MARYVILLE NURS 623 EXAM 3
COMPREHENSIVE SCRIPT WITH SOLUTIONS
◉ What cranial nerve is affected in Bell's Palsy.
Answer: CN VII
◉ S/S of Bell's Palsy.
Answer: * Acute onset one-sided Facial paralysis with normal ocular
movement and sensation
* Affects CN VII (facial)-VII(vestibulocochlear)
* Loss of taste (dysgeusia)
* Postauricular pain
* Sound sensitivity (hyperacusis)
* Heavy feeling in face
◉ How is Bell's Palsy diagnosed?.
Answer: Clinical history and exam
◉ What is a serious risk in patients with Bell's Palsey?.
Answer: Loss of the ability to blink and close the eyelid subjects the
cornea to drying and ulceration
,◉ Patient teaching for Bell's Palsey.
Answer: *reassure it is self-limiting with 3-6 month recovery
*prevent corneal ulceration/ use artificial tears
◉ *unilateral and tends to have a throbbing or pulsatile (head)
*precipitated by aura
*nausea
*vomiting
*photophobia
*phonophobia.
Answer: S/S of Migraine H/A
◉ A patient reports seeing flashes 20 minutes before having a severe
H/A what type of H/A is it?.
Answer: Classic migraine
◉ *unilateral orbital, supraorbital, and/or temporal (headache)
*causes lacrimation, rhinorrhea, and nasal congestion).
Answer: S/S of cluster H/A
, ◉ bilateral, non-pulsating, tightening (head) pain that is not
aggravated by routine physical activity. It is usually not accompanied
by nausea and vomiting or photophobia..
Answer: S/S of tension headache
◉ If a patient c/o sudden 'thunder clap' H/A worst in their life what
is a diff dx that should be considered?.
Answer: Aneurism (subarachnoid hemorrhage)
◉ potential complications of steroid use in a patient with impaired
integrity of bone structure?.
Answer: Increased risk of fracture
◉ what maneuver should be used to assess CERVICAL nerve-root
compression..
Answer: Spurling
◉ Symptoms are related to compression of the median nerve, which
results in pain, paresthesia's, numbness and tingling, and associated
weakness in the hand and wrist that radiate to the thumb, index
finger, middle finger, and radial half of the ring finger.
Answer: Carpal Tunnel Syndrome
COMPREHENSIVE SCRIPT WITH SOLUTIONS
◉ What cranial nerve is affected in Bell's Palsy.
Answer: CN VII
◉ S/S of Bell's Palsy.
Answer: * Acute onset one-sided Facial paralysis with normal ocular
movement and sensation
* Affects CN VII (facial)-VII(vestibulocochlear)
* Loss of taste (dysgeusia)
* Postauricular pain
* Sound sensitivity (hyperacusis)
* Heavy feeling in face
◉ How is Bell's Palsy diagnosed?.
Answer: Clinical history and exam
◉ What is a serious risk in patients with Bell's Palsey?.
Answer: Loss of the ability to blink and close the eyelid subjects the
cornea to drying and ulceration
,◉ Patient teaching for Bell's Palsey.
Answer: *reassure it is self-limiting with 3-6 month recovery
*prevent corneal ulceration/ use artificial tears
◉ *unilateral and tends to have a throbbing or pulsatile (head)
*precipitated by aura
*nausea
*vomiting
*photophobia
*phonophobia.
Answer: S/S of Migraine H/A
◉ A patient reports seeing flashes 20 minutes before having a severe
H/A what type of H/A is it?.
Answer: Classic migraine
◉ *unilateral orbital, supraorbital, and/or temporal (headache)
*causes lacrimation, rhinorrhea, and nasal congestion).
Answer: S/S of cluster H/A
, ◉ bilateral, non-pulsating, tightening (head) pain that is not
aggravated by routine physical activity. It is usually not accompanied
by nausea and vomiting or photophobia..
Answer: S/S of tension headache
◉ If a patient c/o sudden 'thunder clap' H/A worst in their life what
is a diff dx that should be considered?.
Answer: Aneurism (subarachnoid hemorrhage)
◉ potential complications of steroid use in a patient with impaired
integrity of bone structure?.
Answer: Increased risk of fracture
◉ what maneuver should be used to assess CERVICAL nerve-root
compression..
Answer: Spurling
◉ Symptoms are related to compression of the median nerve, which
results in pain, paresthesia's, numbness and tingling, and associated
weakness in the hand and wrist that radiate to the thumb, index
finger, middle finger, and radial half of the ring finger.
Answer: Carpal Tunnel Syndrome
