MRCP UK EXAMINATIONS

NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse is caring for a patient in the emergency department with an onset of pain related to trigeminal neuralgia. What subjective data stated by the patient does the nurse determine triggered the paroxysms of pain?
A
“I was taking a bath.”
B
“I was putting my shoes on.”
C
“I was brushing my teeth.”
D
“I was sitting at home watching television.”
Explanation: 

Detailed explanation-1: -There’s no specific test for trigeminal neuralgia, so a diagnosis is usually based on your symptoms and description of the pain. If you’ve experienced attacks of facial pain, the GP will ask you questions about your symptoms, such as: how often do the pain attacks happen. how long do the pain attacks last.

Detailed explanation-2: -First-line treatment for trigeminal neuralgia (TN) is medication, and if the medication fails or severe side effects develop, surgical treatment may be offered. Approximately half of patients will fail medical thearpy. Carbamazepine (CBZ) and oxcarbazepine (OXC) are considered first-line therapy.

Detailed explanation-3: -Trigeminal neuralgia (TN), also known as tic douloureux, is a type of chronic pain disorder that involves sudden, severe facial pain. It affects the trigeminal nerve, or fifth cranial nerve, which provides feeling and nerve signaling to many parts of the head and face.

Detailed explanation-4: -Classical trigeminal neuralgia is caused by pressure on the trigeminal nerve close to where it enters the brain stem. The brain stem is the lowest part of the brain that merges with the spinal cord. In most cases the pressure is caused by an artery or vein squashing (compressing) the trigeminal nerve.

There is 1 question to complete.