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A 21-Year Old Man Is Brought to the Emergency Department

question 188

Multiple Choice

A 21-year old man is brought to the emergency department due to head trauma sustained during a boxing match.  During the fight, he had a brief loss of consciousness after a hard hit to the right side of his face.  He has a headache and muffled hearing in his right ear.  On examination, the patient is alert and oriented.  Palpation of the head does not reveal any step-offs.  Cervical spine examination is normal.  Otoscopic examination reveals hemotympanum in the right ear.  This patient is at greatest risk for injury involving which of the following cranial nerves?

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Definitions:

Corpus Luteum

A temporary endocrine structure in female ovaries involved in the production of progesterone during the menstrual cycle and early pregnancy.

Follicle

(1) A simple, dry, dehiscent fruit that develops from a single carpel and splits open at maturity along one suture to liberate the seeds. (2) A small sac of cells in the mammalian ovary that contains a maturing egg. (3) The pocket in the skin from which a hair grows.

Human Papillomavirus

A group of viruses that can cause warts on the skin or mucous membranes, with some types leading to cancers such as cervical cancer.

Genital Herpes

A sexually transmitted infection (STI) caused by the herpes simplex virus (HSV), characterized by painful sores or blisters on the genital area.

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