NCS GBS and Bell's Palsy

Question 1

a patient presents with onset of progressive muscle weakness of symmetric BUE and LUE without atrophy with areflexia over the past 8 weeks. you begin to think this is likely
a. GBS
b. AIDN
c. CIDN

Answer 1

c. CIDN

Question 2

your patient comes to the hospital with rapid onset of symmetrical weakness with areflexia without atrophy 3 days ago. you expect peak neurological deficits
a. 8 days from onset of weakness
b. 2 weeks from onset of weakness
c. 4 weeks from onset of weakness

Answer 2

a. 8 days from onset of weakness

Question 3

true or false: most persons with GBS do not have pain

Answer 3

false - 72% have pain at some point

Question 4

you are working with a person with GBS who has anti gravity strength but fatigues within 5-6 reps. what stage of the disease are they in
a. acute
b. subacute
c. chronic

Answer 4

b. subacute

Question 5

which of the following is not a risk factor for Bell’s Palsy
a. pregnancy
b. DM and HTN
c. immunocompromised
d. lyme disease
e. none of the above

Answer 5

e. none of the above
all of these are risk factors

Question 6

you are working with a patient with Bell’s Palsy
after 6 weeks, they demonstrate normal symmetrical forehead, eye, and mouth movements. which house brackmann grade do they fall under
a. grade 1
b. grade 2
c. grade 3
d. grade 4
e. grade 5
f. grade 6

Answer 6

a. grade 1

Question 7

you are working with a patient with Bell’s Palsy
they demonstrate slight weakness on active facial movement but normal resting tone. they have moderate forehead movement with complete eye closure with minimal effort and slight asymmetry of their smile. which house brackmann grade do they fall under
a. grade 1
b. grade 2
c. grade 3
d. grade 4
e. grade 5
f. grade 6

Answer 7

b. grade 2

Question 8

you are working with a patient with Bell’s Palsy
they demonstrate normal resting tone with slight movement of the forehead, complete closure of the eye with max effort, and weakness of smile with maximal effort
which house brackmann grade do they fall under
a. grade 1
b. grade 2
c. grade 3
d. grade 4
e. grade 5
f. grade 6

Answer 8

c. grade 3

Question 9

you are working with a patient with Bell’s Palsy
they demonstrate disfigured resting tone, no movement of the forehead, incomplete closure of the eye and asymmetrical smile with maximal effort
which house brackmann grade do they fall under
a. grade 1
b. grade 2
c. grade 3
d. grade 4
e. grade 5
f. grade 6

Answer 9

d. grade 4

Question 10

you are working with a patient with Bell’s Palsy
they demonstrate disfigured resting tone, no forehead movement, incomplete eye closure, and little mouth movement with maximal effort
which house brackmann grade do they fall under
a. grade 1
b. grade 2
c. grade 3
d. grade 4
e. grade 5
f. grade 6

Answer 10

e. grade 5

Question 11

you are working with a patient with Bell’s Palsy
they demonstrate disfigured resting tone without activation of any of the facial muscles
which house brackmann grade do they fall under
a. grade 1
b. grade 2
c. grade 3
d. grade 4
e. grade 5
f. grade 6

Answer 11

f. grade 6

Question 12

your patient presents with bell’s palsy house brackmann grade 3. they ask about prognosis with therapy. what do you tell them
a. you will make 100% recovery in 1 month
b. you will make half of your improvement over the next 3 weeks and complete resolution in 6 months
c. persons with Bell’s palsy never make recovery

Answer 12

b. you will make half of your improvement over the next 3 weeks and complete resolution in 6 months

Question 13

you are working with a patient with Bell’s palsy. you decide to initiate laser therapy as an adjunct to facial exercises and massage. which of the following is an appropriate dosage
a. 1x/wk 8 weeks
b. 3x/wk 6 weeks
c. 6x/wk 2 weeks

Answer 13

b. 3x/wk 6 weeks