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.
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.
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