 mm / h. With which of the following diseases is it MOST advisable to differentiate this pathology? \* Paratonsillar abscess \*Acute pharyngitis \*Scarlet fever \* Diphtheria ++++++++++ \*Measles \# 129 \*! A 23-year-old girl complains of poor health, fever up to 39.2 ° C, weakness, muscle pain, sore throat, aggravated by swallowing. On examination, the submandibular lymph nodes are enlarged. Pharyngoscopy: palatine tonsils are hyperemic, edematous, covered with islets of yellowish plaque. Which of the following additional studies is MOST advisable to prescribe to clarify the diagnosis? \* Blood for sterility \* Throat swab for BL ++++++++++++ \* Fibroscopy \* UAC \* OAM \# 130 \*! A 23-year-old girl complains of poor health, fever up to 39.2 ° C, weakness, muscle pain, sore throat, aggravated by swallowing. On examination, the submandibular lymph nodes are enlarged. Pharyngoscopy: palatine tonsils are hyperemic, edematous, covered with islets of yellowish plaque. In the UAC - L-12.6 10 ^9 ^, ESR - 34 mm / h. Of the following, which complication is MOST likely to occur? \*Acute bronchitis \* Acute tracheitis \*Pneumonia \*Hepatitis \* Jade +++++++++ \# 131 \*! A 34-year-old man complains of poor health, fever up to 38.5 ° C., Weakness, muscle pain, sore throat, aggravated by swallowing. On examination, the submandibular lymph nodes are enlarged. Pharyngoscopy: palatine tonsils are hyperemic, edematous, translucent whitish-yellowish formations with a pinhead are visible. In the UAC - L-10.6 10 ^9 ^, ESR - 34 mm / h. What are the MOST probable periods of temporary disability listed below? \*2-3 days \* 3-6 days \* 6-7 days \* 7-10 days ++++++++++ \* 10-18 days \# 132 \*! A 28-year-old man complains of a foreign body feeling in his throat on the right, bad breath for a week. From the anamnesis: 3 weeks ago he had severe pneumonia, which was complicated by dysbiosis and diarrhea. On examination: the general condition does not suffer, the submandibular lymph nodes are enlarged. Pharyngoscopy - on the surface of the right palatine tonsil there is an extensive ulcer, covered with a gray-yellow coating. Which of the following is MOST advisable to include in your treatment plan? \* Washing tonsil lacunae with 3% hydrogen peroxide solution: \* Washing the lacunae of the tonsils with antibiotic solutions \* Lubrication of tonsils with novarsenol solution +++++++++++ \* Irrigation of the pharynx with isotonic solution \* Lubrication of the tonsils with Lugol\'s solution \# 133 \*! A 6-month-old boy is restless, cries, chokes when eating, nasal breathing is difficult, his voice is nasal. Pharyngoscopy: hyperemia of the mucous membrane of the posterior pharyngeal wall, a spherical protrusion with fluctuation is determined on the posterior wall. Which of the following is the MOST appropriate treatment method? \* Opening of the paratonsillar space \* Opening of the peri-pharyngeal space \* Lubrication of the pharynx with Lugol\'s solution \* Opening of the pharyngeal space +++++++++++ \* Adenotomy \# 134 \*! A 24-year-old girl complains of sore throat on the left, inability to swallow, severe weakness, fever up to 38.8˚С. She fell ill acutely, 5 days ago. Worsening occurred 2 days ago after warming compress. Objectively: the submandibular lymph nodes are enlarged, painful, the movement of the lower jaw is limited. Asymmetry of the pharynx due to bulging of the left palatine tonsil, hyperemia and edema of the left palatine arch. In the UAC - L-12.6 10 ^9 ^, ESR - 34 mm / h. Which tissue or formation from the following is most likely to be involved in the process? \* Lymph nodes and tissue of the pharyngeal space \* Near-mild fiber +++++++++++ \* Paraparaingial fiber \* Parenchyma of the tonsils \* Palatine arches \# 135 \*! A 24-year-old girl complains of pain in the throat on the left, aggravated by swallowing, inability to swallow, severe weakness, fever up to 38.8˚С. She fell ill acutely, 5 days ago. Worsening occurred 2 days ago after warming compress. Objectively: the submandibular lymph nodes are enlarged, painful, the movement of the lower jaw is