Mrs. Fletcher comes to your office with unilateral pain during chewing, which is chronic. She does not have facial tenderness or tenderness of the scalp. Which of the following is the most likely cause of her pain?
A) Trigeminal neuralgia
B) Temporomandibular joint syndrome
C) Temporal arteritis
D) Tumor of the mandible
B) Temporomandibular joint syndrome
Temporomandibular joint syndrome is a very common cause of pain with chewing. Ischemic pain with chewing, or jaw claudication, can occur with temporal arteritis, but the lack of tenderness of the scalp overlying the artery makes this less likely. Trigeminal neuralgia can be associated with extreme tenderness over the branches of the trigeminal nerve. While a tumor of the mandible is possible, is it much less likely than the other choices.
You might also like to view...
The nurse is reading a pregnant patient's history and physical. What information does the nurse recognize might indicate the need for a cesarean delivery? (Select all that apply.)
a. History of childhood rickets b. Immobile coccyx c. Prepregnant weight of 100 pounds d. Avid horse rider e. Pelvic fracture 3 years ago
This figure provides an illustrated example of a linear relationship. What does it mean? (Select all that apply.)
a. As A becomes larger, B becomes larger. b. There is an indirect link between High and Concept A. c. As B becomes smaller, A becomes smaller. d. Concept A causes Concept B. e. The strength of the relationship is large because the portions of the concepts are explained. f. When A is absent, B is also absent.
The client tells the nurse that his skin is darker now than a week ago. Which condition could be responsible for this change?
A. Exposure to heat B. Exposure to cold C. Exposure to excess moisture D. Exposure to ultraviolet light
Which of the following regarding the use of restraints is false? a. All orders for restraint must be renewed daily. b. Restraints can be used for staff convenience. c. A medical officer must authorise the use of arestraint
d. Restraints should only be used after all other possible ways of ensuring safety have been tried.