Neurology- APEA test questions already graded A+.

Neurology- APEA test
questions already
graded A+
Bell's Palsy:
Description - answer Disruption of facial nerve
(cranial nerve VII) that results in interruption of
messages to brain.


Bell's Palsy:
Etiology (5) - 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) - 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) - 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 - answer - Clinical presentation
- Lyme titer?
- CT r/o cva


Bell's Palsy:
NonRX
RX (2) - 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) - answer - Recovery times vary