A patient complains of pain with chewing, earache, and grinding her teeth when asleep. These are symptoms of:
A. Temporomandibular joint syndrome
B. Trigeminal neuralgia
C. Facial nerve palsy
D. Angina
ANS: A
The signs and symptoms of temporomandibular joint syndrome range from mild aching to severe, sharp pain in and around the TMJs. Typically, there is pain with movement of the joint, particularly with chewing. There is tenderness of the masticatory muscles. The pain is often referred to the ear, causing pain, tinnitus, and hearing difficulties. Stress can cause jaw clenching or bruxism, resulting in fatigue or spasm of the masticatory muscles and, in turn, TMJ pain.
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