Texas EMS Magazine, Volume 33, Number 6, November/December 2012 Page: 32
40 p. ; col. ill. : 28 cm.View a full description of this periodical.
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4. Most patients who are afflicted with
Bell's palsy are
A. 10to 20 years old
B. 20 to 40 years old
C. 30 to 50 years old
D. Over the age of 65
5. Pronator drift results consistent with
a diagnosis of Bell's palsy would be
A. Positive-you expect the
patient to be able to hold his
arms in place
B. Negative-you expect the
patients arms / arm to drift
downwards
C. Positive-you expect the
patients arm/arms to drift
downwards
D. Negative-you expect the
patient to be able to hold his
arms in place
6. Every patient diagnosed with Bell's
palsy will be cured eventually with
appropriate treatment.
A. True
B. False
7. Because you suspect Bell's palsy in
this patient and not a cerebrovascular
accident, it is unnecessary for this
patient to go to the hospital for further
evaluation.
A. True
B. False
8. The patient complains of burning
and dryness in his right eye. This is
due to
A. The patient's history of
seasonal allergies
B. The patient's pain from his
right ear and headache is
radiating to his right eye
C. Paralysis of the nerve that
serves the eye muscles is
preventing him from closing
his eyeD. The patient is experiencing an
aneurysm in the vessels in the
right eye; this is common with
a right-sided CVA9. The patient's facial paralysis affects
the forehead, eye and mouth; this
indicates that the lesion or irritation of
the nerve is located at the
A. Central facial nerve in the right
hemisphere
B. Central facial nerve in the left
hemisphere
C. Peripheral facial nerve on the
right side
D. Peripheral facial nerve on the
left side
10. A patient suffering from a
cerebrovascular accident would
typically present with facial paralysis
A. On the lower half of the face,
contralateral to the injured
neurons
B. On the upper half of the face,
contralateral to the injured
neurons
C. On the lower half of the face,
same side as the injured
neurons
D. On the upper half of the face,
same side as the injured
neurons
11. This patient may find immediate
comfort in which of the following
interventions?
A. Supplemental oxygen
administration
B. Aspirin to alleviate the
headache
C. Scalp massage behind the right
ear
D. Lubrication for the right eye
12. Viruses commonly linked to Bell's
palsy include all of the following
except
A. Rabies virus
B. Herpes simplex type 1
C. Influenza
D. Epstein-Barr13. A person may be more likely to
develop Bell's palsy if they have anyof the following histories/conditions
except
A. Previous history of CVA
B. Diabetes
C. Currently pregnant
D. HSV type I virus
14. A patient with a history of
diabetes is at an increased risk of not
experiencing a full recovery and being
diagnosed with Bell's palsy more than
once.
A. True
B. False
Scenario
Your patient is a 65-year-old female
who reports acute onset of facial
paralysis about one hour ago. She has
a medical history of hypertension and
IDDM (insulin-dependent diabetes
mellitus); both are well controlled
with medications. She tells you that
she has been sick recently with the
flu but has been taking all of her
medications as regularly prescribed.
When she performs the smile test there
is obvious asymmetry with drooping
of the mouth on the right side. She has
a positive pronator drift test and is able
to raise both eyebrows.
15. Given the information so far, you
suspect this patient's diagnosis may be
which of the following?
A. Drug overdose
B. Bell's palsy
C. Cerebrovascular accident
D. Idiopathic facial paralysis
16. With this diagnosis, the signs
and symptoms indicate this patient's
nervous system damage is located
where?
A. Central nerves in the right
hemisphere
B. Central nerves in the left
hemisphereC. Peripheral nerves on the right
side
D. Peripheral nerves on the left
side32 Texas EMS Magazine November/December 2012
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Texas. Department of State Health Services. Texas EMS Magazine, Volume 33, Number 6, November/December 2012, periodical, November 2012; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth541925/m1/32/: accessed July 18, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting UNT Libraries Government Documents Department.