Question 1
Patient: 52-year-old white male.
Chief complaint: "Suddenly I can't move half my face or close my eye and my ear is
ringing! Everything has less taste. My mouth is a little dry."
Current Findings: Symptoms appeared suddenly. Facial paralysis on the left half of the face,
including the forehead. The patient has tenderness posterior to his left ear. Eyes are moist.
Question: Which nerve do you suspect has a lesion?
CORRECT ANSWER
facial nerve CN VII
Question 2
Symptoms appeared suddenly. Facial paralysis on the left half of the face, including the
forehead. The patient has tenderness posterior to his left ear. Eyes are moist.
The nerve in question (facial nerve) exits the skull through?
CORRECT ANSWER
the stylomastoid foramen and passes through the parotid gland
Question 3
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,Symptoms appeared suddenly. Facial paralysis on the left half of the face, including the
forehead. The patient has tenderness posterior to his left ear. Eyes are moist.
image that asks the location of the lesion? see image
CORRECT ANSWER
2, distal to geniculate ganglion
Question 4
Symptoms appeared suddenly. Facial paralysis on the left half of the face, including the
forehead. The patient has tenderness posterior to his left ear. Eyes are moist.
which nerve is responsible for the patients loss of taste?
CORRECT ANSWER
chorda tympani
Question 5
immediately after the accident, your patient's blood needed to clot at the side of injured
blood vessels. The sequence of chemicals that are involved in the process of
clot formation is:
CORRECT ANSWER
1. tissue factor
2. prothrombin
3. thrombin
4. fibrinogen
5. fibrin
Question 6
2
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,from which branchial arch is the fractured bone derived?
CORRECT ANSWER
first
Question 7
which of the following nerves may have been damaged?
CORRECT ANSWER
inferior alveolar nerve
Question 8
what types of tissue were damaged by the fracture (select all the correct answers)?
CORRECT ANSWER
cortical compact bone & spongy/ trabecular/ cancellous bone
Question 9
Patient: 23-year-old Asian American male
Chief complaint: "About three hours ago a crazy guy came up to me on the street and hit
me in the head with a bottle. I felt okay at first, but now I feel dizzy and nauseous."
Current Findings: Swelling on the right side of the patient's head, superior and anterior to his
ear. He is slurring his speech. The results of an MRI indicate an epidural bleed.
Question: The hemorrhage is located between which two types of tissue?
CORRECT ANSWER
3
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, dense connective tissue and compact bone
epidural bleed is located between dura mater (dense irregular connective tissue) and the
skull (two layers of compact bone with spongy bone between them).
Question 10
Current Findings: Swelling on the right side of the patient's head, superior and anterior to his
ear. He is slurring his speech. The results of an MRI indicate an epidural bleed.
which bones might be fractured?
CORRECT ANSWER
1. parietal
2. frontal
3. temporal
4. sphenoid
Question 11
Current Findings: Swelling on the right side of the patient's head, superior and anterior to his
ear. He is slurring his speech. The results of an MRI indicate an epidural bleed.
There is most likely a tear in the wall of which blood vessel?
CORRECT ANSWER
middle meningeal artery
crosses the internal surface of pterion where four bones articulate and is vulnerable to a
tear.
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Patient: 52-year-old white male.
Chief complaint: "Suddenly I can't move half my face or close my eye and my ear is
ringing! Everything has less taste. My mouth is a little dry."
Current Findings: Symptoms appeared suddenly. Facial paralysis on the left half of the face,
including the forehead. The patient has tenderness posterior to his left ear. Eyes are moist.
Question: Which nerve do you suspect has a lesion?
CORRECT ANSWER
facial nerve CN VII
Question 2
Symptoms appeared suddenly. Facial paralysis on the left half of the face, including the
forehead. The patient has tenderness posterior to his left ear. Eyes are moist.
The nerve in question (facial nerve) exits the skull through?
CORRECT ANSWER
the stylomastoid foramen and passes through the parotid gland
Question 3
1
@https://www.stuvia.com/user/thestudyvault
,Symptoms appeared suddenly. Facial paralysis on the left half of the face, including the
forehead. The patient has tenderness posterior to his left ear. Eyes are moist.
image that asks the location of the lesion? see image
CORRECT ANSWER
2, distal to geniculate ganglion
Question 4
Symptoms appeared suddenly. Facial paralysis on the left half of the face, including the
forehead. The patient has tenderness posterior to his left ear. Eyes are moist.
which nerve is responsible for the patients loss of taste?
CORRECT ANSWER
chorda tympani
Question 5
immediately after the accident, your patient's blood needed to clot at the side of injured
blood vessels. The sequence of chemicals that are involved in the process of
clot formation is:
CORRECT ANSWER
1. tissue factor
2. prothrombin
3. thrombin
4. fibrinogen
5. fibrin
Question 6
2
@https://www.stuvia.com/user/thestudyvault
,from which branchial arch is the fractured bone derived?
CORRECT ANSWER
first
Question 7
which of the following nerves may have been damaged?
CORRECT ANSWER
inferior alveolar nerve
Question 8
what types of tissue were damaged by the fracture (select all the correct answers)?
CORRECT ANSWER
cortical compact bone & spongy/ trabecular/ cancellous bone
Question 9
Patient: 23-year-old Asian American male
Chief complaint: "About three hours ago a crazy guy came up to me on the street and hit
me in the head with a bottle. I felt okay at first, but now I feel dizzy and nauseous."
Current Findings: Swelling on the right side of the patient's head, superior and anterior to his
ear. He is slurring his speech. The results of an MRI indicate an epidural bleed.
Question: The hemorrhage is located between which two types of tissue?
CORRECT ANSWER
3
@https://www.stuvia.com/user/thestudyvault
, dense connective tissue and compact bone
epidural bleed is located between dura mater (dense irregular connective tissue) and the
skull (two layers of compact bone with spongy bone between them).
Question 10
Current Findings: Swelling on the right side of the patient's head, superior and anterior to his
ear. He is slurring his speech. The results of an MRI indicate an epidural bleed.
which bones might be fractured?
CORRECT ANSWER
1. parietal
2. frontal
3. temporal
4. sphenoid
Question 11
Current Findings: Swelling on the right side of the patient's head, superior and anterior to his
ear. He is slurring his speech. The results of an MRI indicate an epidural bleed.
There is most likely a tear in the wall of which blood vessel?
CORRECT ANSWER
middle meningeal artery
crosses the internal surface of pterion where four bones articulate and is vulnerable to a
tear.
4
@https://www.stuvia.com/user/thestudyvault
