The most widely accepted empiric treatment for Bell's palsy is:
a nonsteroidal anti-inflammatory drug (NSAID).
a third-generation cephalosporin.
gabapentin (Neurontin).
prednisone.
The Correct Answer is D
Rationale:
A. NSAIDs may help with pain but do not treat the underlying inflammation of the facial nerve in Bell’s palsy.
B. Third-generation cephalosporins are antibiotics and are not indicated unless there is a concurrent bacterial infection.
C. Gabapentin is used for neuropathic pain but is not first-line therapy for Bell’s palsy.
D. Prednisone, a corticosteroid, is the most widely accepted empiric treatment for Bell’s palsy. It reduces inflammation and edema of the facial nerve, improving the likelihood of recovery, especially when started early.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Inversion of the foot refers to turning the sole inward, not pes planus.
B. Pes planus is the medical term for flat feet, a condition where the arches of the feet are flattened, allowing the entire sole to touch the ground. It can be flexible or rigid and may be asymptomatic in children.
C. Metatarsus refers to the long bones of the foot, not the arch configuration.
D. Pigeon toe (in-toeing) describes a rotational deformity of the feet, not the flattening of the arches.
Correct Answer is C
Explanation
Rationale:
A. Persistent worry about future events is more characteristic of generalized anxiety disorder rather than depression.
B. Unrealistic worry about harm to family is also suggestive of anxiety disorders in children.
C. Loss of pleasure in almost all activities (anhedonia) is a core symptom of depression in children and adolescents, alongside other signs such as sleep disturbances, poor school performance, and decreased concentration.
D. Hyperventilation is typically a physical manifestation of anxiety or panic attacks, not depression.
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