limited. Asymmetry of the pharynx due to bulging of the left palatine tonsil, hyperemia and edema of the left palatine arch. In the UAC - L-12.6 10 ^9 ^, ESR - 34 mm / h. Of the following, which complication is MOST likely to occur? \*Acute bronchitis \* Acute tracheitis \* Mediastinitis ++++++++++++++++++ \*Pneumonia \*Hepatitis \# 136 \*! A 7-year-old boy was brought to the clinic by his parents. Complaints of fatigue, decreased attention at school, deterioration in academic performance. Parents noticed that the boy sleeps with his mouth open, snores in his sleep. Examination of ENT organs: in the fornix of the nasopharynx, a formation was found, pale pink in color, with longitudinal slits, covering 2/3 of the opener. Which of the following is the MOST appropriate intervention? \* Puncture of the paratonsillar space \* Lancing of the paratonsillar abscess \*Tonsillectomy \* Tonsillotomy \* Adenotomy ++++++++++ \# 137 \*! A 3-year-old boy suffers from frequent sore throats and a runny nose. According to his parents, his runny nose does not go away, he sleeps with his mouth open, snores, and his hearing becomes worse. What type of research is MOST advisable for a child to clarify the diagnosis? \* Finger examination of the nasopharynx ++++++++++++++ \* X-ray of the sinuses \* Anemization of the nasal mucosa \* Anterior rhinoscopy \* Posterior rhinoscopy ???? \# 138 \*! A 25-year-old woman complains of discomfort in the throat, fever up to 37.2 ° C., General weakness, sweating, poor sleep, joint pain. Outpatient treatment without effect. On examination: the tongue is coated with a whitish coating, the palatine tonsils are atrophic, welded to the arches, pus in the gaps, the submandibular lymph nodes are enlarged. Which of the following is the MOST advisable tactic? \* Increasing the dose of antibiotics \*Hospital treatment \* Hyperbaric oxygenation \* Tonsillectomy +++++++++++ \* Tonsillotomy \# 139 \*! A 27-year-old man complains of frequent headaches, pain in the throat, in the region of the heart, in the joints. Sore throats 2-3 times a year. On examination: congestive hyperemia of the posterior pharyngeal wall, palatine tonsils atrophic, loose, welded to the arches, purulent plugs in the lacunae. The ECG shows a violation of interventricular conduction. UAC without pathology. Which of the following is the MOST advisable tactic? \* Preventive treatment 2 times a year \*Hospital treatment \* Hyperbaric oxygenation \* Tonsillectomy +++++++++ \* Tonsillotomy \# 140 \*! A 52-year-old man complains of awkwardness, tingling in the throat, difficulty and slight soreness when swallowing, persistent cough. Suffering for about 2 months, tonsillitis is rare. Pharyngoscopy: hyperemia of the pharyngeal mucosa with areas of dense, easily removable peaked grayish plaques of a cheesy character. Which of the following is the MOST appropriate to include in your treatment plan? \* Non-steroidal anti-inflammatory drugs \* Antihistamines \* Corticosteroids \* Antibiotics \* Mycostatics ++++++++ ** ** **\* diseases of the nose and paranasal sinuses \* 3 \* 16 \*** \# 141 \*! A 4-year-old boy was taken to the clinic. Examination revealed unilateral difficulty in breathing, purulent discharge from the left side of the nose with a fetid odor, maceration of the skin of the vestibule of the nose. Which of the following tools is the MOST advisable to use for further manipulations? \* Surgical forceps \* Blackley Tongs \* Ear tweezers \* Luke Forceps \* Voyachek probe ++++++++++ \# 142 \*! A 19-year-old boy notes sharp pains in the nose, head, impaired nasal breathing, fever up to 39 ° C. The disease is associated with trauma. Rhinoscopic: narrowing of the nasal passages, infiltration and hyperemia of the tissues of the nasal septum in the anterior section. Which of the following is the MOST appropriate treatment? \* Surgical treatment +++++++++++ \* Vitamin therapy \* Autohemotherapy \*Physiotherapy \* Tamponade \# 143 \*! A 37-year-old woman complains of pain in the nose, head, fever up to 38 ° C, chills. Rhinoscopic: infiltration of the skin of the vestibule of