FACIAL NERVE SBA 1.

Paralysis of all facial muscles without hyperacusis and with intact taste sensation in anterior two third of the tongue, the site of lesion in facial nerve is a. cortical lesion b. Lesion in the internal capsule c. Lesion in stylomastoid foramen d. Lesion in fallopian canal

2. All of the following muscles are supplied by facial nerve except a. Orbicularis oculi b. Levator Palpebrae Superioris c. Posterior belly of digastric d. Orbicularis oris 3. Commonest cause of facial palsy is a. Viral b. Bacterial c. Pressure induced d. Idiopathic e. Trauma f. Malignancy 4. In upper motor neuron facial nerve palsy a. paralysis of the upper face b. paralysis of the lower face c. paralysis of the whole side of face d. none of the above 5. Theory of Bells palsy is a. Vascular b. Viral c. Autoimmune d. All of the above

6. Narrowest portion of the facial nerve in its course is a. Intracranial segment b. IAM [meatal] segment c. Labyrinthine segment d. Tympanic segment e. Mastoid segment f. Extratemporal EMQs 1. Causes of Unilateral Facial Palsy
A Stroke B Brainstem tumour C Multiple sclerosis D Acoustic neuroma E Otitis media F Cholestertoma G Bells palsy H Ramsey-Hunt syndrome I Parotid tumours J Trauma K Post-meningitis L Sarcoidosis For each of the following patients choose the SINGLE most likely underlying diagnosis from the above list of options. Each option may be used once, more than once or not at all. 1 A 30 year old woman has developed ear pain & facial weakness. On otoscopy she has an inflamed, bulging tympanic membrane. 2 A 35 year old woman has suddenly developed facial palsy. 6 months before this, she had an episode of blurred vision & unsteadiness. On examination, she has mild ataxia & an afferent papillary defect. 3 A 70 year old man has suddenly developed facial weakness, which was preceded by 2 days of severe left ear pain, vertigo & deafness. On examination, he has vesicles around his ear & on his soft palate. 4 A 50 year old woman has developed complete palsy of the left side of the face including the forehead. She also has mild facial pain & watering of the eye on that side. Her sense of taste is impaired. 5 A 56 year old woman with a history of atrial fibrillation develops sudden weakness of the right side of her face. She is still able to wrinkle both sides of

her forehead & her smile is symmetrical. 6 A 35 year old man has developed a slowly progressive right-sided facial palsy with deafness & tinnitus. As well as facial asymmetry, he is unable to adduct his right eye. His father had been similarly affected.

Answers
SBA 1. c 2. b 3. d 4. b 5. d 6. c EMQs 1. ECHGAB