Question Easy:
👂 A 25-year-old man comes to the GP surgery complaining of sudden hearing loss in one ear. He reports that he recently recovered from a cold. Which of the following is the most likely cause?
A) Otitis externa
B) Acoustic neuroma
C) Otosclerosis
D) Eustachian tube dysfunction
E) Ménière’s disease
Question Medium:
🧠 A 40-year-old woman presents with progressive weakness on one side of her face. She finds it difficult to close her eye and has decreased taste sensation on the anterior two-thirds of her tongue. Which cranial nerve is most likely affected?
A) CN III
B) CN V
C) CN VII
D) CN IX
E) CN X
Question Hard:
👁️ A 64-year-old man with a history of type 2 diabetes presents with a sudden loss of vision in his left eye, describing it as a “curtain falling” over his vision. Which of the following is the most likely cause?
A) Retinal detachment
B) Vitreous hemorrhage
C) Central retinal artery occlusion
D) Optic neuritis
E) Migraine with aura
Explanations & Answers:
Question Easy Answer: D
Question Easy Explanation: Eustachian tube dysfunction is a common cause of sudden hearing loss following an upper respiratory tract infection, as it can lead to fluid accumulation and pressure changes in the middle ear.
Question Medium Answer: C
Question Medium Explanation: The facial nerve (CN VII) is responsible for facial expressions, taste on the anterior two-thirds of the tongue, and lacrimal and salivary gland secretions. Dysfunction of this nerve leads to facial weakness and decreased taste sensation.
Question Hard Answer: A
Question Hard Explanation: Retinal detachment presents as a curtain falling over part of the visual field, often associated with sudden, painless vision loss. It is a sight-threatening emergency and requires urgent ophthalmological intervention.
Medical fact of the day:
👁️ Did you know that the fovea, a tiny part of the retina responsible for sharp central vision, has a much higher density of cone cells compared to rod cells, making it the primary site for high-resolution vision used in activities like reading and driving?
Quote of the day:
“In every patient, see a story; in every story, find a lesson; in every lesson, make a difference. 🌟”