EMQ/EMI Theme: Nerve Injury
A Facial nerve
B Inferior alveolar nerve
C Lingual nerve
D 5%
E 0.5%
F 2%
G 10%
H Glossopharyngeal
I Hypoglossal
J 1/200 000
K 0.05%
L 0.01%
For each of the following questions, choose the most appropriate option from the list above.
1What is the incidence of permanent lingual nerve injury subsequent to mandibular third molar surgery?
2 Which nerve neuropathy is most commonly idiopathic?
3 What is the incidence of temporary inferior alveolar nerve injury subsequent to mandibular third molar surgery?
4 A patient presents with deviation of the tongue on protrusion. Which nerve is responsible?
5 The patient presents with lack of sensation of their lower lip, gingivae and teeth on the right side. Which nerve is affected?
EMQ/EMI Theme: Nerve Injury
A Facial nerve
B Inferior alveolar nerve
C Lingual nerve
D 5%
E 0.5%
F 2%
G 10%
H Glossopharyngeal
I Hypoglossal
J 1/200 000
K 0.05%
L 0.01%
For each of the following questions, choose the most appropriate option from the list above.
1What is the incidence of permanent lingual nerve injury subsequent to mandibular third molar surgery?
2 Which nerve neuropathy is most commonly idiopathic?
3 What is the incidence of temporary inferior alveolar nerve injury subsequent to mandibular third molar surgery?
4 A patient presents with deviation of the tongue on protrusion. Which nerve is responsible?
5 The patient presents with lack of sensation of their lower lip, gingivae and teeth on the right side. Which nerve is affected?
π‘ Explanation
Okay, let's tackle this question step by step. The user provided a multiple-choice question (MCQ) with several parts related to nerve injuries and their associated options. The task is to generate a detailed explanation for each part. Let me start by understanding the structure of the question.
First, the question is an EMQ/EMI (Extended Matching Question/Extended Matching Item), which is common in medical exams like NEET PG and USMLE. The theme is "Nerve Injury," and there are five sub-questions (1 to 5) each requiring the selection of the most appropriate option from the given list (A to L). The correct answers provided are A, D, F, I, B, but the user hasn't specified which part corresponds to which answer. However, the correct answer section is left blank except for the line "Correct Answer: [Letter]. [Answer Text]".
Let me break down each sub-question and match them with the correct options based on medical knowledge.
1. **Incidence of permanent lingual nerve injury after mandibular third molar surgery**: The lingual nerve is a branch of the mandibular division of the trigeminal nerve. Injury during surgery can occur, but permanent injury is rare. The incidence is typically around 0.5% to 1%. Looking at the options, E is 0.5%, which seems plausible.
2. **Most commonly idiopathic nerve neuropathy**: Idiopathic refers to unknown cause. Bell's palsy is the most common idiopathic neuropathy and affects the facial nerve. So, option A is the answer here.
3. **Incidence of temporary inferior alveolar nerve injury**: The inferior alveolar nerve is another branch of the mandibular division. Temporary injury is more common than permanent. The incidence is around 2%, which matches option F.
4. **Tongue deviation on protrusion**: This is a classic sign of hypoglossal nerve (cranial nerve XII) injury. The hypoglossal nerve controls tongue movement, and damage leads to deviation towards the affected side. Option I is the correct choice.
5. **Lack of sensation in lower lip, gingivae, teeth**: The inferior alveolar nerve provides sensory innervation to these areas. So, the affected nerve here is the inferior alveolar nerve, which is option B.
Now, the user's correct answer section is incomplete. The example given by the user shows that the correct answers for the five parts are A (Facial nerve), D (5%), F (2%), I (Hypoglossal), B (Inferior alveolar nerve). Wait, but in the options list, D is 5% and E is 0.5%. Let me cross-verify the incidence rates again.
For permanent lingual nerve injury, the incidence is indeed around 0.5%, so option E. But the user's correct answer section lists D as the answer for the first question. That might be a mistake. Alternatively, maybe the user intended different answers. Let me check standard references.
According to literature, the incidence of permanent lingual nerve injury after third molar surgery is approximately 0.5% (option E). Temporary injury is higher. However, if the options given are D (5%) and E (0.5%), and the question is about permanent injury, then E is
β Correct Answer: B. 1E 2A 3F 4I 5B
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