the nose, its hyperemia, edema of the upper lip. Which of the following are the MOST appropriate drugs to include in your treatment plan? \*Calcium gluconate \* Heparin +++++++++ \* Vikasol \* Venoton \* Rutin \# 144 \*! A 37-year-old man complains of a runny nose, headache, more in the occipital region. Often spits out purulent sputum. Ill for several years. Rhinoscopy: moderate enlargement of the turbinates. There is no discharge in the upper nasal passage . Which of the following research methods is MOST appropriate to clarify the diagnosis? \* Rhinopneumometry \* X-ray ++++++++++++ \* Olfactometry \* Odorimetry \* pH meter \# 145 \*! A 37-year-old man complains of a runny nose, headache, more in the occipital region. Often spits out purulent sputum. Ill for several years. Rhinoscopy: moderate enlargement of the turbinates. There is no discharge in the upper nasal passage . Which of the following research methods is MOST appropriate to clarify the diagnosis? \* Probing of the sphenoid sinus +++++++++++ \* Puncture of the lattice labyrinth \* Trepanopuncture of the frontal sinus \* Probing of the frontal sinus \* Puncture of the maxillary sinus \# 146 \*! Girl 23 years complained of a headache, swelling of the upper eyelid of the right eye, purulent nasal discharge, fever up to 39.9C. Ill for 6 days after hypothermia. When rhinoscopy - hyperemia of the nasal mucosa, purulent discharge in the middle nasal passage on the right. Which of the following surgical methods is MOST advisable in the absence of effect with conservative treatment? \* Trepanopuncture of the frontal sinus ++++++++++++++ \* Puncture of the maxillary sinus \* Puncture of the main sinus \* Sinusitis \* Ethmoidotomy \# 147 \*! A 67-year-old woman was admitted to the clinic with nosebleeds. With rhinoscopy: bleeding from the posterior parts of the nasal cavity, anterior tamponade was performed. After 2 hours, the turundas in the nasal cavity got wet, the bleeding resumed and intensified. What further tactics are MOST advisable? \* Tilt your head back, press the wing of the nose \* Tilt your head forward, press the wing of the nose \* Cauterization of the bleeding area \* Anterior tamponade \* Back tamponade ++++++++++++ \# 148 \*! A 53-year-old man complains of headache, heaviness and discomfort in the right half of the face when bending forward, purulent discharge from the nose. Ill for 2 months. Rhinoscopy: hyperemia, swelling of the nasal mucosa on the right, a strip of pus in the middle nasal passage on the right. X-ray of the paranasal sinuses - total darkening of the right maxillary sinus. Diagnostic puncture of the right maxillary sinus - pus in large quantities, with a strong unpleasant odor. Which specialist from the following is the MOST advisable to appoint? \* Infectionist \* Neuropathologist \* Dentist +++++++++++++++ \* Phthisiatrician \* Oculist \# 149 \*! A 53-year-old man complains of headache, heaviness and discomfort in the right half of the face when bending forward, purulent discharge from the nose. Ill for 2 months. Rhinoscopy: hyperemia, swelling of the nasal mucosa on the right, a strip of pus in the middle nasal passage on the right. X-ray of the paranasal sinuses - total darkening of the right maxillary sinus. Diagnostic puncture of the right maxillary sinus - pus in large quantities, with a strong unpleasant odor. Which of the following are the MOST appropriate treatments for inclusion in a treatment plan? \* Rinsing of the nasal passages \* Sanitation of palatine tonsils \* Novocaine blockade \* Physiotherapy \* Dental sanitation +++++++++++ \# 150 \*! A 54-year-old man complains of pain in the nose, headache, chills. Ill for 2 days. Objectively: swelling of the soft tissues of the nose, more on the left. On the eve of the nose on the left, there is a reddening of the tissue, a sharp pain on palpation. Which of the following is the MOST advisable to include in your treatment plan? \* Corticosteroid drugs ????? \* Dehydration preparations \* Antihistamines \* Anticoagulants +++++++++++ \* Vitamins \# 151 \*! Patsent 54 years brought to the