NSG 555 / NSG555 Quiz 3 (v3):
Nurse Practitioners in Primary Care
II | Latest - Wilkes
Question:
Bell's palsy
Answer:
facial muscle weakness or paralysis
typically one sided
dysfunction of facial nerve, CN VII
-controls facial expression, eye blinking and closing
-tear glands and salivary glands and taste
Question:
Cause of bell's palsy
Answer:
Idiopathic
Inflammation of the facial nerve where it leaves the skull
May be linked to reactivation of some viruses (EBV, varicella, herpes) by
stress, trauma or acute infx
,Question:
Sx of Bell's palsy
Answer:
Sudden onset less than 72 hours
Within couple days
Mild weakness to total paralysis
Drooping of mouth
Drooling
Inability to close one eye
Facial pain or abnormal sensation
Distorted sense of taste
Intolerance to loud noise
May report pain behind ear preceding the facial paralysis by 1-2 days
History of recent illness
,Question:
Bell’s palsy risk factors
Answer:
diabetes
pregnancy
HTN
obesity
URI
family hx
hypothyroidism
Question:
Bell’s palsy diagnosis
Answer:
clinical after exclusion of other causes (stroke, lyme dz, tumor)
Question:
Bell’s palsy PE
Answer:
Cranial nerve test, esp sensory motor function/deficits
, Question:
If forehead muscles are unaffected when considering Bell’s palsy
Answer:
central cause must be suspected bc forehead receives impulses from both
sides of the brain
Question:
Bell’s palsy diagnostics are not usually indicated
Answer:
Can perform:
MRI, CT can r/o other causes (tumor, skull fx)
EMG - nerve damage and severity
Lyme test
Nurse Practitioners in Primary Care
II | Latest - Wilkes
Question:
Bell's palsy
Answer:
facial muscle weakness or paralysis
typically one sided
dysfunction of facial nerve, CN VII
-controls facial expression, eye blinking and closing
-tear glands and salivary glands and taste
Question:
Cause of bell's palsy
Answer:
Idiopathic
Inflammation of the facial nerve where it leaves the skull
May be linked to reactivation of some viruses (EBV, varicella, herpes) by
stress, trauma or acute infx
,Question:
Sx of Bell's palsy
Answer:
Sudden onset less than 72 hours
Within couple days
Mild weakness to total paralysis
Drooping of mouth
Drooling
Inability to close one eye
Facial pain or abnormal sensation
Distorted sense of taste
Intolerance to loud noise
May report pain behind ear preceding the facial paralysis by 1-2 days
History of recent illness
,Question:
Bell’s palsy risk factors
Answer:
diabetes
pregnancy
HTN
obesity
URI
family hx
hypothyroidism
Question:
Bell’s palsy diagnosis
Answer:
clinical after exclusion of other causes (stroke, lyme dz, tumor)
Question:
Bell’s palsy PE
Answer:
Cranial nerve test, esp sensory motor function/deficits
, Question:
If forehead muscles are unaffected when considering Bell’s palsy
Answer:
central cause must be suspected bc forehead receives impulses from both
sides of the brain
Question:
Bell’s palsy diagnostics are not usually indicated
Answer:
Can perform:
MRI, CT can r/o other causes (tumor, skull fx)
EMG - nerve damage and severity
Lyme test
