Lec 6 Part II

Question 1

Often seen in patients with trigeminal neuralgia.

Answer 1

Teeth extracted bc they think it’s the cause of their pain.

Question 2

Most frequently diagnosed form of neuralgia.

Answer 2

Trigeminal Neuralgia

Question 3

Trigeminal neuralgia more common in males or females?

Answer 3

Females

Question 4

Location of trigeminal neuralgia pain.

Answer 4

Unilateral, more common on right side.

Question 5

Trigeminal neuralgia rarely involves this branch.

Answer 5

Ophthalmic

Question 6

How long do TN attacks last?

Answer 6

Seconds

Question 7

This is normal in TN patients.

Answer 7

Cranial nerve exam

Question 8

Often occurs with TN.

Answer 8

Multiple sclerosis

Question 9

What causes TN?

Answer 9

Compression of the trigeminal nerve by neoplastic or vascular entities and demyelinating conditions.

Question 10

A demyelinating condition that can cause trigeminal neuralgia.

Answer 10

MS

Question 11

Meds for TN

Answer 11

Anticonvulsants

Question 12

Pain when swallowing

Answer 12

Glossopharyngeal Neuralgia

Question 13

GN more common in males or females?

Answer 13

Males

Question 14

These occur after the attacks in Glossopharyngeal Neuralgia.

Answer 14

refractory periods

Question 15

What causes GN?

Answer 15

Unknown

Question 16

Can be mistaken for myofascial pain.

Answer 16

Odontogenic pain

Question 17

A type of non-odontogenic pain.

Answer 17

Atypical Odontalgia

Question 18

Atypical Odontalgia AKA

Answer 18

Atypical Facial PAIN

Phantom Tooth Pain

Question 19

Chronic pain in a tooth, or in a site where teeth have been extracted, without an identifiable cause.

Answer 19

Atypical Odontalgia

Question 20

How long does Atypical Odontalgia last?

Answer 20

Minutes to Hours

Question 21

Radiographic feature seen in Eagle’s Syndrome.

Answer 21

Calcification of the stylohyoid ligament

Question 22

Primary complaint of Eagle’s Syndrome.

Answer 22

Dysphagia

Sensation of a foreign body in the throat.

Question 23

This alone does not mean it’s Eagle’s Syndrome.

Answer 23

Calcification of the stylohyoid ligament.

Question 24

Secondary complaints of what?

Otalgia
Headache
Pain in the distribution of the carotid
Pain in the TMJ
Generalized facial pain

Answer 24

Eagle’s Syndrome

Question 25

Can cause what kind of pain: ``` Giant cell arteritis Ear infection Sinus infection Lyme Disease Herpes Zoster ```

Answer 25

Orofacial pain

Question 26

Have an elevated erythrocyte sedementation rate in this disease.

Answer 26

Temporal arteritis

Question 27

Gold standard for diagnosing Temporal Arteritis

Answer 27

Biopsy

Question 28

Medication for Temporal Arteritis

Answer 28

High dose corticosteroids (Prednisone) --> anti-inflammatory

Question 29

Occurs if Temporal Arteritis is left untreated.

Answer 29

Blindness

Question 30

Symptom of Temporal Arteritis

Answer 30

Blurry vision that does not go away, and worsens when you palpate the artery.

Question 31

This is absent in Temporal Arteritis

Answer 31

Lymphadenopathy

Question 32

Fever, fatigue, malaise, weight loss, and night sweats found in what?

Answer 32

Temporal Arteritis

Question 33

Cause of temporal arteritis

Answer 33

Autoimmune

Question 34

Temporal Arteritis more common in males or females?

Answer 34

Females

Question 35

A branch of the carotid artery.

Answer 35

Temporal Artery

Question 36

Equalizes pressure in the middle ear to that of the external environment.

Answer 36

Eustachian tube.

Question 37

What does the Eustachian tube connect?

Answer 37

Middle ear to nasopharynx.

Question 38

Interstitial fluid forms in the Eustachian Tube, and bacteria grow to cause a middle ear infection.

Answer 38

Otitis Media

Question 39

Babies with otitis media don't want to do this or cry when they do this bc pressure increases and causes pain.

Answer 39

Lay down

Question 40

Causes otitis media.

Answer 40

Bacterial or Viral infections from an upper respiratory infection,

Question 41

Central event in sinusitis.

Answer 41

Blockage of the sinus

Question 42

Symptoms of what? ``` Nasal stiffness Sinus fullness Post-nasal drip Tenderness over the sinus Aching of maxillary teeth ```

Answer 42

Maxillary sinusitis

Question 43

Lyme Diseases bacterial or viral?

Answer 43

BACTERIAL

Question 44

Dx: Bull's Eye Rash Flu-like Symptoms Joint pain Neurological problems

Answer 44

Lyme Disease

Question 45

Herpes Zoster (Shingles) involves this division of trigeminal nerve 80% of the time.

Answer 45

Ophthalmic

Question 46

Reactivation of this causes Herpes Zoster

Answer 46

Varicella-zoster virus

Question 47

Dx: - Duration = constant - Location = along affected nerve - Quality = Burning, sharp, aching, shooting, itching, tingling - Intensity = moderate to severe - Herpetic, maculopapular rash

Answer 47

Shingles (Herpes Zoster Virus)

Question 48

A condition characterized by pain that persists for more than 3 months after healing of a shingles rash.

Answer 48

Postherpetic neuralgia

Question 49

Dx: 1) increasing in intensitywith increasing sexual excitement 2) Abrupt explosive intensity just before or with orgasm.

Answer 49

Primary Headache Associated with Sexual Activity

Question 50

A stiff neck may be a sign of what?

Answer 50

Meningitis

Question 51

These have a sudden release of Histamine or Serotonin

Answer 51

Cluster headaches

Question 52

How long does TN last?

Answer 52

A few seconds Feels like electric shock,

Question 53

This pain can shift locations.

Answer 53

Atypical Odontalgia