A patient visits the clinic because he has recently noticed that ...

[Destiiny22]

A patient visits the clinic because he has recently noticed that the left side of his mouth is paralyzed. He states that he cannot raise his eyebrow or whistle. The nurse suspects that he has:
 
  a. Cushing syndrome.
  b. Parkinson disease.
  c. Bell palsy.
  d. Experienced a cerebrovascular accident (CVA) or stroke.

Question 2

When examining children affected with Down syndrome (trisomy 21), the nurse looks for the possible presence of:
 
  a. Ear dysplasia.
  b. Long, thin neck.
  c. Protruding thin tongue.
  d. Narrow and raised nasal bridge.

[CharlieArnold]

Answer to Question 1

ANS: D
With an upper motor neuron lesion, as with a CVA, the patient will have paralysis of lower facial muscles, but the upper half of the face will not be affected owing to the intact nerve from the unaffected hemisphere. The person is still able to wrinkle the forehead and close the eyes.

Answer to Question 2

ANS: A
With the chromosomal aberration trisomy 21, also known as Down syndrome, head and face characteristics may include upslanting eyes with inner epicanthal folds, a flat nasal bridge, a small broad flat nose, a protruding thick tongue, ear dysplasia, a short broad neck with webbing, and small hands with a single palmar crease.