clinic with complaints of swelling of the left cheek soft tissues, headache, chills, intermittent fever to 39.9C, the decrease in temperature is accompanied by pouring sweat. When rhinoscopy: unopened furuncle of the vestibule of the nose on the left. Which of the following is the MOST likely complication? \* Rhinogenic thrombosis of the cavernous sinus \* Rhinogenic brain abscess \* Rhinogenic encephalitis \* Rhinogenic meningitis \* Rhinogenic sepsis ++++++++++++++ \# 152 \*! A 15-year-old boy complains of constant nasal congestion on 2 sides, mucopurulent nasal discharge, poor sleep, and recurrent headaches. Ill for 3 years. With anterior rhinoscopy: the inferior turbinates are sharply increased in volume, hyperemic, the introduction of a 3% solution of ephedrine does not lead to a reduction in the turbinates. Which of the following is the MOST appropriate treatment? \* Ultrasonic disintegration of shells \* Puncture of maxillary sinuses \* Physiotherapy \*Acupuncture \* Conchotomy +++++++++++ \# 153 \*! A 15-year-old boy complains of nasal congestion on 2 sides, profuse mucous nasal discharge, sneezing attacks, poor sleep, recurrent headaches. Ill for 3 years, notes the seasonality of the disease, which usually begins at the end of August. With anterior rhinoscopy: the turbinates are sharply edematous, cyanotic, there are Voyachek spots. What additional examination of the following is MOST advisable to appoint a patient to clarify the diagnosis? \* Puncture and washing of the maxillary sinus \* Computed tomography of the nose area \* Sowing from the nasal cavity to the microflora \* X-ray of the sinuses \* Rhinocytogram ++++++++++++++ \# 154 \*! A 15-year-old boy complains of nasal congestion on 2 sides, profuse mucous nasal discharge, sneezing attacks, poor sleep, recurrent headaches. Ill for 3 years, notes the seasonality of the disease, which usually begins at the end of August. With anterior rhinoscopy: the turbinates are sharply edematous, cyanotic, there are Voyachek spots. Which of the following is the MOST advisable to include in your treatment plan? \* Anti-inflammatory drugs \* Antihistamines +++++++++++++++ \* Anticoagulants \* Antibiotics \* Vitamins \# 155 \*! Male 29 years appealed to the clinic with complaints of fever to 39 C, pain in the forehead and root of the nose, suppuration from the nose, pain in the right eye socket, swelling of the eyelids of the right eye. Ill for 5 days. On examination: exophthalmos, chemosis, immobility of the right eyeball, soreness with pressure on the eyeball. Rhinoscopy: the mucous membrane of the nasal cavity is edematous, the edema is more pronounced on the right, in the general nasal passage on the right - an abundance of pus. Which of the following are the MOST appropriate emergency treatment tactics? \* Frontal ethmoidotomy with opening of the subperiosteal abscess of the orbit \* Haimorotomy with opening of the subperiosteal abscess of the orbit \* Ethmoidotomy with opening of the subperiosteal abscess of the orbit \* Hymoroetmoidotomy with opening of the phlegmon of the orbit \* Frontal ethmoidotomy with opening of the phlegmon of the orbit +++++++++++ \# 156 \*! A 38-year-old man complained of a feeling of heaviness in the right half of the face, periodic nasal congestion. From the anamnesis: suffers for 6 months. When rhinoscopy: the turbinates on the right are enlarged in volume, there is no discharge in the nasal passages. X-ray data of the nose and paranasal sinuses: a rounded shadow in the right maxillary sinus. Which of the following treatment tactics is the MOST appropriate? \* Antibacterial therapy \* General strengthening treatment \* Physiotherapy \*Acupuncture \* Operation ++++++++++++++ **\* diseases of the larynx \* 3 \* 11 \*** \# 157 \*! A 17-year-old boy complains of a sore throat, soundless cough, hoarseness, weakness. Objectively: fever up to 39.8 ° C, shortness of breath, pallor of the skin. Laryngoscopic: the true vocal cords are hyperemic, the mucous membrane of the larynx is covered with a dirty gray plaque that is difficult to separate. Which additional