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ANSWERS BRAND NEW EXAM ALREADY GRADED (A+
PASS)
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."
Background/or patient history: Not applicable.
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.
Which nerve do you suspect has a lesion?
A. Vagus Nerve (CN X)
B. Facial Nerve (CN VII)
C. Glossopharyngeal nerve (CN IX)
D. Trigeminal Nerve (CN V) Ans✓✓✓The facial nerve innervates the
muscles of facial expression and the nerve to stapedius (which dampens
sound). It passes through the parotid gland.
The facial nerve (CN VII) exits the skull through?
A. the stylomastoid foramen and passes through the parotid gland.
B. foramen ovale and passes deep to the parotid gland.
C. the jugular foramen and passes superficial to the parotid gland.
, D. through the external acoustic meatus and passes through the parotid
gland. Ans✓✓✓A
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."
Background/or patient history: Not applicable.
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.
What is the location of the lesion? (Picture on definition side)
Ans✓✓✓The lesion is distal to the geniculate ganglion, so the patient
has moist eyes,but is proximal to the nerve to stapedius (which dampens
sound), the chorda tympani(which consists of taste fibers from the
anterior 2/3 of the tongue andparasympathetics to the submandibular
ganglion) and branches to the muscles of facialexpression.
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."
Background/or patient history: Not applicable.
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.