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WorksheetsFay Shell Pal Sea
Total questions: 21
Worksheet time: 16mins
All of the following findings are consistent with the diagnosis of Ramsay-Hunt syndrome in a patient with acute facial paralysis except
Diplopia
Periauricular vesicular eruptions
Otalgia
Post viral fever
Which of the following findings would favor surgical exploration rather than observation in a patient with traumatic facial nerve paralysis?
Immediate onset of complete facial nerve paraly- sis after penetrating injury
Delayed onset of facial nerve paralysis with greater than 95% degeneration on electroneuro- nography (ENoG)
Bony fragment impingement of the facial nerve on CT scan
All of the above
Facial nerve can be divided into 3 parts which consists of:
Intraparietal
Intracranial
Extratemporal
Intratemporal
True or false: Transverse temporal bone fracture is more likely to cause facial palsy than longitudinal temporal bone fracture
True
False
Gross
- Obvious weakness and disfiguring
- At rest, normal symmetry and tone
Motion
- Forehead – none
- Eye – incomplete closure
According to House-Brackmann, what grading of facial palsy is this?
HB I
HB II
HB III
HB IV
HB V
Causes of facial palsy include:
Facial schwannoma
Gullian Barre syndrome
Vacuum delivery
Lyme disease
Congenital causes of facial palsy include
Herpes zoster oticus
Melkersson-Rosenthal syndrome
Möbius syndrome
Multiple sclerosis
What syndrome is this?
Down syndrome
Mobius syndrome
Goldenhar syndrome
Grisel syndrome
This syndrome is
associated with first and second arch anomaly
associated with supernumerary ear tags and antetragal pits
associated with blindness
a congenital form of hemifacial microsomia
Management of a House Brackman Grade V Bell's palsy includes
Nothing - observe only.
Ruling out all other causes of facial palsy
Corticosteroids
Eye protection
Wallerian degeneration:
is similar to synkinesis
takes 48- 72 hours to develop post injury
is the same as axonometsis
can be detected with electroneuronography (ENoG)
This image depicts Seddon's classification of nerve injury. "D" refers to:
Neurotmesis
Neuropraxia
Axonotmetsis
Paralysis
Bilateral facial palsy can be seen in
Guillain-Barré syndrome
Sarcoidosis
Herpes zoster optics
Bell's palsy
Topodiagnostic tests include the following except:
Electromyography
Schirmer test
Acoustic reflex
Salivary flow rate test
Bonus Question: Describe this feeling
Hangry (Hunger causing anger)
Dissatisfied because no OT time
Upset that you're slow, slow, sloww
All the above
The facial nerve
Is motor to the tensor tympani muscle
lies above the oval window
lies below the superior SCC
is a purely sensory nerve
Blood supply to the facial nerve includes:
labyrinthine artery
stylomastoid artery
PICA
superficial petrosal artery
Surgical landmarks to identify the facial nerve in otological surgery include:
Processus cochleariformis
Cartilaginous pointer
Short process of incus
Oval window
Describe the anomaly in this HRCT temporal
Right temporal bone fracture
Left temporal bone fracture
Otic capsule violating
Otic capsule sparing
Treat meant for this child includes:
Vitamin C
Acyclovir
Eye drops
Facial exercises
The narrowest and shortest intratemporal segment of the facial nerve is the ________ segment.
mastoid
tympanic
labyrinthine
meatal
