Bell's Palsy/Trigeminal Neuralgia

Question 1

Harold Riverbank

2 human needs

Answer 1

deficit in protection from health risks
due to bell’s palsy
evidenced by difficulty in taking care of mouth
deficit in skin and mucous membrane integrity of head and neck
due to phenytoin
evidenced by gingival hyperplasia

Question 2

which drug could be cause of gingival hyperplasia

Answer 2

phenytoin

Question 3

nerve damaged to cause mr. riverbank’s Bell’s palsy condition

Answer 3

facial

Question 4

t/f:

mr. riverbank’s risorius muscle is effected from bell’s palsy

Answer 4

true

Question 5

t/f:

nerve affected in bell’s palsy is derivative of 1st branchial arch

Answer 5

false

Question 6

t/f:

after age 50 bell’s palsy more common in men

Answer 6

true

Question 7

b/c affected nerve in Bell’s palsy travels through the ____ gland, there could be secondary injury to the gland or surrounding area

Answer 7

parotid

Question 8

affects ability to chew and maintain a self cleansing environment

Answer 8

oral musculature numbness

Question 9

believed to be most likely causative virus for bell’s palsy

Answer 9

herpes simplex virus type 1

Question 10

causative virus {of bell’s palsy} triggers inflammation in the nerve in the area of the

Answer 10

stylomastoid foramen

Question 11

combination of ____ and ___ can be used to improve prognosis of bell’s palsy

Answer 11

corticosteroids or prednisone

antiviral agents or acyclovir

Question 12

why has nancy airline been avoiding coming in for regular cleaning

Answer 12

patient may avoid oral hygiene b/c of fear that it may trigger pain

Question 13

drugs shown to be most effective treating trigeminal neuralgia

Answer 13

gabapentin

carbamazepine

Question 14

3 branches of trigeminal nerve

Answer 14

ophthalmic (V1)
maxillary (V2)
mandibular (v3)

Question 15

t/f:
trigeminal neuralgia is characterized by sudden, lengthy, severe, pains when facial trigger zones are touched or even when speaking or masticating, setting off assoc brief muscle spasms or tics in the area

Answer 15

false

Question 16

trigeminal neuralgia is seen more in

Answer 16

female > 50 yrs

Question 17

t/f:
all of the muscles of mastication are derivatives of 2nd branchial arch, and they’re also innervated by V3 mandibular nerve

Answer 17

false

Question 18

nerve passes through superior orbital fissure

Answer 18

ophthalmic

Question 19

drugs may be paired w/ anticonvulsant drugs for trigeminal neuralgia

Answer 19

baclofen

Question 20

t/f:

botox injections can help prevent appearance of wrinkles, and are also a treatment of trigeminal neuralgia

Answer 20

true

Question 21

symptoms of trigeminal neuralgia are describe as unilateral pain that occurs most often in the ___ division and more often on the ___ side of face

Answer 21

mandibular

right

Question 22

impaired sensation is

Answer 22

hyperestheisa