MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient comes to the emergency department with severe pain in the face that was stimulated by brushing the teeth. The nurse identifies which cranial nerve dysfunction is causing this pain?
A
III
B
IV
C
V
D
VI
Explanation: 

Detailed explanation-1: -Facial numbness and facial pain are indicators of trigeminal nerve lesions, but if these symptoms extend beyond the face, suspect broader causes. Trauma and Herpes Zoster are the most common causes with cerebellopontine angle and neck tumors second and finally idiopathic trigeminal neuropathy will also be discussed.

Detailed explanation-2: -Trigeminal neuralgia (TN), also known as tic douloureux, is sometimes described as the most excruciating pain known to humanity. The pain typically involves the lower face and jaw, although sometimes it affects the area around the nose and above the eye.

Detailed explanation-3: -Trigeminal neuralgia is severe facial pain due to malfunction of the 5th cranial nerve (trigeminal nerve). This nerve carries sensory information from the face to the brain and controls the muscles involved in chewing. The cause is usually an abnormally positioned artery that compresses the trigeminal nerve.

There is 1 question to complete.