NEUROLOGY APEA PROCTORED LATEST EXAM 2025 WITH
QUESTIONS AND 100% CORRECT ANSWERS GRADED A+
Bell's Palsy:
Description VERIFIED ANSWER Disruption of facial nerve (cranial
nerve VII) that results in interruption of messages to brain.
Bell's Palsy:
Etiology (5) VERIFIED ANSWER 1. Edema, inflammation or
compression of CN 7 (facial)
2. Idiopathic
3. Viral Illnesses (Reactivation of the HSV)
4. Cold climates
5. Facial Trauma
Bell's Palsy:
RF (9) VERIFIED ANSWER -Lyme disease*
-Third trimester of pregnancy
-Family history
-Headaches
,-Chronic middle ear infection
-High blood pressure
-Diabetes
-Sarcoidosis
-Tumors
Bell's Palsy: SX (lots) VERIFIED ANSWER - Symptoms begin
suddenly*
- Unilateral facial paralysis *
- Unable to wrinkle forehead**
- Numbness/Tingling
- Loss of nasolabial fold
- Drooping of eyelid*
- Drooping of conner of mouth*
- Drooling
- Dryness (mouth/eye)*
- Excessive tearing/inadequate tearing
- Ipsilateral loss of taste*
- Ringing in one or both ears
- Impaired speech
Difficulty eating or drinking
Bell's Palsy: DX VERIFIED ANSWER - Clinical presentation
,- Lyme titer?
- CT r/o cva
Bell's Palsy:
NonRX
RX (2) VERIFIED ANSWER - Eye drops*, close and cover affected eye
at night, warm moist heat, massage
1. Oral steroids
*Mainstay!Improves outcomes
*Must start within 3 days of onset
* Tapered Prednisone PO x 10 days >16y
2. Oral Antivirals
* Acyclovir, famciclovir, valacyclovir
* Use w/ oral steroids! start w/in 72 hrs
Bell's Palsy:
Prognosis (4) VERIFIED ANSWER - Recovery times vary
- SX improve w/in 2 weeks
- Complete recovery typical in 4-6 months
- In rare cases, permanently impaired facial function
, Trigeminal Neuralgia:
Description
Etiology VERIFIED ANSWER - A severe, sharp, unilateral stabbing
pain in the distribution of one or more branches of the 5th cranial nerve
(trigeminal nerve)
- Compression of the 5th cranial nerve from structural abnormality or
idiopathic cause
Trigeminal Neuralgia:
RF (5) VERIFIED ANSWER - Women
- Age 50-60
- Multiple sclerosis
- CVA
- HTN
Trigeminal Neuralgia: SX VERIFIED ANSWER - Shock-like, severe
unilateral facial pain
- Abrupt onset
- Pain is episodic w/ spontaneous remissions
- Pain triggers: eating, talking, brushing teeth, light touch
Trigeminal Neuralgia:DX VERIFIED ANSWER A. At least three attacks
of unilateral facial pain fulfilling criteria B and C
QUESTIONS AND 100% CORRECT ANSWERS GRADED A+
Bell's Palsy:
Description VERIFIED ANSWER Disruption of facial nerve (cranial
nerve VII) that results in interruption of messages to brain.
Bell's Palsy:
Etiology (5) VERIFIED ANSWER 1. Edema, inflammation or
compression of CN 7 (facial)
2. Idiopathic
3. Viral Illnesses (Reactivation of the HSV)
4. Cold climates
5. Facial Trauma
Bell's Palsy:
RF (9) VERIFIED ANSWER -Lyme disease*
-Third trimester of pregnancy
-Family history
-Headaches
,-Chronic middle ear infection
-High blood pressure
-Diabetes
-Sarcoidosis
-Tumors
Bell's Palsy: SX (lots) VERIFIED ANSWER - Symptoms begin
suddenly*
- Unilateral facial paralysis *
- Unable to wrinkle forehead**
- Numbness/Tingling
- Loss of nasolabial fold
- Drooping of eyelid*
- Drooping of conner of mouth*
- Drooling
- Dryness (mouth/eye)*
- Excessive tearing/inadequate tearing
- Ipsilateral loss of taste*
- Ringing in one or both ears
- Impaired speech
Difficulty eating or drinking
Bell's Palsy: DX VERIFIED ANSWER - Clinical presentation
,- Lyme titer?
- CT r/o cva
Bell's Palsy:
NonRX
RX (2) VERIFIED ANSWER - Eye drops*, close and cover affected eye
at night, warm moist heat, massage
1. Oral steroids
*Mainstay!Improves outcomes
*Must start within 3 days of onset
* Tapered Prednisone PO x 10 days >16y
2. Oral Antivirals
* Acyclovir, famciclovir, valacyclovir
* Use w/ oral steroids! start w/in 72 hrs
Bell's Palsy:
Prognosis (4) VERIFIED ANSWER - Recovery times vary
- SX improve w/in 2 weeks
- Complete recovery typical in 4-6 months
- In rare cases, permanently impaired facial function
, Trigeminal Neuralgia:
Description
Etiology VERIFIED ANSWER - A severe, sharp, unilateral stabbing
pain in the distribution of one or more branches of the 5th cranial nerve
(trigeminal nerve)
- Compression of the 5th cranial nerve from structural abnormality or
idiopathic cause
Trigeminal Neuralgia:
RF (5) VERIFIED ANSWER - Women
- Age 50-60
- Multiple sclerosis
- CVA
- HTN
Trigeminal Neuralgia: SX VERIFIED ANSWER - Shock-like, severe
unilateral facial pain
- Abrupt onset
- Pain is episodic w/ spontaneous remissions
- Pain triggers: eating, talking, brushing teeth, light touch
Trigeminal Neuralgia:DX VERIFIED ANSWER A. At least three attacks
of unilateral facial pain fulfilling criteria B and C
