Maxfax

Question 1

Bells palsy recovery

Answer 1

84% of patients with Bell’s Palsy will recover full or near normal function without any treatment. Most people with Bell’s palsy make a full recovery within 9 months.

Question 2

Discharge advice for Bells palsy

Answer 2

Attend GP if a rashes appears

Steroids if symptoms started in the last 72hrs

Question 3

V1 nerve block

Answer 3

supraorbital foramen which can be palpated as the notch in the supraorbital ridge

Question 4

V2 nerve block

Answer 4

infraorbital foramen just below the eye. This can be accessed via an intraoral approach with injection anterior to the 2nd premolar.

Question 5

V3 nerve block

Answer 5

inferior alveolar nerve which can be accessed intra-orally via injection at the coronoid notch, and the mental nerve with can be accessed via injection anterior to the lower 2nd premolar

Question 6

Trochlear nerve controls which muscle

Answer 6

SO4

Superior oblique

Unopposed superior rectus - difficulty looking down and vertical diplopia

Question 7

Abducens nerve supplies what?

Answer 7

Lateral rectus

LR6

horizontal diplopia when looking towards affected side