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Trigeminal Neuralgia (P)
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1. Which type of pain management is least effective for trigeminal neuralgia?
*
Carbamazepine
Gabapentin
Oxcarbazepine
Paracetamol or NSAIDs
2. Which branch of the trigeminal nerve is most commonly involved in trigeminal neuralgia?
*
Maxillary
Temporal
Ophthalmic
Mandibular
3. What should be done if a patient with trigeminal neuralgia does not respond to first-line treatment?
*
Start steroids
Prescribe antibiotics
Refer to neurology
Order jaw X-ray
4. In trigeminal neuralgia, what does the presence of continuous pain or bilateral symptoms usually indicate?
*
Adequate response to treatment
A classic presentation
Resolved infection
An alternative diagnosis
5. What is a common side effect of carbamazepine?
*
Palpitations
Hypertension
Diarrhoea
Drowsiness
6. What is the typical character of pain in trigeminal neuralgia?
*
Sharp, stabbing or electric shock-like
Constant dull ache
Pulsating and throbbing
Pressure-like with fullness
7. What secondary cause should be considered in younger patients with trigeminal neuralgia symptoms?
*
Stroke
Multiple sclerosis
Parkinson’s disease
Brain metastases
8. Which symptom suggests an alternative diagnosis to classical trigeminal neuralgia?
*
Pain with wind exposure
Pain on eating
Bilateral facial pain
Brief electric shocks
9. Which cranial nerve is affected in trigeminal neuralgia?
*
Cranial nerve V
Cranial nerve VII
Cranial nerve XII
Cranial nerve IX
10. Which of the following should be monitored during carbamazepine treatment?
*
Urinalysis
Creatinine clearance
HbA1c
Full blood count and liver function
11. Which of the following is a common trigger for trigeminal neuralgia pain?
*
Touching the face or chewing
Loud noise
Physical exertion
Bright light
12. What is the primary goal of treatment in trigeminal neuralgia?
*
To reduce pain frequency and severity
To cure the underlying nerve lesion
To improve hearing
To prevent nausea and vomiting
13. What is the hallmark symptom of trigeminal neuralgia?
*
Sudden, severe facial pain in the trigeminal nerve distribution
Throbbing bilateral headache
Facial numbness and weakness
Continuous dull jaw ache
14. Which of the following is NOT a typical feature of trigeminal neuralgia?
*
Trigger zones on the face
Continuous dull pain between attacks
Unilateral pain
Sharp pain triggered by touch
15. Which feature helps differentiate secondary trigeminal neuralgia from classical trigeminal neuralgia?
*
Presence of persistent sensory changes
Brief electric shock-like pain
Unilateral pain pattern
Response to trigger zone stimulation
16. What is a surgical option for medically refractory trigeminal neuralgia?
*
Craniotomy with resection
Tonsillectomy
Microvascular decompression
Temporal artery biopsy
17. Which of the following may be seen in secondary trigeminal neuralgia?
*
Pain only when lying flat
Hearing loss
Sensory changes in the trigeminal distribution
Visual aura
18. Which imaging modality is preferred to rule out secondary causes of trigeminal neuralgia?
*
Ultrasound carotids
MRI brain
CT head
X-ray facial bones
19. What is the typical duration of pain episodes in trigeminal neuralgia?
*
Constant for hours
Seconds to 2 minutes
30–60 minutes
Intermittent over days
20. Which of the following best supports a diagnosis of classical trigeminal neuralgia?
*
Unilateral, paroxysmal facial pain with trigger areas
Bilateral burning facial pain
Constant throbbing headache
Jaw pain with chewing fatigue