1. Tic douloureux is assosciated with which of the following nerves

A. 7th nerve
B. 3rd nerve
C. 5th nerve
D. None of the above

Ans. C

2. Trigeminal neuralgia is characterised by

A. Paralysis of one side of the face
B. Uncontrollable twitching of muscles
C. Sharp, excruciating pain of short duration
D. Prolonged episodes of pain on one side of the face

Ans.C

3. General characteristics of trigeminal neuralgia include all, except

A. Male predisposition
B. Predilection for right side noted
C. V3 is more commonly involved than V2 or V1
D. Older age group above 35 years are involved

Ans. A
There will be female predisposition not males

4. Which among the following is not a common feature of trigeminal neuralgia

A. Usually affecting the middle aged and elderly
B. Sharp, stabbing pain lasting seconds
C. The most common sites involved are the mandibular canine and maxillary canine areas
D. Pain usually crossing the midline of the face

Ans. D

5. Trigeminal neuralgia

A. Does not disturb the patient during sleep
B. Can be treated with NSAIDs
C. Always bilateral in distribution
D. It is hereditary condition

Ans. A
Maxillary branch is affected most, followed by mandibular and then ophthalmic branch

6. All of the following are true about trigeminal neuralgia except

A. It is bilateral
B. It is of throbbing nature
C. Occurs in bouts
D. It is triggered by touching cheeks, mucosa etc

Ans. A

7. Analgesics are not effective in reducing the pain in

A. Chronic pulpitis
B. Acute periodontitis
C. Impacted molar
D. Trigeminal neuralgia

Ans. D

• Phenytoin and carbamazepine are the drugs used in management of trigeminal neuralgia
• Carbamazepine is the drug of choice
• NSAID drugs have no role
• Now a days baclofen is used in the management of the neuralgia

8. The latest drug of the choice in the management in trigeminal neuralgia is

A. Valproic acid
B. Carbamazepine
C. Diphen hydantoin
D. None of the above

Ans. B

• Earlier carbamazepine is the drug of choice im trigeminal neuralgia
• If baclofen is given it should be the first choice(latest drug)
• Baclofen( centrally acting drug) a GABA derivative reduces the release of excitatory neurotransmitters and enhances the activity of GABA in the spinal cord
• It has less adverse effects compared to carbamazepine

9. What is the dosage of carbamazapine that is used in the treatment of trigeminal neuralgia

A. 200-400mg/day
B. 400-800mg/day
C. 400-1200mg/day
D. 1200-1600mg/day

Ans. B

10. Anticonvulsants frequently used in management of trigeminal neuralgia are

A. Phenytoin
B. Gabapentin
C. Baclofen
D. All of the above

Ans. D