examination from the following is MOST advisable? \* Radiography of the lungs \* Direct laryngoscopy \* Tomography of the larynx \* Spirography \* Smear for BL ++++++++++++ \# 158 \*! A 35-year-old man complains of sore throat, aggravated by swallowing, fever. From the anamnesis: a few days ago a foreign body, a fish bone, was removed from the larynx. Laryngoscopy: the epiglottis is hyperemic, infiltrated, there is an area of fluctuation with a yellow dot. Which of the following is the MOST advisable tactic? \* Lubrication of the epiglottis with Lugol\'s solution \* Abscess opening +++++++++++ \* Laryngofissure \* Lateropexy \* Physiotherapy \# 159 \*! A 7-year-old boy was admitted to the clinic with shortness of breath and hoarseness. When crying in high tones, the voice is clear, the cough is resonant. Which laryngoscopic picture is MOST likely to be listed below? \* Hyperemia, mucosal edema, dirty gray films \* Hyperemia and edema of the lining space ++++++++++++ \* Vitreous edema of the laryngeal mucosa \* Hyperemia and edema of the vocal cords \* Hyperemia and edema of the epiglottis \# 160 \*! A 17-year-old boy complains of hemoptysis, pain in the area of the thyroid cartilage, difficulty breathing after a fight. Examination: the volume of the neck is increased, the contours are smoothed, tenderness and crepitus on palpation. Laryngoscopy: narrowing of the lumen of the larynx, mucous membrane pale, swollen. Which additional research method from the following listed is the MOST expedient to appoint? \* X-ray of the larynx +++++++++++++++ \* Direct laryngoscopy \* Laryngofissure \* Bronchoscopy \* Spirography \# 161 \*! A 17-year-old boy complains of hemoptysis, pain in the area of the thyroid cartilage, difficulty breathing after a fight. Examination: the volume of the neck is increased, the contours are smoothed, tenderness and crepitus on palpation. Laryngoscopy: narrowing of the lumen of the larynx, mucous membrane pale, swollen. Which of the following are the MOST likely complications? \* Pneumomediastinum, pneumothorax +++++++++++ \* Hemothorax, hemomediastinum \* Acute tracheobronchitis \* Lung abscess \*Pneumonia \# 162 \*! A 17-year-old boy complains of hemoptysis, pain in the area of the thyroid cartilage, difficulty breathing after a fight. Examination: the volume of the neck is increased, the contours are smoothed, tenderness and crepitus on palpation. Laryngoscopy: narrowing of the lumen of the larynx, mucous membrane pale, swollen. Which of the following is the MOST advisable tactic? \* Upper tracheostomy +++++++++++ \* Middle tracheostomy \* Lower tracheostomy \* Cricoconicotomy \* Conicotomy \# 163 \*! A 17-year-old boy complains of hemoptysis, pain in the area of the thyroid cartilage, difficulty breathing after a fight. Examination: the volume of the neck is increased, the contours are smoothed, tenderness and crepitus on palpation. Laryngoscopy: narrowing of the lumen of the larynx, mucous membrane pale, swollen. Which of the following are the MOST appropriate tools to use for further action? \* Scalpel, fenestrated forceps, Voyachek probe, loop, tracheocannula \* Scalpel, single-pronged hook, Trousseau dilator, tracheocannula +++++++++++ \* Scalpel, retractor, Blackley forceps, tracheocannula \* Scalpel, Troeltsch mirror, dilator, tracheocannula \* Scalpel, Blackley Forceps, Shaver, Tracheocannula \# 164 \*! A 40-year-old man complains of shortness of breath for 8 hours. The condition is serious, half-sitting with his head thrown back, breathing is frequent, shallow, with the participation of the entire muscles of the chest in the act of breathing. Acrocyanosis. Which of the following is the MOST advisable tactic? \* Intravenous destenosis \* Cricoconicotomy \* Laryngofissure \* Tracheostomy ++++++++++++ \* Conicotomy \# 165 \*! A 45-year-old man complains of hoarseness, choking while eating, nasal voice. Has been sick for over 20 years. Laryngoscopy - there is practically no epiglottis, arytenoid cartilage and vocal cords are scar-altered. What additional research is MOST worthwhile? \* Serological test ++++++++++++ \* X-ray of the larynx \* Direct laryngoscopy \* Mantoux test \*Biopsy \# 166 \*! A 47-year-old woman complains of loss of sonority of speech, speaks quietly and willingly talks about her illness in a wordy manner. Laryngoscopy - the larynx without inflammatory changes, lack of closure of the vocal folds along the midline. Other ENT are organs without pathology. Which of the following are the MOST appropriate treatment tactics? \* Vitamins of group B, proserin \* Antibacterial therapy \* Surgical treatment \*Physiotherapy \* Psychotherapy +++++++++++++ \# 167 \*! A 38-year-old woman complains of constant hoarseness for six months. The general condition does not suffer. Laryngoscopy: in the anterior third of the vocal cords on the free edge there are \"kissing\" formations with millet grain. Which of the following is the MOST advisable tactic? \* Lubrication of formations with 1% salicylic alcohol \* Lubrication of formations with hydrocortisone \* Endolaryngeal removal of formations ++++++++++++++ \* Laryngofissure \* Physiotherapy ** ** **\* ear diseases \* 3 \* 13 \*** \# 168 \*! A 17-year-old girl complained of severe pain in the left ear after suffering ARVI, hearing loss in the left ear, pain in the left side of the head. She has been ill for 4 days, there was an increase in temperature. Otoscopy on the right - no pathology, on the left - the eardrum is hyperemic, bulging, a perforation point is outlined. Which tactics are MOST appropriate in this case from the ones listed below? \* Expect spontaneous perforation of the tympanic membrane \* Washing the external auditory canal \* Drops with solutions of antibiotics in the ear \* Mastoidotomy \* Paracentesis +++++++++++++ \# 169 \*! A 17-year-old girl complained of severe pain in the left ear after suffering ARVI, hearing loss in the left ear, pain in the left side of the head. She has been ill for 4 days, there was an increase in temperature. Otoscopy on the right - no pathology, on the left - the eardrum is hyperemic, bulging, a perforation point is outlined. Which tool is MOST advisable to choose from the following for further actions? \* Paracentesis needle +++++++++++++ \* Hook Voyachek \* Syringe Janet \*Scalpel \*Otoscope \# 170 \*! A 22-year-old man, came to the clinic with complaints of severe pain in the right ear with irradiation to the teeth and temple, hearing loss within 3 days after suffering from acute respiratory viral infections. Before the doctor\'s appointment, I felt moisture in the ear and a decrease in ear pain, a significant relief of the condition. What is the MOST likely picture of the following from an otoscopy? \* Hyperemia, perforation of the tympanic membrane +++++++++++++ \* Hyperemia, bulging of the tympanic membrane \* Stellate scar of the tympanic membrane \* Identification contours are clear \* Retraction of the tympanic membrane \# 171 \*! A 1 year old boy is restless, refuses to eat, loose stools. When otoscopy on the left: the auricle is located anteriorly, in the external auditory canal there is abundant purulent discharge, the external auditory canal is narrowed, the posterior-superior wall hangs. On the right, the identification contours are clear. What additional research from the following is MOST advisable to perform to clarify the diagnosis? \* Study of the patency of the auditory tubes \* Computed tomography of the brain \* X-ray of the temporal bones +++++++++++++ \* Tympanometry \* Glycerol test \# 172 \*! A 1 year old boy is restless, refuses to eat, loose stools. When otoscopy on the left: the auricle is located anteriorly, in the external auditory canal there is abundant purulent discharge, the external auditory canal is narrowed, the posterior-superior wall hangs. On the right, the identification contours are clear. Which of the following is the MOST appropriate treatment strategy? \* Radical sanitizing ear surgery \* Tympanoplasty \* Labyrintectomy \* Mastoidotomy \* Antrotomy ++++++++++ \# 173 \*! A 22- year-old man complained of pain in the ear when chewing and opening his mouth. Objectively: the tissues are pasty in the parotid