Neuro

Question 1

pt sustains orbital floor fracture with enophthalos, vertical mvmt of right eye, mild periorbital ecchymosis. which nerve may be affected?

Answer 1

infraorbital –> reduced sensation over right upper lip

Question 2

48 yo women with pearly mass behind the membrane and conduction hearing loss.

Answer 2

cholesteatomas: collection of squamous cell debris that form round pearly mass behind the tympanic membrane in the middle ear

Question 3

first line agent for narcolepsy. (symptoms: sleepiness and auditory hallucinations before falling asleep)

Answer 3

modafinil: non amphetamine stimulant thought to enhance dopaminergic signaling.