Facial drooping can be associated with which two disorders? (Select All that Apply.)

Acromegaly

Bells Palsy

CVA

Parkinson’s

Answer and Explanation

Correct Answer : B,C

A) Acromegaly: Acromegaly is a condition caused by excess growth hormone, leading to enlargement of bones and tissues, particularly in the hands, feet, and face. While facial features can appear more pronounced due to bone growth, acromegaly itself does not cause facial drooping as a prominent symptom. The condition does not typically present with the sudden onset of facial weakness or asymmetry associated with drooping.

B) Bell’s Palsy: Bell’s Palsy is a disorder that affects the facial nerve, leading to sudden, unilateral facial drooping or paralysis. It is often caused by inflammation of the facial nerve, and facial drooping is one of its hallmark symptoms. It usually occurs on one side of the face, causing weakness or loss of muscle tone, leading to the drooping appearance.

C) CVA (Cerebrovascular Accident): A CVA, or stroke, can result in facial drooping, typically on one side of the face, if the stroke affects areas of the brain controlling facial muscles. A common sign of a stroke is the sudden development of facial asymmetry, including drooping of the mouth or eyelid. It is an important symptom to monitor in assessing neurological function following a stroke.

D) Parkinson’s Disease: Parkinson’s disease can cause facial changes, such as reduced blinking and a "masked" appearance, but it does not typically cause facial drooping in the same way that Bell's Palsy or a CVA would. Parkinson’s-related facial changes stem from reduced movement rather than sudden weakness or paralysis of the facial muscles. While facial expression can be diminished, true drooping is less common.

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Correct Answer is D

Explanation

A) Oral Candidiasis: Oral candidiasis, also known as a yeast infection or thrush, typically presents as white patches or plaques on the mucosa, especially on the tongue, inner cheeks, and roof of the mouth. These lesions are not usually painful unless they become irritated or infected. They are different from aphthous ulcers, which are small, round, and painful sores that occur on the mucous membranes of the mouth.

B) Thrush: Thrush is another term for oral candidiasis, caused by the overgrowth of Candida albicans. As with oral candidiasis, thrush typically presents as white lesions or patches rather than painful, round, white lesions like those seen in aphthous ulcers. These lesions can often be scraped off, which distinguishes them from the painful lesions associated with aphthous ulcers.

C) Hepatic Disease: Hepatic disease can cause various symptoms such as jaundice (yellowing of the skin and eyes), dark urine, and abdominal discomfort, but it does not specifically lead to small, round, white painful lesions in the mouth. The lesions described in the question are more characteristic of aphthous ulcers rather than a systemic condition like hepatic disease.
D) Aphthous Ulcers: Aphthous ulcers, also known as canker sores, are small, round, painful lesions that commonly appear on the oral mucosa. These sores are typically white or yellow with a red border and are known to be painful, particularly when eating or talking. This condition is the most consistent with the symptoms described in the question, including the size, shape, and pain associated with the lesions.

A. pearly gray tympanic membrane B. erythema tympanic membrane C. edema of the tympanic membrane D. bulging of the tympanic membrane

Correct Answer is A

Explanation

A) Pearly gray tympanic membrane: A healthy, normal tympanic membrane (eardrum) typically appears pearly gray and translucent. In the case of acute otitis media (AOM), the tympanic membrane usually appears erythematous (red) due to inflammation and may be bulging or swollen. A pearly gray tympanic membrane would be inconsistent with the diagnosis of acute otitis media, as it suggests a lack of infection or inflammation.

B) Erythema tympanic membrane: Erythema, or redness, of the tympanic membrane, is a common finding in acute otitis media. The inflammation from the infection causes the membrane to appear red or inflamed. This finding is consistent with the diagnosis of AOM and indicates irritation or infection in the middle ear.

C) Edema of the tympanic membrane: Edema (swelling) of the tympanic membrane is a common finding in acute otitis media. The middle ear becomes inflamed and fluid-filled, leading to swelling of the tympanic membrane. This is consistent with the diagnosis of AOM.

D) Bulging of the tympanic membrane: Bulging of the tympanic membrane is another classic sign of acute otitis media. The buildup of fluid and pus behind the eardrum causes it to bulge outward. This finding is consistent with AOM and indicates a more severe or advanced stage of the infection.

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Facial drooping can be associated with which two disorders? (Select All that Apply.)

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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