region, the auditory canal is narrowed due to infiltration of the walls, the skin is hyperactive, the perforation is not visible. What types of surveys are MOST appropriate in this case? \* X-ray of the temporal bones according to Schüller \* Blood for sterility \* Tympanometry \* Blood on sugar +++++++++++ \* Audiometry \# 174 \*! A 48-year-old woman complains of seizures accompanied by systemic dizziness, nausea, hearing loss and tinnitus. The attacks last about 30-40 minutes and occur once a month. Which of the following is the MOST advisable tactic? \* Opening and drainage of the endolymphatic sac +++++++++++ \* Sanitizing radical ear surgery \* Atticoanthrotomy \* Tympanoplasty \* Stapedoplasty \# 175 \*! A 48-year-old woman complains of seizures accompanied by systemic dizziness, nausea, hearing loss and tinnitus. The attacks last about 30-40 minutes and occur once a month. Which of the following is the MOST advisable tactic? \* Sanitizing radical ear surgery \* Resection of the stellate node ++++++++++++ \* Atticoanthrotomy \* Tympanoplasty \* Stapedoplasty \# 176 \*! A 33-year-old woman has been complaining of hearing loss for several years. Notes that he hears better in a noisy environment. Which of the following is the MOST advisable tactic? \* Opening and drainage of the endolymphatic sac \* Sanitizing radical ear surgery \* Atticoanthrotomy \* Tympanoplasty \* Stapedoplasty +++++++++ \# 177 \*! A 48-year-old woman complains of seizures accompanied by systemic dizziness, nausea, hearing loss and tinnitus. Attacks last about 15-20 minutes and occur every 2-3 months. Which of the following is the MOST appropriate to include in your treatment plan? \* Non-steroidal anti-inflammatory \* Antibacterial \* Antihistamines \* Anticoagulants \* Vascular ++++++++++ \# 178 \*! A 28-year-old man complains of headaches, vomiting, weakness, fever up to 37.5 ° C. Sick for more than 2 weeks, the condition worsened gradually. Suppuration from the right ear from early childhood. The man is emaciated, the skin is of an earthy color, the stiffness of the occipital muscles for 3 transverse fingers, positive Kernig and upper Brudzinsky symptoms. Otoscopy on the right: central perforation of the tympanic membrane, on the left - without pathology. Which of the following research methods are the MOST informative for clarifying the diagnosis? \* Ultrasound of the abdominal organs \*Electroencephalography \*General blood analysis \*General urine analysis \* Mantoux test ++++++++++++ \# 179 \*! A 28-year-old man complains of headaches, vomiting, weakness, fever up to 37.5 ° C. Sick for more than 2 weeks, the condition worsened gradually. Suppuration from the right ear from early childhood. The man is emaciated, the skin is of an earthy color, the stiffness of the occipital muscles for 3 transverse fingers, positive Kernig and upper Brudzinsky symptoms. Otoscopy on the right: central perforation of the tympanic membrane, on the left - without pathology. Which of the following research methods are the MOST informative for clarifying the diagnosis? \* Ultrasound of the abdominal organs \*Electroencephalography \* Research of cerebrospinal fluid +++++++++++++++ \*General blood analysis \*General urine analysis \# 180 \*! A 46-year-old man was admitted to the clinic with complaints of severe headache, vomiting, which does not bring relief, and fever up to 39 ° C. The headache is worse with harsh sounds. I got sick acutely, 2 days ago. On examination: the patient is agitated, the stiffness of the occipital muscles by 3 transverse fingers, positive Kernig\'s symptoms and upper Brudzinsky\'s. On otoscopy: marginal perforation of the tympanic membrane on the right, purulent discharge with an unpleasant odor. X-ray of the temporal bones - half in the mastoid process on the right. Which of the following are the MOST appropriate treatment tactics? \* Advanced radical sanitizing ear surgery +++++++++++++ \* Opening and drainage of the endolymphatic sac \* Radical sanitizing ear surgery \* Labyrintectomy \* Antrotomy

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