18 Questions
Which neurological condition can lead to bilateral facial nerve palsy?
Guillain-Barré syndrome
What is the significance of a history of infections such as otitis media in relation to facial nerve conditions?
Hearing loss can occur in conditions like Ramsay Hunt syndrome and Bell's palsy
Why is knowledge of the course of the facial nerve essential for differential diagnosis?
To aid in working through a differential diagnosis
Which condition is associated with a higher incidence in pregnant individuals?
Bell's palsy
What can prolonged lack of improvement beyond 6 months suggest in terms of facial nerve conditions?
Possibility of a malignant cause
In facial nerve palsy, what is the significance of grading using the House-Brackmann system?
Helps track the progress of recovery or deterioration
What is the main symptom associated with acoustic neuroma?
Tinnitus
Which condition may present with symptoms of sudden sensorineural hearing loss?
Acoustic neuroma
Which type of tinnitus warrants a direct referral to an Ear, Nose, and Throat (ENT) specialist?
Pulsatile tinnitus
What is a common cause of conductive hearing loss that is NOT mentioned in the text?
Labyrinthitis
Which medication class is NOT listed as a potential cause of tinnitus in the text?
Beta-blockers
What diagnostic tool is typically used for evaluating vestibular disorders like BPPV?
Vestibular assessment
What is the common presentation of facial nerve palsy that should alert clinicians to the possibility of a tumor?
Facial nerve palsy with a new onset parotid lump
What is the primary mode of spread for subdural/extradural abscess?
Direct via bone or meninges
What is the typical management approach for subdural/extradural abscess?
IV antibiotics and surgical intervention if indicated
Which of the following is considered an aetiology for facial nerve palsy?
Idiopathic (Bell's Palsy)
How is the degree of facial nerve dysfunction graded?
'House Brackman' grading system from 1-6
Which virus is associated with viral facial nerve palsy like Ramsay Hunt syndrome?
'Herpes' virus
Test your knowledge about the course of the facial nerve from the brain stem to the facial muscles, and its relevance in differential diagnosis of diseases like aneurysm, neurodegenerative diseases, and mass effect conditions like neoplasms or abscesses.
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