Facial nerve: grading: practice question

A ENT question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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ENT · Facial nerve: grading

Sample item

On the House-Brackmann scale, what does grade VI denote?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Total paralysis with no movement

House-Brackmann grade I is normal and grade VI is total paralysis with no movement. Grade II is mild dysfunction, grade III moderate with complete eye closure, grade IV moderately severe with incomplete eye closure and grade V severe.

Option by option

  • A. Incomplete eye closure with obvious asymmetry

    Incomplete eye closure with asymmetry corresponds to grade IV.

  • B. Total paralysis with no movement (correct)

    Correct. Grade VI is no movement at all.

  • C. Normal function

    Grade I is normal.

  • D. Mild dysfunction with synkinesis

    Grade II is mild dysfunction.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More ENT questions

Questions about this ENT question

What is the answer to this ENT question?

The best answer is B, Total paralysis with no movement. House-Brackmann grade I is normal and grade VI is total paralysis with no movement.

Why is "Incomplete eye closure with obvious asymmetry" not the answer?

Incomplete eye closure with asymmetry corresponds to grade IV.

Why is "Normal function" not the answer?

Grade I is normal.

Why is "Mild dysfunction with synkinesis" not the answer?

Grade II is mild dysfunction.

What concept does this question test?

It tests Facial nerve: grading in ENT. Grade II is mild dysfunction, grade III moderate with complete eye closure, grade IV moderately severe with incomplete eye closure and grade V severe.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Facial nerve: grading?

Learn tuning fork results and audiogram patterns by sketching them. Then use the flashcards and the other ENT questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.