Facial Nerve Anatomy and Diseases Quiz

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Questions and Answers

Which neurological condition can lead to bilateral facial nerve palsy?

  • Guillain-Barré syndrome (correct)
  • Bell's palsy
  • Ramsay Hunt syndrome
  • Myotonic dystrophy

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 (correct)
  • Suggests a possible link to acoustic neuroma
  • Indicates a higher risk for tonsillitis
  • Implies a potential cause for BPPV

Why is knowledge of the course of the facial nerve essential for differential diagnosis?

  • To determine the risk of developing BPPV
  • To identify possible causes of tonsillitis
  • To aid in working through a differential diagnosis (correct)
  • To assess the progression of an acoustic neuroma

Which condition is associated with a higher incidence in pregnant individuals?

<p>Bell's palsy (B)</p> Signup and view all the answers

What can prolonged lack of improvement beyond 6 months suggest in terms of facial nerve conditions?

<p>Possibility of a malignant cause (A)</p> Signup and view all the answers

In facial nerve palsy, what is the significance of grading using the House-Brackmann system?

<p>Helps track the progress of recovery or deterioration (C)</p> Signup and view all the answers

What is the main symptom associated with acoustic neuroma?

<p>Tinnitus (B)</p> Signup and view all the answers

Which condition may present with symptoms of sudden sensorineural hearing loss?

<p>Acoustic neuroma (C)</p> Signup and view all the answers

Which type of tinnitus warrants a direct referral to an Ear, Nose, and Throat (ENT) specialist?

<p>Pulsatile tinnitus (B)</p> Signup and view all the answers

What is a common cause of conductive hearing loss that is NOT mentioned in the text?

<p>Labyrinthitis (A)</p> Signup and view all the answers

Which medication class is NOT listed as a potential cause of tinnitus in the text?

<p>Beta-blockers (B)</p> Signup and view all the answers

What diagnostic tool is typically used for evaluating vestibular disorders like BPPV?

<p>Vestibular assessment (C)</p> Signup and view all the answers

What is the common presentation of facial nerve palsy that should alert clinicians to the possibility of a tumor?

<p>Facial nerve palsy with a new onset parotid lump (C)</p> Signup and view all the answers

What is the primary mode of spread for subdural/extradural abscess?

<p>Direct via bone or meninges (C)</p> Signup and view all the answers

What is the typical management approach for subdural/extradural abscess?

<p>IV antibiotics and surgical intervention if indicated (C)</p> Signup and view all the answers

Which of the following is considered an aetiology for facial nerve palsy?

<p>Idiopathic (Bell's Palsy) (B)</p> Signup and view all the answers

How is the degree of facial nerve dysfunction graded?

<p>'House Brackman' grading system from 1-6 (B)</p> Signup and view all the answers

Which virus is associated with viral facial nerve palsy like Ramsay Hunt syndrome?

<p>'Herpes' virus (B)</p> Signup and view all the answers

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