[bells palsy]

Answer 1

70%

Answer 2

rapid (e.g. overnight/after a nap)

Answer 3

unilateral weakness

Answer 4

hyperacusus (stapedius)

Answer 5

Pain (ear)
sensory loss (ipsilateral)

Answer 6

VII supplies anterior 2/3s of the tongue

Answer 7

DM (500%)

Pregnancy (300%)

Answer 8

buccinator

Answer 9

normal side pulls lips up, affected side droops. Any 7th nerve palsy

Answer 10

under bilateral cortical control

Answer 11

misconnection of healing paraasympathetic fibres

eating stimulates ipsilateral lacrimation but not salivation

Answer 12

Borrelia causing Lyme disease

Answer 13

Borrelia antibodies

Answer 14

prednisolone 60mg/5day

Answer 15

inability to lacrimate

Question 16

[bells][ramsayhunt]: what is the causative agent

Answer 16

varicella zoster virus

Question 17

[bells][ramsayhunt]: which ganglion is affected?

Answer 17

geniculate ganglion of VIIth

Question 18

[bells][ramsayhunt]: what is the cardinal symptom

Answer 18

painful rash in auditory canal

Question 19

[bells][ramsayhunt]: what other symptoms accompany the cardinal (5)

Answer 19

ipsilateral facial palsy
tinnitus
loss of taste
dry mouth/eyes
deafness

Question 20

[bells][ramsayhunt]: 1st line Mx? (2)

Answer 20

Aciclovir 800mg PO 5 times daily for 7 days
+
Prednisolone

Question 21

[bells][ramsayhunt]: within what time period should you aim to administer Tx

Answer 21

72 hours